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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).
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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. |
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| 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 Do not save worksheets to your computer, as they are updated often and employees may be issued outdated information.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 worksheet, 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 |
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| A-2: Employee NOT anticipated to work at least 630 hours in the current school year |
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| 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. |
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| 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. |
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| 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). |
* 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 |
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| B-2: Review of hours worked indicates employee has actually worked 630 hours in the school year |
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| B-3: Revision of work pattern such that the employee is no longer anticipated to work 630 hours in the school year |
"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 |
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| 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 |
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| C-4:Employee appealing a grievance | |
| C-5: Employee retiring |
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| C-6: Employee 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 |
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| D-2: Eligible employee who is returning to the same SEBB Organization the next school year |
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