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Employee eligibility tools and worksheets

Find the tools you need to help determine employee eligibility (based on the employee's situation).

Determining eligibility

SEBB provides the following method to determine eligibility for the employer contribution toward benefits for school employees of SEBB organizations. The method:

Facilitates decisions compliant with RCW and WAC.
Provides required notice and information to employees.
Confirms receipt of the required notice and information.
Provides guidance and suggestions for the SEBB organization and school employee.

Eligibility method

Step 1	Choose the worksheet below that describes the employee's situation. Additional information is provided to guide you to other worksheets that may be more appropriate for the employee's situation.
Step 2	Click on the title of the specific worksheet that describes the employee or employee's situation. The worksheet will display in Excel.
Step 3	Complete the worksheet electronically. Do not save worksheets to your computer, as they are updated often and employees may be issued outdated information.
Step 4	With the exception of the A-5, C-4 and C-5 worksheets, the employee must sign their completed worksheet. If the employee is not with you to sign their worksheet, send them a completed worksheet and request a returned, signed copy or an email confirming receipt.
Step 5	File the worksheet electronically or as a hard copy for your use and review by SEBB.

Worksheets

"A" series: for new hires

Worksheet	If the employee is...
A-1: Employee anticipated to work at least 630 hours in the current school year	Transferring to or from another SEBB organization, use A-5 Moving to another position within the same SEBB organization, use B-3
A-2: Employee NOT anticipated to work at least 630 hours in the current school year	Transferring to or from another SEBB organization, use A-5 Moving to another position within the same SEBB organization, use B-1
A-3: Employee NOT anticipated to work at least 630 hours in the current school year due to time of hire in the school year, but is anticipated to work at least 630 hours in the next school year with the same SEBB Organization.	Transferring to/from another SEBB organization, use A-5
A-4: Employee NOT anticipated to work at least 630 hours in the current school year, but belongs to a group which has locally negotiated eligibility criteria with the SEBB Organization.	Transferring to/from another SEBB organization, use A-5
A-5: Benefits-eligible employee transferring to another SEBB organization without a break in SEBB coverage. This worksheet applies to both SEBB organizations (losing and gaining the employee).	Transferring with a break in SEBB coverage, use the A-1, A-2, A-3, or A-4 (whichever is appropriate) A break in SEBB coverage is one full calendar month in which the employee does not receive the employer contribution

"B" series: for existing employees who have a change in employment status that results in either gaining or losing eligibility for the employer contribution

Worksheet	If the employee is...
B-1: Revision of work pattern such that the employee is now anticipated to work at least 630 hours in the school year	A new hire, use the appropriate A-series worksheet No longer anticipated to work at least 630 hours in the school year, use the B-3 worksheet
B-2: Review of hours worked indicates employee has actually worked 630 hours in the school year
B-3: Revision of work pattern such that the employee is no longer anticipated to work 630 hours in the school year	Now anticipated to work at least 630 hours in the school year, use the B-1 worksheet

"C" series: for benefits-eligible employees who are leaving work either temporarily or permanently

Worksheet	If the employee is...
C-1: Employee who is currently eligible for benefits and leaving work on authorized leave (LWOP, called to active military service, appealing a grievance, applying for a disability retirement, layoff)	Going on FMLA or PFML, use C-2 worksheet
C-2: Employee who is currently eligible for benefits and ceases active work during approved federal Family Medical Leave Act (FMLA) or Paid Family and Medical Leave Program (PFMLP)
C-3: Employment relationship is terminated	Losing eligibility due to a change in work pattern, use B-3 worksheet Losing eligibility due to going on authorized leave, use the C-1 worksheet
C-4: Employee retiring (guidance for an employee terminating due to retirement)
C-5: Employee deceased (guidance for a surviving dependent of an employee who has deceased)

"D" series: for employees who are returning to work

Worksheet	If the employee is...
D-1: Employee who is returning from authorized leave without pay, active military duty, time-loss benefits under worker's compensation, or appealing a dismissal	New hire, use the appropriate A series worksheet