Does SEBB coverage meet the affordability requirement under the Affordable Care Act?

Yes, the SEBB Program meets the affordability requirements.

Are health insurance options available for board members through the SEBB Program?

As of January 1, 2024, the SEBB Program administers medical, dental, and vision coverage for board members interested in enrolling in these benefits. SEBB organizations no longer contract with the Health Care Authority to provide Public Employees Benefits Board (PEBB) benefits for board members.

Board members include the board of directors of a school district as governed by chapter 28A.343 RCW and the board of directors of an educational service district (ESD) as governed by chapter 28A.310 RCW.

Interested board members should be directed to contact customer service at 1-800-200-1004. Learn more about health insurance options available for board members.

Is cannabis included in the tobacco use premium surcharge?

No, only tobacco products are included.

Are premium surcharges deducted pretax?

Yes. Monthly medical premiums, along with applicable premium surcharges, are deducted from paychecks pretax, unless the employee arranges with their payroll or benefits office to have their premiums and applicable premium surcharges deducted posttax.

What is dual enrollment within the SEBB Program, and why isn’t it allowed?

Dual enrollment is when a school employee is eligible to enroll in the SEBB Program and is also eligible as the spouse, state-registered domestic partner, or dependent of another eligible school employee. Dual enrollment is not allowed for medical, dental, or vision coverage. The single-enrollment policy helps maintain the affordability of the SEBB Program’s health plans.

Can employees enroll using paper forms?

School employees are encouraged to enroll online with Benefits 24/7, using a computer, tablet, or smartphone. However, for those who cannot enroll online, paper enrollment forms are available from the benefits administrator.

If an employee waives coverage, does the district still pay the full employer contribution?

Yes. Employees can only waive medical coverage. They cannot waive dental, vision, or other benefits. The funding rate calculation assumes a certain percentage of employees will waive medical coverage, which reduces the average amount of employer funding needed per employee.

Are employees who aren’t considered full-time (like coaches and substitute teachers) eligible for benefits under the SEBB Program?

Yes, as long as they are employees of a school district or charter school, or are union-represented employees of an educational service district and they work or are anticipated to work 630 hours during the school year. A school year means September 1 through August 31.

What are the differences between PEBB and SEBB Programs?

Both programs are administered by the Health Care Authority. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. The School Employees Benefits Board (SEBB) provides benefits for employees of school districts and charter schools, and educational service districts. They have similarities in benefit design and premiums but differ in eligibility criteria and rules.

Does the district determine the termination date based on an employee’s contract? For example, if a teacher terminates their job at the end of the school year in June, they currently get benefits through September. Will that remain up to the district?

If an employee terminates their employment with the district, charter school, or ESD during the school year, their benefits will end based on the termination date. If an employee gives the district an August termination date, their benefits would continue through the end of the school year (August 31). If they terminate with a June date, their benefits would end June 30. See more about when benefits end.