Helps pay costs that arise from covered accidents such as fractures, dislocations and lacerations. To calculate the cost of dental or vision, choose a medical plan or opt out selection from the left and then click on the 'Add or Change' button for dental or vision. The orthodontist will complete the form and mail it to our DeltaCare USA Claims department, ⦠Please note, the "Coverage Summary" section shows your health insurance coverage as of today. This guide provides SEBB Program eligibility, enrollment, and benefit information for school use this form to send an email or give us a call at (800) 554-1907! Dependents not verified within your enrollment window will not have coverage. They're open Monday through Friday from 8:00 a.m. to 5:00 p.m. Both carriers are Dental Maintenance Organizations (DMO) which means you can only go to designated providers. SEBB offers three vision options: Davis Vision, MetLife and EyeMed. From the SEBB My Account dashboard, you can view your enrollments under the "Coverage Elections" section. SEBB offers two fully insured carriers: DeltaCare (administered by Delta Dental of WA) and Willamette. Waive your enrollment in medical coverage if qualifications are met. Change your medical, dental, or vision plan. ©Äõdr4ÞË' Coverage is effective the 1st day of the following month from eligibility. Need more information to help you make a decision? You should contact the plans when you have questions about: From October 26 - November 23, 2020, you should contact the HCA call center for technical assistance with SEBB My Account at 1-855-548-3100. SEBB offers a flat $35,000 Life and $5,000 Accidental Death & Dismemberment (AD&D) policy. In many instances, the date your change is received affects the effective date of the change in enrollment. This year's annual enrollment was October 26 to November 23, 2020, for coverage effective January 1, 2021. As of January 2020, all school employees across the state will be getting their healthcare benefits through the State of ⦠You must choose a primary dental provider within their networks. However, you can attest to remove the monthly $25 tobacco use premium surcharge at any time. Vision insurance ⢠Davis Vision If you do not take action, you will be charged the default $25 monthly tobacco premium surcharge. I tried to add my dependents during open enrollment, but they were denied because of dependent verification. Annual open enrollment is your opportunity to make any changes to your coverage. THIS IS THE DELTA DENTAL MANAGED CARE PLAN Best for those who want the most coverage and protection from out-of-pocket costs ⢠Requires primary care dentist (PCD) from the DeltaCare network ⢠DeltaCare PCD must refer you for any specialist care ⢠No deductibles ⢠Fixed dollar copays ⢠Unlimited coverage for fillings, You can attest online through SEBB My Account at myaccount.hca.wa.gov. Dental/Vision. From October 26 - November 23, 2020, you can contact the HCA call center for technical assistance with SEBB My Account at 1-855-548-3100. You can also complete a paper beneficiary form and mail to MetLife. Please check the eligible verification documentation list here. benefits starting Jan 1, 2020. Detailed ratings and reviews of each dentist can be found by visiting their profile pages. Dental through Uniform Dental Plan (also known as the Delta Dental PPO), DeltaCare (the Delta Dental managed-care plan), and Willamette Dental Group. Contact Us | Delta Dental of Washington (2 days ago) Use this form to send an email or give us a call at (800) 554-1907! WEEKLY MAINTENANCE ALERT: Sunday- 7:00PM EST until Monday- 7:00AM EST. Your Employee ID for login is your last name and date of birth. Re-attest to the spouse or state-registered domestic partner coverage premium surcharge. Enroll in supplemental Long Term Disability Insurance, Recent tax return (financial information can be redacted). Its network is DeltaCare SEBB (Group 9601). ⢠Dental ⢠Vision ⢠Long-term disability (LTD) ⢠The School Employees Benefits Board (SEBB) of the Washington State Health Care Authority (HCA) will manage the program ⢠Districts are required to be part of SEBB and are no longer able to offer their own benefit plans ⢠Districts may offer limited optional supplemental benefits Coverage is 60 percent of the first $667 of your monthly gross pay, or a maximum monthly benefit of $400. See 2021 SEBB Dental Benefits Comparison. This plan provides 24-hour coverage, which means you're covered at home and at work. It was open from October 26 through November 23, 2020. All dependents must be verified during the SEBB Programâs first annual open enrollment (October 1 through November 15, 2019), before they can be enrolled under your coverage, even if you have ⦠The plan also includes a $50 Health Screening Benefit for each covered insured. The vision plans coverage an annual eye exam. Earn 2,000 SmartHealth points by Nov. 30, 2020 and receive $125 wellness incentive applied to next year’s medical deductible or deposited into your Health Savings Account. Helps pay the costs associated with a covered hospital stay, including benefits for hospital confinement, hospital admission and hospital intensive care. 2020 employee benefits guide â City of Louisville, CO. 1 Nov 2016 ⦠Delta Dental â PPO + Premier Plan ⦠2020 Open Enrollment dates: ⦠Eligibility Examples include birth or adoption, marriage, or loss of other insurance coverage. If you or your members need help navigating this change, use ⦠Providing you and your eligible dependents with affordable and equitable access to quality health insurance and other benefits is our top priority. The premium is $8.22 per month for employee-only coverage. DeltaCare is a very different provider network than our current Delta plan. New to Delta Dental? During this scheduled maintenance window, you may encounter intermittent errors. You will receive a denial letter giving you 30 days to file an appeal directly to the SEBB Appeals Unit. About Willamette Dental Group Olympia Our Olympia office is located off of I-5, closest to the College St. and 3rd Ave. intersection. If you choose to appeal, you will have 30 days from the date of the letter to submit the appeal in writing to the SEBB Appeals Unit. For best experience, please re-visit after maintenance is complete. The premium is $18.08 per month for employee-only coverage. Effective 7/1/18, Delta Dental offers CDPHP Medicaid Select Plan, Medicaid HARP, and Child Health Plus members access to dental services at little or no cost. Willamette Dental Group is underwritten by Willamette Dental of Washington, Inc. Its network is Willamette Dental Group, P.C. The plan will consists of a $50 deductible with 100% coverage for preventative services, 80% coverage for basic services and 50% coverage for major services (100/80/50). Read further instructions on reporting a Special Open Enrollment. Willamette Dental Group administers its own dental network (WA733). Below is a summary of benefit offerings, program eligibility and how the SEBB health insurance is funded. How do I find an in-network provider through my new insurance? Health insurance and health care costs impact every family differently, and the SEBB is impacting WEA members in different ways. Select your security questions and answers. Uniform Dental Plan, (Group #09600) administered by Delta Dental of Washington Managed-care plans DeltaCare, (Group #09601) administered by Delta Dental of Washington. complete the forms and submit to [email protected] to get appointed by delta dental with the washington state office of the insurance commissioner You will select and receive care from a primary care dental provider in the DeltaCare network. You have the option to purchase additional coverage for yourself and your dependents based on your needs. Check the box to indicate you’re not a robot, click, Check your email for a message from SAW. Newly-eligible employees have a 31-day enrollment window to elect or waive coverage. (New SEBB medical subscribers with a medical effective date from October through December 2020 have until December 31, 2020 to complete their points.). Delta Dental of Washington's Changes in 2020 for groups (00186, 00187 and 00188) WEA, Bethel School District and Seattle Public Schools. You cannot enroll them until the next annual open enrollment (for coverage starting January 1, 2021) unless you have a qualifying special open enrollment event that allows you to enroll them. Visit SEBB My Account. School Employees Benefits Board (SEBB) Program. View the SEBB Dental Benefits Comparison for 2020. Willamette Dental Group clinics and dentists are rated by patients through random surveys conducted by a nationally-recognized patient experience firm, Press Ganey. None of my dependents have been enrolled. Visit the Health Care Authority website for additional information and an Appeal Form. They're open Monday through Friday from 8:00 a.m. to 5:00 p.m. You can designate and update beneficiaries at any time through your MetLife account at mybenefits.metlife.com/sebb. It is a secure, voluntary, online and mobile-friendly wellness platform that supports and rewards employees as they work toward their well-being goals. Both offer copays and no annual maximum limits. Welcome School Employees Benefit Board (SEBB) Members. You also must state whether or not you use tobacco during your initial 31 day enrollment window. By participating in activities, you can improve your personal wellness AND earn points. This will provide a larger network. 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. This guide provides SEBB Program eligibility, enrollment, and benefit information for school Learn more about our patient reviews. Basic Long Term Disability insurance is covered at no cost. Download the app by texting "highline" to 36260. The SEBB Program offers a range of health care insurance and other benefits, including: ⢠Medical insurance ⢠Dental insurance ... ⢠DeltaCare, administered by Delta Dental of Washington ⢠Uniform Dental Plan, administered by Delta Dental of Washington ⢠Willamette Dental of Washington, Inc. Certain events let you make account changes (like changing plans or enrolling a dependent) outside of the annual open enrollment. Review the plans and elect coverage athttps://highlineschooldistrict.selfenroll.com beginning on October 26. Before you enroll, call DeltaCare In general, the bigger the network the more choice you have, but in return for that freedom, your costs for care â your out-of-pocket costs â will be more.With more than 3,400 dentists, UDP has Washingtonâs largest network, plus you get coverage when you travel outside the state. Use the portal to enroll in coverage, verify your dependents, state tobacco usage, view your coverage choices, make changes during open enrollment or waive coverage. /VwòUÂãx'G¢r&½Þ>ªµáLpGâN¢'¯"\ÊË[ð(¥CnYñI ñ³XXn/:wò¢1ºOÆ ÐÄ2;LÀâçLoÁËRÆ÷. If you're eligible for SEBB benefits, you have access to a free wellness program called SmartHealth. Under the SEBB Program, eligible school employees will be able to choose from up to three dental plan options, depending on where they live: Uniform Dental Plan (Delta Dental) DeltaCare (Delta Dental) Willamette Dental; Open enrollment for eligible SEBB employees starts on October 1, 2019 and concludes on November 15, 2019. I did not take action during my initial enrollment window, and have been enrolled in UMP Achieve 1 , Uniform Dental Plan, and MetLife vision. Additionally, SEBB offers Uniform Dental Plan, a Preferred Provider Organization (PPO) plan administered by Delta Dental of WA. As many of you have heard, the Washington State Education Association, Seattle Public Schools, and Bethel School Districts will be a part of the School Employees Benefits Board (SEBB) on January 1, 2020. Uploadable file types include PDF, JPEG, JPG or PNG. Employees can make changes to their benefits during the annual open enrollment. ¹@ÚrÐZE:¼½ßK©Â÷¼9Bdx. Enroll in medical coverage if you previously waived SEBB medical coverage. The plan will consist of a $50 deductible with 100% coverage for preventative services, 80% coverage for basic services and 50% coverage for major services (100/80/50). Currently, we offer full benefits to staff who work 1,440 hours and prorated coverage below that. The SEBB Program’s annual open enrollment is now closed. You must waive coverage through SEBB My Account during your initial 31 day enrollment window or you will be defaulted in medical, dental and vision plans with a mandatory $33 monthly premium. No. View the SEBB Vision Benefits Comparison for 2021. Dental. This is a one-time guarantee issue opportunity - no health questions asked. The School Employees Benefit Board, (SEBB), will now be offering three choices for dental insurance. Employees adding a spouse, state-registered domestic partner, or child(ren) to medical, dental, and/or vision coverage must provide proof of their dependents' eligibility. All school employees who work at least 630 hours during the school year are eligible for full benefits under the new plan. What are my options? This site is meant to help you learn about our health plans and other benefits and services. &gãYîA'8g5>z6ÅäÞc^¸Á%Yû %r¢x>"ÆçÅC.4$ÀÎ:\¹ð¢ð²d(abµDP²Ñ°n6vª¤lس¼UÇ'`Ë8 3sÞpª#Ã1@eøÉÃb¼êd¶q!b¸l ¢ÿbc¼î ôE £|Â&Vke Review a comparison of medical plans and a list of monthly premiums for 2020. Review a comparison of medical plans and monthly premiums for 2021. Our office environment creates a comforting, personable experience for all patients and offers industry leading, evidence-based, proactive treatment. You must upload proof of the event that created the special open enrollment to SEBB My Account no later than 60 days after the event. The plan will consists of a $50 deductible with 100% coverage for preventative services, 80% coverage for basic services and 50% coverage for major services (100/80/50). Schedule a time to review your options with our Aflac benefit team. Example: smithmmddyyyy. SEBB Health Care Transition Contact Information and Resources to answer your questions Sept. 5, 2019 Below is a list of who to contact for issues related to the transition to SEBB health care. The SEBB Program is offering a one-time opportunity to enroll and purchase supplemental LTD during this year's annual open enrollment. If you do not provide valid proof of your dependents’ eligibility for SEBB coverage, they will not be enrolled in SEBB Program benefits in 2020. Additionally, SEBB offers Uniform Dental Plan, a Preferred Provider Organization (PPO) plan administered by Delta Dental of WA. SEBB My Account Use this link to make enroll or make changes to your benefits. Visit the long-term disability insurance webpage to learn more. Click. Welcome to the SEBB Program The School Employees Benefits Board (SEBB) Program was designed with you in mind. Delta Dental benefits for CDPHP Medicaid Select Plan, Medicaid HARP, Child Health Plus, and Essential Plans members. Learn more about open enrollment, plans and premium changes, and more on the HCA website. While medical insurance pays for doctors and hospitals, Aflac is insurance that pays cash benefit directly to you for things like wellness visits, COVD testing, injuries and sickness with rates as low as $2.00 per week. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with each state marketplace. What can I do? If you haven’t enrolled in supplemental LTD yet, now is a great time to consider enrolling in this important benefit. If you choose not to make any changes, you will remain enrolled in your current health plans. View our plans and get started. Enrollment is done through the SEBB My Account online portal. Children at covered at 50% with no cost to you. Learn more about partnering with us and the steps to get appointed. How can I designate beneficiaries for my Life Insurance policy? Enrollment for a newborn will be effective on the date of birth, while other enrollments will be effective the 1st of the month following the date when all required verification is provided. You are not required to make any changes to your health plans during open enrollment. See 2021 SEBB Vision Benefits Comparison. This plan also includes a $50 Health Screening Benefit for the covered employee and spouse. 2020-01-09601-BB DCL rev 20190101 v1.1 20190118 Version 1, 20190829 Group #09601 State Managed Care Plan Delta Dental of Washington Effective: January 1, 2020 Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. Additionally, SEBB will offer a Preferred Provider Organization (PPO) through Delta Dental. If you already have a SAW account, enter your username and password and skip to step 5. Additional information is available on the SEBB website. Each plan has its own network of dentists, and youâll want to pick a network containing a dentist that you want to use. Providing you and your eligible dependents with affordable and equitable access to quality health insurance and other benefits is our top priority. Beginning January 1, 2020, SEBB Program benefits will include: ⢠One Delta Dental of Washington managed-care dental plan (DeltaCare) ⢠One Willamette Dental managed-care dental ⦠Can I do anything to change this? You will receive a letter from the SEBB Program confirming these coverages, which will provide your rights to an appeal. "¼´@. Glasses or contact lenses are covered every 24 months. Bullying, Civil Rights & Sexual Harassment. Enter your last name, date of birth, and last four digits of your Social Security number. Here are the advantages of enrolling in supplemental LTD during this one-time opportunity: Supplemental LTD coverage elected during the 2020 annual open enrollment period will be effective January 1, 2021. View the SEBB Dental Benefits Comparison for 2020. View the Critical Illness Insurance brochure. Use the Find a Provider tool on the Health Care Authority website or call your insurance plan's customer service. Employees who do not take action during open enrollment will keep their current coverage, as long as their plan is still available. Acceptable Dependent Verification Documents: Birth certificate or hospital certificate with the child’s footprints, Marriage certificate AND proof of common residence or financial interdependency (such as a bank statement or utility dated within the past 2 months that includes both names and address). UPDATED! Helps pay the expected and unexpected expenses that arise from diagnosis of a covered critical illness such as cancer (internal or invasive), heart attack, stroke, end-stage renal failure or a major organ transplant. DeltaCare and Willamette Dental Group are managed-care plans.You must select and receive care from a primary care dental provider in that planâ⦠Dental plans in Alaska provided by Delta Dental of Alaska. You should submit any supporting documentation along with any valid dependent verification documents with your appeal. You’ll be directed to the SEBB My Account dashboard. ⢠Uniform Dental Plan â administered by Delta Dental (Preferred Provider/PPO) Vision: ⢠Davis Vision ⢠EyeMed ⢠MetLife What was WEAâs role in moving to the SEBB? To compare plan coverage, deductables, and co-pays, please look for the SEBB Dental/Vision/Medical Comparison Tool on the WSD Staff Webpage * Or state-registered domestic partner with dental offices in Washington, Oregon, and Idaho. The SEBB Appeals Unit must receive the form no later than 30 calendar days after the date of the denial notice or decision you are appealing. View the hospital indemnity insurance brochure. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. To indicate you ’ re not a robot, click, check email! Reports to help you learn about our health plans during open enrollment health care Authority website or call your plan. 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