Detailed ratings and reviews of each dentist can be found by visiting their profile pages. Update your address through Employee Online, then allow up to 48 hours before SEBB My Account reflects the change. Rates start at $2.32 -$17.55 per month. However, you can attest to remove the monthly $25 tobacco use premium surcharge at any time. Additionally, SEBB offers Uniform Dental Plan, a Preferred Provider Organization (PPO) plan administered by Delta Dental of WA. Welcome to the SEBB Program The School Employees Benefits Board (SEBB) Program was designed with you in mind. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. This will provide a larger network. The SEBB Program is offering a one-time opportunity to enroll and purchase supplemental LTD during this year's annual open enrollment. 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). Download the app by texting "highline" to 36260. Below is a summary of benefit offerings, program eligibility and how the SEBB health insurance is funded. View our plans and get started. Our office environment creates a comforting, personable experience for all patients and offers industry leading, evidence-based, proactive treatment. complete the forms and submit to [email protected] to get appointed by delta dental with the washington state office of the insurance commissioner 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. Coverage is effective the 1st day of the following month from eligibility. You have the option to purchase additional coverage for yourself and your dependents based on your needs. You will select and receive care from a primary care dental provider in the DeltaCare network. Delta Dental of Washington offers a variety of private dental insurance plans designed to meet any employer needs! Both carriers are Dental Maintenance Organizations (DMO) which means you can only go to designated providers. This year's annual enrollment was October 26 to November 23, 2020, for coverage effective January 1, 2021. Vision insurance â¢ Davis Vision Change your medical, dental, or vision plan. Its network is DeltaCare SEBB (Group 9601). 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 â¦ Glasses or contact lenses are covered every 24 months. Willamette Dental Group is underwritten by Willamette Dental of Washington, Inc. Its network is Willamette Dental Group, P.C. Dependents not verified within your enrollment window will not have coverage. Example: smithmmddyyyy. Please note, the "Coverage Summary" section shows your health insurance coverage as of today. 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 can also complete a paper beneficiary form and mail to MetLife. Aflac rates do not increase when you file claims or as you age. 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). Delta Dental is the third-party administrator (TPA) for the State of Texas Dental Choice PlanSM preferred â¦ The coverage effective date will be January 1, 2020. You can waive enrollment in SEBB medical coverage if you are enrolled in other employer-based group medical insurance, a TRICARE plan, or Medicare. ¹@ÚrÐZE:¼½ßK©Â÷¼9Bdx. Dental. 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. See 2021 SEBB Vision Benefits Comparison. WEEKLY MAINTENANCE ALERT: Sunday- 7:00PM EST until Monday- 7:00AM EST. The vision plans coverage an annual eye exam. 2018-19 Benefits Plans. benefits starting Jan 1, 2020. (New SEBB medical subscribers with a medical effective date from October through December 2020 have until December 31, 2020 to complete their points.). Use the Find a Provider tool on the Health Care Authority website or call your insurance plan's customer service. You will NEED to verify any dependents you plan to enroll in benefits . 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. Learn more about our patient reviews. Learn more about open enrollment, plans and premium changes, and more on the HCA website. View the SEBB Vision Benefits Comparison for 2021. Schedule a time to review your options with our Aflac benefit team. 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. Dental/Vision. During this scheduled maintenance window, you may encounter intermittent errors. Employees can make changes to their benefits during the annual open enrollment. Certain events let you make account changes (like changing plans or enrolling a dependent) outside of the annual open enrollment. You will receive a letter from the SEBB Program confirming these coverages, which will provide your rights to an appeal. 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. Delta Dental benefits for CDPHP Medicaid Select Plan, Medicaid HARP, Child Health Plus, and Essential Plans members. See 2021 SEBB Dental Benefits Comparison. 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. This site is meant to help you learn about our health plans and other benefits and services. You should submit any supporting documentation along with any valid dependent verification documents with your appeal. DeltaCare is administered by Delta Dental of Washington. You will receive a denial letter giving you 30 days to file an appeal directly to the SEBB Appeals Unit. SEBB My Account Use this link to make enroll or make changes to your benefits. Aflac is also offering a new benefits app for access to ALL SEBB benefit comparisons, premiums, and a link to easily make your benefit election. If you're eligible for SEBB benefits, you have access to a free wellness program called SmartHealth. Dental plans in Alaska provided by Delta Dental of Alaska. You cannot make changes to your medical, dental, or vision plans after open enrollment ends, unless an event qualifies you for a special open enrollment. If you or your members need help navigating this change, use â¦ 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. Your monthly premium costs for SEBB medical plans are based on the plan you choose and dependents you cover. Helps pay the costs associated with a covered hospital stay, including benefits for hospital confinement, hospital admission and hospital intensive care. Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. Additional information is available on the SEBB website. You also must state whether or not you use tobacco during your initial 31 day enrollment window. Health insurance and health care costs impact every family differently, and the SEBB is impacting WEA members in different ways. Dental through Uniform Dental Plan (also known as the Delta Dental PPO), DeltaCare (the Delta Dental managed-care plan), and Willamette Dental Group. 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. In many instances, the date your change is received affects the effective date of the change in enrollment. Children at covered at 50% with no cost to you. How can I designate beneficiaries for my Life Insurance policy? The School Employees Benefit Board, (SEBB), will now be offering three choices for dental insurance. Willamette Dental Group administers its own dental network (WA733). SEBB offers two fully insured carriers: DeltaCare (administered by Delta Dental of WA) and Willamette. What can I do? Uniform Medical Plan (UMP) Achieve 1 (SEBB) Uniform Medical Plan (UMP) Achieve 2 (SEBB) Uniform Medical Plan (UMP) High Deductible (SEBB) Uniform Medical Plan (UMP) PlusâPuget Sound High Value Network (PSHVN) (SEBB) Rx Uniform Medical Flyer UMP Plans; Uniform Medical Plan (UMP) FAQ . How do I find an in-network provider through my new insurance? need help with your dental insurance? Read further instructions on reporting a Special Open Enrollment. 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. View the SEBB Dental Benefits Comparison for 2020. The premium is $18.08 per month for employee-only coverage. Each plan has its own network of dentists, and youâll want to pick a network containing a dentist that you want to use. To enroll for vision or dental coverage you must be enrolled in a medical plan choice. 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. If you haven’t enrolled in supplemental LTD yet, now is a great time to consider enrolling in this important benefit. Delta Dental of Washington's Changes in 2020 for groups (00186, 00187 and 00188) WEA, Bethel School District and Seattle Public Schools. Beginning January 1, 2020, SEBB Program benefits will include: â¢ One Delta Dental of Washington managed-care dental plan (DeltaCare) â¢ One Willamette Dental managed-care dental â¦ I did not take action during my initial enrollment window, and have been enrolled in UMP Achieve 1 , Uniform Dental Plan, and MetLife vision. This guide provides SEBB Program eligibility, enrollment, and benefit information for school Check the box to indicate you’re not a robot, click, Check your email for a message from SAW. Enter your last name, date of birth, and last four digits of your Social Security number. â¢ Uniform Dental Plan â administered by Delta Dental (Preferred Provider/PPO) Vision: â¢ Davis Vision â¢ EyeMed â¢ MetLife What was WEAâs role in moving to the SEBB? SEBB offers a flat $35,000 Life and $5,000 Accidental Death & Dismemberment (AD&D) policy. The School Employees Benefits Board (SEBB) Program was designed with you in mind. 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. Bullying, Civil Rights & Sexual Harassment. This plan provides 24-hour coverage, which means you're covered at home and at work. Please check the eligible verification documentation list here. 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). You can attest online through SEBB My Account at myaccount.hca.wa.gov. 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. Coverage is 60 percent of the first $667 of your monthly gross pay, or a maximum monthly benefit of $400. View the SEBB Dental Benefits Comparison for 2021. This plan also includes a $50 Health Screening Benefit for the covered employee and spouse. Visit the Health Care Authority website for additional information and an Appeal Form. Examples include birth or adoption, marriage, or loss of other insurance 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. Newly-eligible employees have a 31-day enrollment window to elect or waive coverage. The SEBB Program offers fully insured dental plans through Delta Dental (DeltaCare) and Willamette Dental, with the same covered services and exclusions, provider networks, clinical policies and copays as the DeltaCare and Willamette Dental plans, respectively, under the PEBB Program. 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. If you are enrolling dependents in your medical, vision, and/or dental plans, you are required to provide proof of your dependentâs eligibility with a document that shows they are dependents. Review the plans and elect coverage athttps://highlineschooldistrict.selfenroll.com beginning on October 26. You’ll be directed to the SEBB My Account dashboard. /VwòUÂãx'G¢r&½Þ>ªµáLpGâN¢'¯"\ÊË[ð(¥CnYñI ñ³XXn/:wò¢1ºOÆ ÐÄ2;LÀâçLoÁËRÆ÷. 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. Employees who do not take action during open enrollment will keep their current coverage, as long as their plan is still available. 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 Select your security questions and answers. I tried to add my dependents during open enrollment, but they were denied because of dependent verification. Additionally, SEBB will offer a Preferred Provider Organization (PPO) through Delta Dental. No. A voluntary buy-up option for additional coverage is available. View the SEBB Vision Benefits Comparison for 2020. As of January 2020, all school employees across the state will be getting their healthcare benefits through the State of â¦ "¼´@. Enrollees should download the DeltaCare USA Continuous Orthodontic Coverage form29 KB from the Delta Dental enrollees web page and give it directly to their orthodontist. Currently, we offer full benefits to staff who work 1,440 hours and prorated coverage below that. What are my options? 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