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Separation (employment ending)

Information regarding employees and their covered dependents when the employment relationship is terminated.

When eligibility ends for the employer contribution

The employer contribution toward SEBB benefits ends the last day of the month in which the school year ends (see WAC 182-31-050).

The employer contribution will end earlier than the end of the school year if:

The event is... ...then eligibility ends

The SEBB organization terminates the employment relationship

The last day of the month in which the employer-initiated termination notice is effective

The employee terminates the employment relationship

The last day of the month in which the employee's resignation is effective

The employee's work pattern is revised such that they are no longer anticipated to work 630 hours during the school year

As of the last day of the month in which the change is effective

If the SEBB organization deducted the employee's portion of the premium for SEBB benefits from their pay after the employee was no longer eligible for the employer contribution, SEBB benefits end the last day of the month for which the employee premiums were deducted.

COBRA

An employee or their dependent who loses eligibility for the employer contribution towards SEBB benefits and who qualifies for continuation coverage under the federal Consolidated Omnibus Budget Reconciliation Act (COBRA) may continue coverage for all or any combination of medical, dental, or vision by self-paying the premium and applicable premium surcharges set by the health care authority (HCA) (see WAC 182-31-090).

PEBB retiree insurance

Retiring employees may choose to elect PEBB retiree coverage, if eligible (see WAC 182-12-171).

SEBB organization requirements

The SEBB organization must...

...no later than... ...or this will happen
Complete the C-3 worksheet. 30 days after the date employment ends or as soon as the employee's termination effective date is known. Eligibility errors may occur and the employee will not receive the required notice and information provided in the worksheet.

Terminate the employee's SEBB insurance coverage in SEBB My Account. See SEBB Program Administrative Policy 19-1, Addendum 19-1A (Termination due to loss of eligibility or enrollment error: School employee) for more information.

Immediately after the date employment ends or as soon as the employee's termination effective date is known. 

The Continuation Coverage Election Notice will be delayed, resulting in increased employer cost for coverage, insurance coverage enrollment delays, and possible payment hardships. 

HCA will send the employee the Continuation Coverage Election Notice in the mail after the employee coverage has been terminated in SEBB My Account. This can take up to 14 days after the insurance coverage has been terminated.

Information for employees

Employees who have...

...may... ...no later than
A spouse or state-registered domestic partner (SRDP) also covered by SEBB benefits Enroll under the spouse or SRDP medical, dental and or vision coverage as a dependent. 60 days after the date the employee's coverage ended.
SEBB life insurance Apply for portability or conversion of coverage through MetLife. 60 days after the date the employee's life insurance ends.
A spouse or SRDP also covered by SEBB benefits Transfer their supplemental life insurance to their spouses or SRDP's SEBB coverage, up to the eligible limits, without evidence of insurability.  The spouse or SRDP must contact MetLife to initiate the process. 60 days after the date the employee's life insurance ends.

A Medical Flexible Spending Arrangement (FSA) through Navia Benefit Solutions

Apply for Continuation Coverage through Navia Benefit Solutions to extend their period of coverage, so they may claim expenses incurred after employment ends. 60 days after the date the employee's coverage ends.
A spouse or SRDP also covered by SEBB benefits Enroll in or change their election for a Medical FSA 60 days after the date the employee's coverage ends.

Employees applying to enroll in COBRA

Employees applying for COBRA must...

...no later than... ... or this will happen
Complete the Continuation Coverage (COBRA) election/change form. 60 days after the mailing date on the Continuation Coverage Election Notice. SEBB insurance coverage will end on the last day of the month in which the employee lost eligibility for the employer contribution.
Mail or hand-deliver the Continuation Coverage (COBRA) election/change form to the Health Care Authority (HCA). The mailing and physical address is provided on the form. 60 days after the mailing date on the Continuation Coverage Election Notice. Lose the right to continue coverage.
Make first payment to HCA for continuation coverage. 45 days after the date the coverage is elected. Lose the right to continue coverage.

Employees applying to enroll in PEBB retiree coverage

Employees applying for PEBB retiree coverage must...

...no later than... ...or this will happen
Complete the PEBB Retiree Coverage Election form to enroll in or defer retiree coverage 60 days after their employer-paid, COBRA, or Continuation Coverage (Unpaid leave) ends. The employee may lose the right to enroll in or defer PEBB retiree insurance coverage in the future.
Mail, hand-deliver, or fax the Retiree Coverage Election form to the HCA.  The mailing address is provided on the form.  The fax number is 360-725-0771 60 days after the employer-paid, COBRA or Continuation Coverage (Unpaid leave) ends. The employee may lose the right to enroll in or defer PEBB retiree insurance coverage in the future.
Make the first full payment to HCA (if not electing pension deduction from the Department of Retirement Systems (DRS).

45 days after the 60 day election period ends.

The employee will not be enrolled in retiree coverage and may lose the right to enroll in or defer retiree insurance coverage in the future.

Employees retiring under Department of Retirement Systems (DRS) plans must contact DRS about retirement eligibility.

Contact

MetLife Insurance Company
Phone:
1-833-854-9624

The PEBB Program
Phone:
1-800-200-1004

The Department of Retirement Systems (DRS)
Phone:
1-800-547-6657