SEBB Program rates

Find rate letters and information for the School Employees Benefits Board (SEBB) Program and PEBB retirees.

Rate letters

The 6E rate letters contain the rates for employees who have locally negotiated eligibility criteria.

2023

2022

2021

2020

W-2 reporting

This information has moved. You can now find guidance on tax issues related to nontax qualified dependent insurance on the HCA reporting guidance page.

FSA DCAP admin fee
Tax issues related to nontax qualified dependents

This information has moved. You can now find guidance on tax issues related to nontax qualified dependent insurance on the HCA reporting guidance page.

Employer Payment for Health Care Benefits

The rates in the table below are provided each year to assist employers with calculating the Employer's Payment for Health Care Benefits (previously known as Cockle rates). When an employee qualifies for time-loss compensation, the employer must provide the employee’s compensation information, which includes the Employer's Payment for Health Care Benefits, to L&I to determine the employee's total claim benefit.

As of January 1, 2020, the Employer's Payment for Health Care Benefits is determined by the tier the employee (subscriber) is enrolled in. Review the examples of how to calculate the payment amount using the current rates listed in the table below.

Date Employer paid benefits Subscriber Subscriber and spouse Subscriber and child(ren) Full family
1/1/2023 to 12/31/2023 Medical $600.00 $1,200.00 $1,050.00 $1,800.00
  Dental $48.31 $96.62 $96.62 $144.93
  Vision $6.66 $13.32 $11.66 $19.98
1/1/2022 to 12/31/2022 Medical $570.00 $1,140.00 $997.50 $1710.00
  Dental $49.76 $99.52 $99.52 $149.28
  Vision $6.66 $13.32 $11.66 $19.98
1/1/2021 to 12/31/2021 Medical $555.00 $1,110.00 $971.25 $1,665.00
  Dental $47.63 $95.26 $95.26 $142.89
  Vision $6.66 $13.32 $11.66 $19.98
1/1/2020 to 12/31/2020 Medical $555.00 $1,110.00 $971.25 $1,665.00
  Dental $48.67 $97.34 $97.34 $146.01
  Vision $6.66 $13.32 $11.66 $19.98

PEBB Program rates

PEBB retiree rates