Quick reference guides

The quick reference guide page provides benefits administrators with easy access to popular topics related to the SEBB Program.

On this page

Accounting and supplemental billing

Find accounting manuals and other resources, including supplemental billing resources, on the Accounting webpage. 

Benefits 24/7 Insurance system manuals and resources

Find information about Benefits 24/7, including manuals and resources, on the Administering SEBB in Benefits 24/7 webpage and on the Forms and publications webpage. 

Termination of coverage/rescission dates

Error correction

Learn about correcting errors and the error correction process on the Correcting SEBB organization errors webpage. 

Appeals

Learn about appeals on the Appeals process webpage.

Employee and dependent resources

Employee eligibility and enrollment

Learn about eligibility and enrollment on the Eligibility worksheets webpage, the Newly eligible employees webpage, and the Employee enrollment webpage. 

Dependents

Learn about dependent eligibility and enrollment by visiting the Dependents webpage.

Premium surcharges

Learn about the tobacco use and spouse or state-registered domestic partner coverage premium surcharges by visiting the Premium Surcharges webpage. 

SmartHealth incentive guidance

  • Eligible employees can earn wellness incentives by participating in SmartHealth.

Dual enrollment

Learn about dual enrollment on the Employee enrollment webpage and Dependents webpage. 

Special open enrollment

Learn about special open enrollment by visiting the When employees may make changes webpage. 

FMLA and PFML

  • WAC 182-31-110 (What options are available if a school employee is approved for the federal Family and Medical Leave Act or the paid family and medical leave program)?
  • PFML FAQ: Find answers to frequently asked questions related regarding FMLA and PFML. 

Eligibility when taking FMLA/PFML

Employers need to determine eligibility for SEBB/PEBB benefits without considering whether a school employee will or will not take leave that is protected under state and/or federal laws. Working hours that contribute to the minimum necessary for eligibility are not “reduced” by anticipated OR taken FMLA or PFML time. If an employee is already determined to be benefits eligible when they go on FMLA or PFML, those benefits must be maintained during FMLA or PFML.

When the employee returns from approved PFML or FMLA, the following WACs apply:

  • Maintaining eligibility for SEBB benefits: WAC 182-31-040 (4) (d): A school employee who returns from approved leave without pay will maintain or establish eligibility for the employer contribution toward SEBB benefits if their work schedule, had it been in effect at the start of the school year, would have resulted in the school employee being anticipated to work the minimum hours to meet SEBB eligibility for the employer contribution in the school year. A school employee who regains eligibility under this subsection, establishes eligibility for the employer contribution toward SEBB benefits as of the date they returned from approved leave without pay.
  • Eligibility for SEBB benefits ends: WAC 182-31-050 (1) (d): The school employee who returns from approved leave without pay, who maintained or established eligibility as described in WAC 182-31-040 (4) (d), and who subsequently has a change in work pattern that, had the work pattern been in effect at the start of the school year, would not have resulted in the school employee being anticipated to work the minimum hours to meet SEBB eligibility for the employer contribution in 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 Continuation Coverage

Find information about employee continuation coverage options on the SEBB Continuation Coverage COBRA and Unpaid Leave webpages. 

PEBB retiree insurance

Learn about PEBB retiree insurance on the Retirees webpage. 

Related forms and publications

Related links