Quick reference guides

Employee checklists

• New hire or newly eligible employee 
• PEBB retiree health insurance

Premium surcharges

• The tobacco use and spouse or state-registered domestic partner coverage premium surcharge
• Attestation reports in SEBB My Account

SmartHealth incentive guidance

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

Dual enrollment

• Procedures in SEBB My Account

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)?
• Eligibility and employee contribution during FMLA (in development)

Dependents

• Dependent verification
• Process in SEBB My Account (chapter 3 of the SMA manual)
• Dependent verification valid documents (policy 31-1)
• Certifying eligibility for a dependent child with a disability who is age 26 or older (policy 36-1)
• Certifying eligibility for an extended dependent child (policy 37-1)

Special open enrollment and loss of eligibility

• SOE policy 45-2
  • SOE matrix - Addendum 45-2A
• Proof of loss (in development)
• Termination due to loss of eligibility (policy 19-1)
  • Addendum: School employee (policy 19-1A)
• SEBB My Account SOE user guides
  • Benefits Administrator
  • Employee

Error correction

• SEBB Error correction guidelines
• WAC 182-30-060 (How do SEBB organizations and contracted vendors correct enrollment errors?)
• Administrative policy 11-3 (Correcting SEBB organization and contracted vendor enrollment errors)
• Sample correction/recourse letters
  • Failure to enroll in default coverage
  • Failure to enroll accurately
  • Failure to provide eligibility notification timely
  • Failure to end coverage timely

Reports (in development)