SEB Board passes resolutions on eligibility for the employer contribution and more

Tue, 07/31/2018

On July 30, 2018, the School Employees Benefits Board (SEB Board) voted on policy resolutions to:

  • Determine when the employer contribution for SEBB benefits ends.
  • Determine SEBB eligibility for employer contribution based on a revision to the employee’s work pattern and actual hours worked.
  • Require school employees to provide evidence of a dependent’s eligibility to enroll the dependent.

These resolutions will apply to eligible employees of school districts, educational service districts (ESDs), and charter schools who will receive their health insurance benefits through the SEBB Program starting January 1, 2020. 

Policy resolutions

The following policy resolutions were approved by the SEB Board.

When the employer contribution for SEBB benefits end (SEBB 2018-25)

The employer contribution toward SEBB benefits ends the last day of the month in which the school year ends. The employer contribution toward SEBB benefits will end earlier than the end of the school year if one of the following occurs:

  • The SEBB organization terminates the employment relationship. In this case eligibility for the employer contribution ends the last day of the month in which the employer-initiated termination notice is effective.
  • The school employee terminates the employment relationship. In this case, eligibility for the employer contribution ends the last day of the month in which the school employee’s resignation is effective.
  • The school employee’s work pattern is revised such that the school employee is no longer anticipated to work 630 hours during the school year. In this case, eligibility for the employer contribution ends as of the last day of the month in which the change is effective.

SEBB eligibility for the employer contribution based on a revision to the school employee’s anticipated work pattern (SEBB 2018-26) 

If a school employee’s work pattern is or will be revised such that he or she is now anticipated to work 630 hours for the school year, the school employee establishes eligibility for the employer contribution toward SEBB benefits as of the date the school employee is anticipated to work 630 hours for the school year.

SEBB eligibility for the employer contribution based on actual hours worked (SEBB 2018-27)

A school employee who is not anticipated to work 630 hours in the school year, but actually does work 630 hours, establishes eligibility for the employer contribution toward SEBB benefits as of the date the school employee worked 630 hours.

School employees are required to provide evidence of a dependent’s eligibility to enroll the dependent (SEBB 2018-29)

  • A school employee who wants to enroll his or her dependent is required to provide evidence of the dependent’s eligibility. If the school employee does not submit the required evidence to verify his or her dependent’s eligibility within the HCA’s required timeframe, the dependent will not be enrolled.
  • The school employee’s next opportunity to enroll the dependent, if eligible, would be the next eligible open enrollment.

Meeting recap

The following items were also presented to the SEB Board for informational purposes as part of the July 30 agenda.

  • Employees and Retirees Benefits (ERB) Division Director Dave Iseminger addressed follow-up questions from the SEB Board’s June 13 meeting and notified board members of a meeting scheduled for September 17, 2018, with both the SEB Board and the Public Employees Benefits Board regarding the retired and disabled school employees risk pool analysis.
  • ERB Contract Manager Beth Heston and ERB Deputy Director Scott Palafox provided information about basic and supplemental life and accidental death and dismemberment insurance benefit options from MetLife.
  • ERB Data Analyst Kayla Hammer presented an update on the legislative report regarding an analysis of the most appropriate risk pool for retired and disabled school employees.
  • SEBB Finance Manager Kim Wallace presented an update on treatment limits and benefits costs under the SEBB Program’s self-insured Uniform Medical Plan offerings.
  • The HCA will post meeting minutes on the Meetings and materials page.

To get all of the materials presented at the July 30 SEB Board meeting, view the briefing book.

Next steps

On August 30, 2018, the SEB Board may vote on resolutions regarding:

  • SEBB eligibility for the employer contribution when an employee is hired mid-year and is expected to work 630 hours in the next school year.
  • SEBB eligibility for the employer contribution based on the stacking of hours.
  • Uninterrupted coverage for returning school employees with uninterrupted eligibility.
  • School employee eligibility when transferring between SEBB organizations.

The board will also be presented with further information on a previously introduced resolution regarding dual enrollment in SEBB Program benefits.

Benefit procurement work continues:

  • HCA announced The Standard Insurance Company as the apparently successful bidder for short- and long-term disability insurance plans on June 26.
  • HCA aims to announce the apparently successful bidder(s) for vision plans by August 17.
  • Responses to the request for proposals on fully insured medical plans are due by August 2.

HCA is developing a partnership with the Washington School Information Processing Cooperative (WSIPC) to provide a streamlined approach for school employees to make their open enrollment benefit selections. WSIPC’s online enrollment platform is expected to be available to all school districts free of charge starting with the first SEBB Program open enrollment in fall 2019. HCA decided to collaborate with WSIPC because WSIPC’s Insurance Tracking Module is widely used by all educational service districts and charter schools, and the majority of school districts.

For more information

You can find more information on the SEBB Program page.