Premium surcharge attestation help sheet (SEBB) 2020

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This is the 2020 SEBB Premium Surcharge Attestation Help Sheet. Use the information on this help sheet to attest on your enrollment form or the Premium Surcharge form whether the premium surcharges for tobacco use or spouse/state-registered domestic partner apply.

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Spousal plan calculator tool (SEBB) 2020 (xls)

This is the 2020 spousal plan calculator. Use this interactive calculator tool to determine if the spousal premium surcharge applies to you if you answered 'YES' to all the questions in the SEBB Premium Surcharge Attestation Help Sheet and are wanting to enroll a spouse or state-registered domestic partner on your SEBB medical.

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