You can make changes to your enrollment or health plan elections in one of these ways:

• Log in to SEBB My Account and change your selections during the annual open enrollment. Changes are effective January 1 of the following year.
• Submit the required forms to your payroll or benefits office during the annual open enrollment period. Changes are effective January 1 of the following year.
• Log in to SEBB My Account or submit the required forms to your payroll or benefits office within the SEBB Program’s timelines when a special open enrollment event occurs. The effective date depends on the change requested and the date it is received.

• Apply for, cancel, change coverage amounts, and update beneficiary information for basic and supplemental life insurance, as well as basic and supplemental accidental death and dismemberment (AD&D) insurance. Evidence of insurability may be required. See “Life   and AD&D insurance” on page 51.
• Remove dependents from coverage due to loss of eligibility (this is required). Make this change in SEBB My Account or submit the School Employee Change form to your payroll or benefits office within 60 days of the last day of the month the dependent loses   eligibility for SEBB health plan coverage. You may also need to provide proof of the event before the dependent can be removed.
• Reduce or increase coverage level, decline coverage, or enroll in employee-paid long-term disability insurance. During annual open enrollment 2021, you can do this on SEBB My Account. At any other time, use the School Employee Long Term Disability   Enrollment/Change form. To enroll in or increase coverage, you will have to provide evidence of insurability.
• Make changes to your tobacco use premium surcharge attestation. You can do this on SEBB My Account at myaccount.hca.wa.gov or use the SEBB Premium Surcharge Attestation Change form found under Forms & publications on HCA’s website at  www.hca.wa.gov/sebb-employee. Start, stop, or change your contribution to your health savings account (HSA). Use the SEBB   Employee Authorization for Payroll Deduction to Health Savings Account form under Forms & publications on HCA’s website at www.hca.wa.gov/sebb-employee.
• Change your HSA beneficiary information. Use the Health Savings Account Beneficiary Designation form available on HealthEquity’s website at www.learn.healthequity.com/sebb/hsa.

Enrollment changes are effective January 1 of the following year.

Changes using SEBB My Account The changes in the list below can be completed using SEBB My Account. 

• Change your medical, dental, and vision plans.
• Enroll or remove eligible dependents.
• Enroll in a medical plan if you previously waived SEBB medical.
• Waive SEBB medical coverage. See “Waiving enrollment” on page 20 of the School Employee Enrollment Guide.
• Attest to the spouse or state-registered domestic partner coverage premium surcharge.
• Reduce or decline employee-paid LTD coverage. See “Long-term disability insurance” on page 55. After open enrollment, use the Long-Term Disability Enrollment and Change form

• Enroll in or opt out of participation under the premium payment plan. Submit the SEBB Premium Payment Plan Election/Change form to your payroll or benefits office by the last day of open enrollment. See “Paying for benefits” on page 22.
• Enroll or re-enroll in a Medical FSA
• Enroll or re-enroll in a Limited Purpose FSA.
• Enroll or re-enroll in DCAP. You can enroll in Medical FSA, Limited Purpose FSA, and DCAP on the Navia Benefit Solutions website at www.sebb.naviabenefits.com during annual open enrollment (a link to the site is also available in SEBB My Account). If you cannot use   the Navia website, your payroll or benefits office must receive the forms by the last day of open enrollment.

Certain qualifying events let you make account changes (like changing plans or enrolling a dependent) outside of annual open enrollment. We call these “special open enrollment events.” The change in enrollment must be allowable under the Internal Revenue Code and Treasury Regulations and correspond to and be consistent with the event that creates the special open enrollment for the employee, the employee’s dependents, or both. A special open enrollment event must be an event other than an employee gaining initial eligibility or regaining eligibility for SEBB benefits. The changes shown on the next page through page 67 may be allowed as a special open enrollment.

Employees can make changes to supplemental life and supplemental AD&D insurance during a special open enrollment.

You must provide proof of the event that created the special open enrollment (for example, a marriage or birth certificate) via SEBB My Account or with the School Employee Change form (and other required forms) to your payroll or benefits office no later than 60 days after the event. In many instances, the date your change is received affects the effective date of the change in enrollment. You may want to submit your request sooner to avoid a delay in the enrollment or change. When the special open enrollment is for birth or adoption, submit the required forms and proof of your dependent’s eligibility and/or the event as soon as possible to ensure timely payment of claims. If adding the child increases the premium, your payroll or benefits office must receive the enrollment form and proof of your dependent’s eligibility and/or the event no later than 60 days after the date of birth, adoption, or the date you assume legal obligation for support in anticipation of adoption.

  Dependent Verification Documentation Guide