Washington Administrative Code › Title 182 - Health Care Authority › SCHOOL EMPLOYEES BENEFITS BOARD (SEBB) PROGRAM › Chapter 182-31 - Eligible school employees › Section 182-31-080 - When may a school employee waive enrollment in school employees benefits board (SEBB) medical and when may they enroll in SEBB medical after having waived enrollment?

Current through Register Vol. 24-14, July 15, 2024
A school employee may waive enrollment in school employees
				  benefits board (SEBB) medical if they are enrolled in other employer-based
				  group medical, a TRICARE plan, or medicare as described in subsection (1)(a)
				  through (c) of this section. A school employee who waives enrollment in SEBB
				  medical must enroll in SEBB dental, SEBB vision, basic life insurance, basic
				  accidental death and dismemberment (AD&D) insurance, and employer-paid
				  long-term disability (LTD) insurance. A school employee will also be enrolled
				  in employee-paid LTD insurance automatically unless the school employee
				  declines their employee-paid LTD insurance as described in WAC
				  182-30-080.
Exception:
A school employee may waive their enrollment in SEBB
							 medical to enroll in public employees benefits board (PEBB) medical only if
							 they are enrolled in PEBB dental. A school employee who waives enrollment in
							 SEBB medical to enroll in PEBB medical also waives enrollment in SEBB dental
							 and SEBB vision.
(1) To waive
				enrollment in SEBB medical, the school employee must submit the required form
				to their SEBB organization at one of the following times:
(a)
When the school employee becomes
				eligible:
A school employee may waive SEBB medical when they become
				eligible for SEBB benefits. The school employee must indicate their election to
				waive enrollment in SEBB medical on the required form and submit the form to
				their SEBB organization. The SEBB organization must receive the form no later
				than 31 days after the date the school employee becomes eligible for SEBB
				benefits (see WAC
				182-30-080). SEBB medical will be
				waived as of the date the school employee becomes eligible for SEBB
				benefits.
(b)
During the
				annual open enrollment:
A school employee may waive SEBB medical during
				the annual open enrollment. The required form must be received by the school
				employee's SEBB organization before the end of the annual open enrollment. SEBB
				medical will be waived beginning January 1st of the following year.
(c)
During a special open
				enrollment:
A school employee may waive SEBB medical during a special
				open enrollment only if they are enrolled in other employer-based group
				medical, a TRICARE plan, or medicare as described in subsection (4) of this
				section. A special open enrollment event must be an event other than a school
				employee gaining initial eligibility or regaining eligibility for SEBB
				benefits.
The school employee must submit the required form to their
				  SEBB organization. The SEBB organization must receive the form no later than 60
				  days after the event that creates the special open enrollment. In addition to
				  the required form, the school employee must provide evidence of the event that
				  creates the special open enrollment to their SEBB organization.
SEBB medical will be waived the last day of the month
				  following the later of the event date or the date the required form is
				  received. If that day is the first of the month, SEBB medical will be waived
				  the last day of the previous month. If the special open enrollment is due to
				  the birth, adoption, or assumption of legal obligation for total or partial
				  support in anticipation of adoption of a child, SEBB medical will be waived the
				  last day of the previous month.