School Employees Benefits Board rulemaking

The authority is reviewing multiple sections within Chapters 182-30, 182-31, and 182-32 WAC that may require SEB Board policy resolutions to support
the SEBB Program.

The purpose of this proposal is to make technical amendments in multiple sections within Chapter 182-32 WAC to support the School Employees
Benefits Board (SEBB) Program:
• Amend WAC 182-32-2040 to make a technical correction and clarify any subscriber aggrieved by a decision made by the PEBB wellness incentive program contracted vendor may appeal that decision to the PEBB Program.
• Amend WAC 182-32-2070 to include a statement that describes the appealing party or the appealing party’s representative has read the notice of request and believes the contents of the brief adjudicative proceeding to be true and correct, and to add failure to provide documentation or reference to documentation, of decisions previously rendered may result in a rejection of the item being appealed.
• Amend WAC 182-32-2090 regarding a written initial order will be rendered within 10 days after the presiding officer receives the contents of the request for a brief adjudicative proceeding.

The purpose of this
proposal is to amend WAC 182-30-130 to support the School Employees Benefits Board (SEBB) Program:
1. Implement School Employees Benefits (SEB) Board Policy Resolution:
• Implemented Resolution SEBB 2023-04 When a subscriber has a change in residence or employment location that
affects medical plan availability
2. Make other technical amendments:
• Updated flexible spending arrangement references;
• Amended special open enrollment events by including when a school employee has a change in residence, a change
in employment location, and when the SEBB Program determines that there has been a substantial decrease in the
providers available under the SEBB medical plan.

The purpose of this
proposal is to amend WAC 182-31-130 to support the School Employees Benefits Board (SEBB) Program:
1. Implement School Employees Benefits (SEB) Board Policy Resolution:
• Implemented Resolution SEBB 2024-07 continuation coverage when a dependent of a school board member loses
eligibility
2. Make other technical amendments:
• Added a WAC reference when the dependent’s first premium payment and applicable premium surcharges’
exception applies.

The purpose of this
proposal is to amend WAC 182-31-090 to support the School Employees Benefits Board (SEBB) Program:
1. Implement School Employees Benefits (SEB) Board Policy Resolution:
• Implemented Resolution SEBB 2024-06 continuation coverage when a term of board member of a school district
ends
2. Implement legislation:
• Updated flexible spending arrangement (FSA) references to implement SB 5700
• Added WAC references that include school board members to implement SSB 5275
3. Make other technical amendments:
Clarified an enrollee’s COBRA coverage will terminate when their Medicare coverage begins

The purpose of this
proposal is to amend WAC 182-31-070 to support the School Employees Benefits Board (SEBB) Program.
Implemented the following School Employees Benefits (SEB) Board policy resolutions related to dual enrollment prohibitions
between SEBB and Public Employees Benefits Board (PEBB) Programs’ procedures:
• SEBB 2024-01 Amending Resolution SEBB 2021-02: School employees may waive enrollment in medical
• SEBB 2024-02 Amending Resolution SEBB 2021-03: SEBB benefit enrollment requirements when PEBB benefits
are waived
• SEBB 2024-03 Amending Resolution SEBB 2021-05: Resolving dual enrollment involving dual subscriber eligibility
• SEBB 2024-04 Amending Resolution 2021-07: Resolving dual enrollment involving a member with multiple medical
enrollments as a dependent
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• SEBB 2024-05

The purpose of this
proposal is to amend WAC 182-31-080 to support the School Employees Benefits Board (SEBB) Program:
1. Implement School Employees Benefits (SEB) Board Policy Resolution:
• Implemented Resolution SEBB 2024-01 amending Resolution SEBB 2021-02: school employees may waive
enrollment in medical
2. Make other technical amendments:
• Clarified a school employee may not waive enrollment in SEBB medical if they are enrolled in PEBB retiree insurance
coverage;
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• Added the types of SEBB insurance coverages a school employee will enroll in when a SEBB organization or
employer group participates.

The authority is reviewing multiple sections within Chapters 182-30, 182-31, and 182-32 WAC to support the SEBB Program.