If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
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FAQs for school administrators
The following frequently asked questions (FAQs) help you understand the SEBB Program and how it affects your school district, educational service district, or charter school.
Questions about corona virus and eligibility during school closures? See Information about novel corona virus (COVID-19).
Starting March 1, 2020, school employees should first submit a SEBB Employee Request for Review/Notice of Appeal form to their organization’s payroll or benefits office for review and/or a decision. The form includes instructions on where an employee should send their request or appeal, based on the type of request or appeal and situation. The information is also available on our File an appeal: SEBB webpage.
Under RCW 41.05.740 and 41.05.300 through 41.05.310, the SEBB Program includes authority to offer the following health insurance and other benefits to Washington school district and charter school employees, and union-represented educational service district (ESD) employees:
- Health care coverage, including all forms of:
- Medical insurance (including supplemental medical products such as cancer insurance, critical illness insurance, emergency transportation insurance, and indemnity plans)
- Dental insurance
- Vision insurance
- Prescription drug insurance
- Life insurance (all forms, including but not limited to, whole and term life insurance)
- Accidental death and dismemberment insurance
- Liability insurance (all forms, including but not limited to home and auto insurance) *
- Disability insurance (all forms, including but not limited to short- and long-term disability)
- Flexible spending arrangement (FSA) (all forms, including but not limited to “general-purpose” and “limited-purpose” FSAs)
- Dependent Care Assistance Program (DCAP)
All forms of the above insurance benefits are within the exclusive offering authority of the SEBB Program. SEBB organizations cannot offer, endorse, or make available any benefits under the SEBB Program’s authority, even if the SEBB Program does not offer the benefit (or a specific form of the benefit). For example, a SEBB organization cannot offer or endorse short-term disability insurance even though the SEBB Program does not currently offer this benefit
* For transitional relief on liability insurance during the 2019-2020 school year, see Can school districts offer liability insurance?.
Here's a list of valid documents to verify dependents. New employees can upload their dependent verification documents for review via SEBB My Account. Alternately, employees can take their paper documents to their payroll or benefits office for review and approval. Dependent verification documents must be approved during the SEBB Program timelines.
Both programs are administered by the Health Care Authority. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. The School Employees Benefits Board (SEBB) provides benefits for employees of school districts and charter schools, and for represented employees of ESDs. They have similarities in benefit design and premiums, but differ in eligibility criteria and rules.
Funding parity was addressed by the Legislature in Engrossed Substitute Senate Bill 6241, which intended for insurance benefit allocations for school employees to be no less than rates for state employees. The amount of funding provided for PEBB and SEBB benefits will be addressed during standard legislative operating budget processes.
Yes, in most cases. Benefits administrators are responsible for following SEBB Program rules and policies in approving or denying appeals. See the SEBB Employee Request for Review/Notice of Appeal form for guidance on the types of reviews you are responsible to process.
No, only tobacco products are included.
Yes. In 2018, the Washington State Legislature passed Engrossed Substitute House Bill 2408, which calls for this participation.
No. The employee can choose which district to participate in. Only that district pays the employer contribution.
No. The tobacco use and spouse or state-registered domestic partner coverage premium surcharges do not apply if they waive medical coverage.