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 Get Started with SEBB My Account on page 10 of the 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, and basic long-term disability (LTD) insurance. Your dependents will not be enrolled. You will be charged a monthly $33 premium for medical coverage, as well as a $25 per account monthly tobacco use premium surcharge.
SEBB Program Benefits
The SEBB Program offers a range of health plans and other benefits for 2020, including:
Contribution toward medical premium
Health Savings Account (HAS) for those who enroll in UMP High Deductible (administered by Regence BlueShield)
Wellness programs like SmartHealth and the diabetes prevention program
Basic life insurance
Basic accidental death and dismemberment (AD&D) insurance
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.
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 1-800-200-1004 (and select menu option “7”) between the hours of 8:00am and 4:30pm, Monday through Friday.
If you feel your life, health, or safety is at risk you should seek care immediately.
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.