Generally, employees hired into a position in which they are anticipated to work at least 630 hours in the current school year will be eligible for benefits through the SEBB Program. Learn about your eligibility for SEBB benefits.

If you are eligible for SEBB Program benefits, you must enroll within 31 days of becoming eligible for the employer contribution toward SEBB Program benefits. The easiest way to enroll is online, using SEBB My Account. See the Quick Start Guide on page 6 of the 2023 School Employee Enrollment Guide to learn how to set up your account.

If you are eligible for the employer contribution toward SEBB benefits, but do not waive or enroll in SEBB Program medical coverage within the required timeline, you will be automatically enrolled in UMP Achieve 1 as your medical plan, Uniform Dental Plan, MetLife vision, basic life insurance, basic accidental death and dismemberment (AD&D) insurance, basic long-term disability (LTD) insurance, and employee-paid supplemental long term disability insurance. Your dependents will not be enrolled. You will be charged a monthly $42 premium for medical coverage, as well as a $25 per account monthly tobacco use premium surcharge.

The SEBB Program offers a range of health plans and other benefits for 2022, including:

Employer-paid benefits:

• Contribution toward medical premium
• Health Savings Account (HSA) for those who enroll in UMP High Deductible (administered by Regence BlueShield)
• Wellness programs like SmartHealth and the diabetes prevention program
• Dental insurance
• Vision insurance
• Basic life insurance
• Basic accidental death and dismemberment (AD&D) insurance
• Basic long-term disability (LTD) insurance

Employee-paid benefits:

• Medical plan premium
• Supplemental life insurance
• Supplemental AD&D insurance
• Supplemental LTD insurance
• Medical Flexible Spending Arrangement (FSA)
• Dependent Care Assistance Program (DCAP)

You should contact the plans when you have questions about:

• Benefit details (including Rx coverage)
• Finding a doctor or dentist
• ID cards
• Copayments, coinsurance, deductibles, or claims
• Health plan complaints or appeals
• Using the plan’s website

Medical Plan Contacts

• Kaiser Permanente Washington (Core 1, Core 2, or Core 3)
  • Online: Kaiser Permanente Washington for School Employees
  • Phone: 1-888-901-4636
  • Address: 601 Union St., Ste 3100 | Seattle, WA 98101
• Uniform Medical Plan (Achieve 1, Achieve 2, or High Deductible)
  • Online: Uniform Medical Plan for School Employees
  • Phone: 1-800-628-3481
  • Address: 1800 9th Ave., Ste 235 | Seattle, WA 98101
• Uniform Medical Plan - Prescription Services (administered by Wasington State Rx Services)
  • Online: Prescription Drug Information for School Employees
  • Phone: 1-888-361-1611
  • Address: PO Box 40168 | Portland, OR 97240-0168
• Premera Blue Cross (High PPO or Standard PPO) - not available to employees residing in Island County
  • Online: Premera Blue Cross for School Employees
  • Phone: 1-800-807-7310
  • Address: 7001 220th St SW | Mountlake Terrace, WA 98043

Dental Plan Contacts

• DeltaCare (administered by Delta Dental of Washington)
  • Online: DeltaCare for School Employees
  • Phone: 1-800-650-1583
  • Address: 400 Fairview Ave. N., Ste 800 | Seattle, WA 98109-5371
• Uniform Dental Plan (administered by Delta Dental of Washington)
  • Online: Uniform Dental Plan for School Employees
  • Phone: 1-800-537-3406
  • Address: 400 Fairview Ave. N., Ste 800 | Seattle, WA 98109-5371
• Willamette Dental Group
  • Online: Willamette Dental Group for School Employees
  • Phone: 1-855-433-6825
  • Address: 6950 NE Campus Way | Hillsboro, OR 97124-5611

Vision Plan Contacts

• Davis Vision, Inc.
  
  • Online: Davis Vision for School Employees
  • Phone: 1-877-377-9353
  • Address: PO Box 1525 | Latham, NY 12110
• EyeMed Vision Care
  • Online: EyeMed Vision Care for School Employees
  • Phone: 1-800-699-0993
  • Address: 4000 Luxottica Place | Mason, OH 45040
• MetLife
  • Online: MetLife Vision for School Employees
  • Phone: 1-855-638-3931
  • Address: PO Box 385018 | Birmingham, AL 35238-5018

All SEBB-eligible school employees are offered a selection of plans based on their county of residence. Some school employees may have more plan options if they work in a district that crosses county lines.

There are several SEBB Program medical plans to choose from:

• Kaiser Permanente Washington - Core 1, Core 2, or Core 3
• Uniform Medical Plan - Achieve 1, Achieve 2, or High Deductible
• Premera Blue Cross - High PPO or Standard PPO (not available to employees residing in Island County)

Resources:

• 2023 SEBB Medical Benefits Comparison
• Benefits and coverage by plan
• 2023 SEBB School Employee Monthly Premiums, Deductibles, and Out-of-Pocket Limits

You may waive your enrollment in SEBB medical coverage if you are enrolled in other employer-based group medical insurance, a TRICARE plan, or Medicare.

Information about Premium Assistance Under Medicaid and the Children's Health Insurance Program (CHIP) can be found here.

Marketplace Coverage Options and Your Health Coverage

If you are eligible for SEBB Program benefits, dental coverage is included for you and your eligible dependents. The coverage is mandatory and the premium paid by Oak Harbor Public Schools.

 There are three SEBB program dental plans to choose from:

• DeltaCare (administered by Delta Dental)
• Willamette Dental Group
• Uniform Dental Plan (administered by Delta Dental)

 Keep in mind:

• DeltaCare and Willamette Dental Group are managed-care plans. You must choose a primary dental provider within their networks. These plans will not pay claims if you see a provider outside of their network. Important: DeltaCare and Willamette Dental Group do not currently have any in-network providers located on Whidbey Island.
• Check with the plan to see if your dental provider is in the plan's network.

 Compare dental plans.

If you are eligible for SEBB Program benefits, vision coverage is included for you and your eligible dependents. The coverage is mandatory and the premium paid by Oak Harbor Public Schools.

There are three SEBB Program vision plans to choose from:

• Davis Vision
• EyeMed Vision Care
• MetLife Vision

 Be sure to check with the plan to see if your vision provider is in the plan's network.

 Compare vision plans.

Benefit-eligible employees may make changes to their benefit elections during annual open enrollment. Annual open enrollment usually takes place in October/November for the benefit year starting the following January 1.

Certain events let you make account changes (like changing plans or enrolling a dependent) outside of an annual open enrollment or your initial enrollment period. You must provide proof of the event that created the special open enrollment (for example: a marriage or birth certificate). A special open enrollment event may be requested online via SEBB My Account, or by completing the 2023 School Employee Change Form and submitting it to the Benefits Specialist. Click here for step-by-step instructions for completing your special open enrollment event via SEBB My Account. Note that special open enrollment requests must be completed within 60 days of your qualifying event.

If you are a subscriber, dependent, or applicant for SEBB Program benefits, you may be able to file an appeal of a decision made by your employer, the SEBB Program, or the insurance carrier. Find out how you can appeal a decision or denial by your employer or the SEBB Program.

If you submitted an appeal to the SEBB Program, please be assured that they are working through them as quickly as possible. If approved, coverage will be effective back to January 1, 2020. If you would like to check if your appeal has been received or request an expedited appeal for an urgent medical need, please call the SEBB Appeals Unit at 1-800-351-6827.

If you feel your life, health, or safety is at risk you should seek care immediately.

Notice of Privacy Practices

When SEBB Program coverage ends, your SEBB benefits end the last day of the school year (August 31). Your benefits will end earlier if:

• Your employer terminates your employment. Eligibility and coverage ends the last day of the month in which the termination notice is effective.
• You resign. Eligibility and coverage ends the last day of the month in which your resignation is effective.
• Your work pattern or schedule is reduced and your employer no longer anticipates you will work 630 compensated hours during the school year. Coverage ends the last day of the month in which the change is effective.

After eligibility for employer-paid coverage ends, you, your dependents, or both may be able to temporarily continue your SEBB insurance coverage by self-paying the premiums and applicable premium surcharges with no contribution from your employer. 

The SEBB Program will mail a SEBB Continuation Coverage Election Notice booklet to you or your dependent. You or your eligible dependents must submit the appropriate election form to the SEBB Program no later than 60 days from the date SEBB health plan coverage ended or from the postmark date on the SEBB Continuation Coverage Election Notice, whichever is later.

SEBB Continuation Coverage

For questions about your rights to continuation coverage, contact:

SEBB Program

1.800.200.1004 (toll free) and select menu option 6