Employee Benefits

WA HCA Audit of Dependent Verification

The WA Health Care Authority's School Employees Benefits Office of Regulatory Compliance and Oversight is conducting an audit of dependent verification on behalf of the SEBB Program. They are in the final phase of the audit. Beginning tomorrow (6/18/2025) they will be mailing letters directly to employees requesting verification documents. Employees will be required to provide documentation within 30 days of the date in the letter. Please follow the instructions provided in the letter to submit the required dependent verification documents.

Retirement Timing and SEBB Benefit Eligibility

The School Employees' Benefits Board (SEBB) provide health insurance to eligible school employees. As you plan to transition from being a working employee to a retiree, you will need to consider health coverage. If you are planning to receive SEBB benefits in July and August, you may not choose a June or July retirement date. For more information on how your retirement date affects your SEBB benefit coverage, please review the "School employees: how to time your retirement" article posted on February 13, 2025 by the Washington State Department of Retirement Systems. Prospective retirees may find information about PEBB retiree benefits such as eligibility, the enrollment process and benefit availability by visiting the WA HCA Retirees section.

Need to make a change to your SEBB benefits?

Certain life events let you change your benefits outside of annual open enrollment. These events are called "special open enrollment" events. To learn what events qualify for special enrollment and the steps you need to take to change your benefits, please visit the WA HCA website/"Special open enrollment" section.

SEBB Eligibility - How is eligibility determined?

SEBB benefit eligibility is triggered by specific employment circumstances, based on the rules in WAC 182-30 and WAC 182.31. The most current information on SEBB benefit eligibility is available from the WA HCA website>School Employees/"Am I eligible?" section. If you are determined to be eligible for SEBB benefits, your monthly premiums can be reviewed via Employee Access>Check History>"Deductions" and will appear coded according to your medical plan selection.

Please note: for SEBB eligible employees who WAIVE benefit coverage, the district is still responsible for the "employer contribution" paid to the WA HCA, which will appear on Employee Access>Check History>"Benefits" in the amount of $1,178.00 per month (9/1/24-8/31/25 rate). This is the mandatory employer contribution paid by the school district, not the employee, to the WA HCA for all SEBB eligible employee determinations.

Newly eligible for SEBB benefits?

If you are recently hired and benefit eligible, your SEBB benefits will begin the first day of the month following your start date (per WAC 182-31-040). All SEBB benefit information is available to start exploring, at any time, by visiting the WA HCA website>"School Employees" section. SEBB benefit eligibility/enrollment information will be sent to employees via email, as soon as the district eligibility determination has been made.

SEBB Enrollment Guide - Plan Comparisons, Costs, Supplemental Plans, etc..

Plan ID cards - After you enroll, your health plans will send you an identification (ID) card to show providers when you receive care.

If you have questions about your ID card, contact your plan.

The Uniform Dental Plan does not mail ID cards, but you may download one from the the Delta Dental website.

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Current employee plan changes & information

Need to contact one of your plans? CLICK HERE!

What changes can you make at any time?

What changes can you make during annual open enrollment?

How do you make changes outside of annual open enrollment?

To make changes that do NOT qualify as a Special Open Enrollment (SOE) event,
the next annual open enrollment is:

The next SEBB Program's Annual Open Enrollment (OE) will be
October-November 2025, exact dates TBD.

What happens if you stop working?

SEBB Continuation Coverage Info

Other Benefit Options:

Employee Assistance Program (EAP) - Free and confidential counseling services for employees. (Four sessions per person, per issue).
Contact: First Choice Health, Phone#: 1.800.777.4114. Please reference Username: shoreline

Dependent Care Assistance Program (DCAP) - which allows you to set aside pretax money from your paycheck to help pay for qualifying child care or elder care expenses. You must re-enroll in this benefit every year if you want to participate.

Flexible Spending Arrangements (FSAs) - allow you to set aside pretax money from your paycheck to pay for out-of-pocket health care costs. You must re-enroll in this benefit every year if you want to participate.

Life and Accidental Death & Dismemberment (AD&D) Insurance

Long-term Disability (LTD) Insurance

SmartHealth Wellness Programs

24-25 SEBB Intercom Flyers

SEBB Intercom May 2025 Flyer - mailed to staff 5/15/2025 - provides ideas on how to get started with behavioral health care, advice for preparing for retirement, tips for summer sun safety and travel, and much more.
SEBB Intercom February 2025 Flyer - mailed to staff 2/13/2025 - contains information about understanding blood pressure, using your vision benefits and apps to support wellness and much more!
SEBB Intercom October 2024 Flyer - mailed to staff 10/11/2024 - contains information about open enrollment, premiums, plan options for 2025, changes to the program, and much more.