SEB Board passes resolutions on employee eligibility and life insurance benefits
On August 30, 2018, the School Employees Benefits Board (SEB Board) voted on the following resolutions:
- SEBB Program eligibility based on stacking of hours within one SEBB organization.
- That returning school employees with uninterrupted eligibility get uninterrupted coverage.
- When a school employee’s eligibility begins when moving to another SEBB organization.
- Offering supplemental employee-paid life and accidental death and dismemberment insurance benefits.
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.
The following policy resolutions were approved by the SEB Board.
Eligibility for the employer contribution based on stacking of hours (SEBB 2018-28)
A school employee may establish eligibility for the employer contribution toward SEBB benefits based on stacking of hours within one SEBB organization.
Returning school employees with uninterrupted coverage (SEBB 2018-33)
A school employee returning to the same SEBB organization who is anticipated to work at least 630 hours in the coming school year, and who was receiving the employer contribution in August of the prior school year, will receive uninterrupted coverage from one school year to the next.
Eligibility when moving between SEBB organizations (SEBB 2018-34)
A school employee will have uninterrupted coverage when moving from one SEBB organization to another within the same month or a consecutive month if the following conditions are satisfied:
- The employee was eligible for the employer contribution toward SEBB benefits in the position they are leaving; and
- The employee is anticipated to be eligible for the employer contribution toward SEBB benefits in their new position.
The following benefit resolution was approved by the SEB Board.
Supplemental term life insurance plans (SEBB 2018-31)
Beginning January 1, 2020, the voluntary employee paid supplemental life benefit will include:
- An employee supplemental death from any cause life insurance benefit of $500,000 guaranteed issue (GI), up to a maximum of $1,000,000 with medical underwriting for amounts over $500,000;
- An employee supplemental AD&D benefit of $30,000 up to $250,000 GI;
- A spouse or state-registered domestic partner death from any cause life insurance benefit of up to 50 percent of the employee supplemental elected amount with $100,000 GI and amounts over $100,000 with medical underwriting;
- A spouse or state-registered domestic partner AD&D benefit of $30,000 up to $250,000 GI;
- A child death from any cause life insurance benefit of $10,000 up to $20,000 GI; and
- A child AD&D benefit of $10,000 up to $25,000 GI.
The following items were also presented to the SEB Board for informational purposes as part of the August 30 agenda.
- ERB Division Director Dave Iseminger addressed follow-up Board questions from the July 30 meeting.
- John Bowden, SEBB section manager, and Kayla Hammer, fiscal information and data analyst, presented on the data sets and sources available to HCA and the SEB Board for decision-making purposes.
- Marty Thies, ERB Centers of Excellence program manager, and Emily Transue, associate medical director, gave an informational presentation on the Centers of Excellence, which could allow for additional benefit options for total joint replacements (knee/hip) and spinal fusions in select SEBB self-insured medical plans.
- Kate Reynolds, executive director of the Washington State Executive Ethics Board, gave a presentation on ethics training.
- Lauren Johnston, SEBB procurement manager, presented a resolution to offer vision plans separate from the medical benefit plans (2018-35).
- Barb Scott, manager of ERB Policy, Rules and Compliance, presented a resolution on presumed eligibility based on hours worked the previous school year (SEBB 2018-36).
- Beth Heston, contract manager, presented a resolution establishing the amount of a basic term life insurance and AD&D benefit (2018-30) and a resolution offering a self-insured dental plan with the same covered services, provider networks and clinical policies as the Uniform Dental Plan in place for plan year 2020 (2018-37).
- Rob Parkman, from ERB Policy, Rules, and Compliance section, presented a first look at the program’s annual rule-making plan.
On September 17, 2018, the SEB Board will have one short meeting and one joint meeting with the Public Employees Benefits (PEB) Board. The SEB Board will discuss vision benefits and disability benefits, and may vote on a resolution to:
- Offer a group vision plan(s) beginning January 1, 2020 that is separate from the medical plans (SEBB 2018-35)
The purpose of the joint meeting with the PEB Board is a discussion on the K-12 retiree report planned for December.
On October 4, 2018, the SEB Board may vote on resolutions regarding:
- Basic term life insurance and accidental death and dismemberment insurance (SEBB 2018-30)
- School employees’ eligibility based on hours worked the previous school year (SEBB 2018-36)
- Offering a self-insured dental plan with the same covered services and exclusions, same provider networks, and same clinical policies as the Uniform Dental Plan (UDP) in place for plan year 2020 under the PEBB Program (SEBB 2018-37)
SEBB benefit development continues:
- On August 10, the HCA announced the apparently successful bidders (ASBs) for vision benefits.
- On August 27, the HCA announced the ASBs for fully insured medical benefits.
- Contract negotiations for disability and dental benefits are in progress.
For more information
You can find more information on the SEBB Program page.