SEB Board reviews benefit changes for 2022

Tue, 06/15/2021

On June 3, 2021, the School Employees Benefits Board (SEB Board) met virtually. The meeting was open to the public via Zoom.

Meeting recap

Highlights of the meeting are listed below. See the briefing book for all presentation materials.

  • Staff presented an update of the annual procurement process. Rates will be presented publicly at the Board meeting in mid-July. The Board will vote on the rates at the end of July.
  • Staff explained an IRS increase to the annual maximum subscriber contribution to health savings accounts (HSA) from $3,600 for single subscribers and $7,200 for all other tiers to $3,650 and $7,300, respectively. This affects UMP High Deductible plan members.
  • Staff presented potential changes for 2022 for Uniform Medical Plan (UMP), including:
    • Removing the coinsurance for mental health and substance use disorder inpatient professional services in UMP Achieve 1, UMP Achieve 2, and UMP Plus.
    • UMP Plus–Puget Sound High Value Network will no longer be available in Thurston County. The 77 affected members will receive notices from the SEBB Program and their plans. Thurston County members can choose from 13 other SEBB health plans.
  • Staff presented proposed Resolution SEBB 2021-14, which allows UMP subscribers to transfer accumulators (such as deductibles, out-of-pocket maximums, and visit limits) to another UMP plan.
  • Staff presented potential benefit changes for 2022 for Kaiser Foundation Health Plan of the Northwest (KPNW) including:
    • Changing naturopathy visits from specialty care to primary care, from provider referral to self-referral, and removing the $1,000 per year maximum (currently combined with massage therapy).
    • Adding 20 self-referral visits for acupuncture care.
    • Removing the annual dollar limit on the massage benefit and allowing self-referrals.
    • Allowing self-referrals for rehabilitation services without prior authorization.
    • Covering routine and necessary dental services before a patient can be placed on a list for organ transplant.
    • Adding PeaceHealth Southwest Medical Center as an in-network provider.
  • Staff presented potential benefit changes for 2022 for Kaiser Foundation Health Plan of Washington (KPWA), including:
    • For KPWA and KPWA Options, adding in-home infusion therapy to all plans.
    • For KPWA and KPWA Options, removing cost shares for two urine drug screenings.
    • For KPWA Options, removing the annual out-of-network maximum out-of-pocket limit.
    • KPWA’s contract with UW Medicine for Core and SoundChoice plans expired May 31, 2021.
    • KPWA’s contract with Kittitas Valley Medical Center ends on December 31, 2021.
  • Staff presented potential benefit changes for 2022 for Premera Blue Cross, including:
    • Adding the tobacco smoking cessation Quit for Life Program.
    • Expanding the carrier’s service area to Kittitas County.
  • Staff presented an overview of the UMP medical appeals process.

Next meeting

The next public meeting of the SEB Board is scheduled for 9 a.m. to noon on June 24. Board members and the public may attend virtually via Zoom. The link and call-in number will be noted on the meeting agenda, which will be posted on the SEB Board Meetings and materials webpage.