"¼´@. 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 In many instances, the date your change is received affects the effective date of the change in enrollment. 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. Benefits include an Employee Assistance Program, College Assistance and Medical Bill Saver. (New SEBB medical subscribers with a medical effective date from October through December 2020 have until December 31, 2020 to complete their points.). use this form to send an email or give us a call at (800) 554-1907! If you or your members need help navigating this change, use â¦ 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. Coverage is effective the 1st day of the following month from eligibility. View our plans and get started. 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. Each plan has its own network of dentists, and youâll want to pick a network containing a dentist that you want to use. Enter your last name, date of birth, and last four digits of your Social Security number. Willamette Dental Group administers its own dental network (WA733). Learn more about our patient reviews. Below is a summary of benefit offerings, program eligibility and how the SEBB health insurance is funded. During this scheduled maintenance window, you may encounter intermittent errors. You’ll be directed to the SEBB My Account dashboard. 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. Both offer copays and no annual maximum limits. Update your address through Employee Online, then allow up to 48 hours before SEBB My Account reflects the change. I tried to add my dependents during open enrollment, but they were denied because of dependent verification. Enrollment is done through the SEBB My Account online portal. What can I do? 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. They're open Monday through Friday from 8:00 a.m. to 5:00 p.m. 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. Please note, the "Coverage Summary" section shows your health insurance coverage as of today. SEBB offers three vision options: Davis Vision, MetLife and EyeMed. SEBB offers two fully insured carriers: DeltaCare (administered by Delta Dental of WA) and Willamette. Visit the long-term disability insurance webpage to learn more. Copayments, coinsurance, deductibles, or claims, Benefit eligibility and enrollment questions, Updating your contact information through Employee Online, Extended dependent children who meet specified eligibility criteria (see. 2018-19 Benefits Plans. ©Äõdr4ÞË' Additionally, SEBB will offer a Preferred Provider Organization (PPO) through Delta Dental. How do I update my address in SEBB My Account? Before you enroll, call DeltaCare You are not required to make any changes to your health plans during open enrollment. View the SEBB Dental Benefits Comparison for 2021. 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. A voluntary buy-up option for additional coverage is available. 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 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). The vision plans coverage an annual eye exam. Newly-eligible employees have a 31-day enrollment window to elect or waive coverage. Uniform Dental Plan, (Group #09600) administered by Delta Dental of Washington Managed-care plans DeltaCare, (Group #09601) administered by Delta Dental of Washington. Welcome School Employees Benefit Board (SEBB) Members. However, you can attest to remove the monthly $25 tobacco use premium surcharge at any time. Certain events let you make account changes (like changing plans or enrolling a dependent) outside of the annual open enrollment. 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. Basic Long Term Disability insurance is covered at no cost. Glasses or contact lenses are covered every 24 months. View the SEBB Vision Benefits Comparison for 2021. View the SEBB Dental Benefits Comparison for 2020. Examples include birth or adoption, marriage, or loss of other insurance coverage. Coverage is 60 percent of the first $667 of your monthly gross pay, or a maximum monthly benefit of $400. This plan also includes a $50 Health Screening Benefit for the covered employee and spouse. You will receive a denial letter giving you 30 days to file an appeal directly to the SEBB Appeals Unit. Helps pay the costs associated with a covered hospital stay, including benefits for hospital confinement, hospital admission and hospital intensive care. Additionally, SEBB offers Uniform Dental Plan, a Preferred Provider Organization (PPO) plan administered by Delta Dental of WA. Waive your enrollment in medical coverage if qualifications are met. Select your security questions and answers. The premium is $8.22 per month for employee-only coverage. You have the option to purchase additional coverage for yourself and your dependents based on your needs. Rates start at $2.32 -$17.55 per month. DeltaCare and Willamette Dental Group are managed-care plans.You must select and receive care from a primary care dental provider in that planââ¦ Our office environment creates a comforting, personable experience for all patients and offers industry leading, evidence-based, proactive treatment. Providing you and your eligible dependents with affordable and equitable access to quality health insurance and other benefits is our top priority. 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. This guide provides SEBB Program eligibility, enrollment, and benefit information for school DeltaCare is a very different provider network than our current Delta plan. Willamette Dental Group clinics and dentists are rated by patients through random surveys conducted by a nationally-recognized patient experience firm, Press Ganey. This will provide a larger network. School Employees Benefits Board (SEBB) Program. For best experience, please re-visit after maintenance is complete. 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. What are my options? Highline will be offering new voluntary benefits through Aflac effective January 1, 2021. 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! 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. Vision insurance â¢ Davis Vision You can choose a carriers based on your needs. 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. See 2021 SEBB Dental Benefits Comparison. 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. 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¦ 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). 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). complete the forms and submit to [email protected] to get appointed by delta dental with the washington state office of the insurance commissioner Learn more about partnering with us and the steps to get appointed. Helps pay costs that arise from covered accidents such as fractures, dislocations and lacerations. Download the app by texting "highline" to 36260. As of January 2020, all school employees across the state will be getting their healthcare benefits through the State of â¦ Please check the eligible verification documentation list here. Can I do anything to change this? It was open from October 26 through November 23, 2020. How do I find an in-network provider through my new insurance? Click. Dental. with dental offices in Washington, Oregon, and Idaho. Vision, life, long-term disability and dental premiums are covered 100% through Highline Public Schools. 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). This year's annual enrollment was October 26 to November 23, 2020, for coverage effective January 1, 2021. Welcome to the SEBB Program The School Employees Benefits Board (SEBB) Program was designed with you in mind. 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. Use the Find a Provider tool on the Health Care Authority website or call your insurance plan's customer service. Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. The SEBB Program offers a range of health care insurance and other benefits, including: â¢ Medical insurance â¢ Dental insurance ... â¢ DeltaCare, administered by Delta Dental of Washington â¢ Uniform Dental Plan, administered by Delta Dental of Washington â¢ Willamette Dental of Washington, Inc. 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. The premium is $18.08 per month for employee-only coverage. Enroll or reenroll in a Medical Flexible Spending Arrangement and/or the Dependent Care Assistance Program. You should submit any supporting documentation along with any valid dependent verification documents with your appeal. 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. See 2021 SEBB Vision Benefits Comparison. About Willamette Dental Group Olympia Our Olympia office is located off of I-5, closest to the College St. and 3rd Ave. intersection. Dependents not verified within your enrollment window will not have coverage. How can I designate beneficiaries for my Life Insurance policy? Review the plans and elect coverage athttps://highlineschooldistrict.selfenroll.com beginning on October 26. View the SEBB Dental Benefits Comparison for 2020. In January 2020, all school employes benefits will be convering to SEBB Benefits. SEBB My Account Use this link to make enroll or make changes to your benefits. /VwòUÂãx'G¢r&½Þ>ªµáLpGâN¢'¯"\ÊË[ð(¥CnYñI ñ³XXn/:wò¢1ºOÆ ÐÄ2;LÀâçLoÁËRÆ÷. THIS IS THE DELTA DENTAL MANAGED CARE PLAN Best for those who want the most coverage and protection from out-of-pocket costs â¢ Requires primary care dentist (PCD) from the DeltaCare network â¢ DeltaCare PCD must refer you for any specialist care â¢ No deductibles â¢ Fixed dollar copays â¢ Unlimited coverage for fillings, 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? Additionally, SEBB offers Uniform Dental Plan, a Preferred Provider Organization (PPO) plan administered by Delta Dental of WA. Aflac rates do not increase when you file claims or as you age. DeltaCare is administered by Delta Dental of Washington. 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. You will receive a letter from the SEBB Program confirming these coverages, which will provide your rights to an appeal. By participating in activities, you can improve your personal wellness AND earn points. Providing you and your eligible dependents with affordable and equitable access to quality health insurance and other benefits is our top priority. Willamette Dental Group is underwritten by Willamette Dental of Washington, Inc. Its network is Willamette Dental Group, P.C. 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 If you haven’t enrolled in supplemental LTD yet, now is a great time to consider enrolling in this important benefit. To enroll for vision or dental coverage you must be enrolled in a medical plan choice. 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. Bullying, Civil Rights & Sexual Harassment. &gãYîA'8g5>z6ÅäÞc^¸Á%Yû %r¢x>"ÆçÅC.4$ÀÎ:\¹ð¢ð²d(abµDP²Ñ°n6vª¤lØ³¼UÇ'`Ë8 3sÞpª#Ã1@eøÉÃb¼êd¶q!b¸l ¢ÿbc¼î ôE £|Â&Vke Value added benefits are included at no cost to you when you enroll in an Aflac plan. The SEBB Program’s annual open enrollment is now closed. Example: smithmmddyyyy. If you or your dependent disagrees with a specific decision or denial, you or your dependent may file an appeal. â¢ Dental â¢ Vision â¢ Long-term disability (LTD) â¢ The School Employees Benefits Board (SEBB) of the Washington State Health Care Authority (HCA) will manage the program â¢ Districts are required to be part of SEBB and are no longer able to offer their own benefit plans â¢ Districts may offer limited optional supplemental benefits Go to https://smarthealth.hca.wa.gov to get started or to continue participating in activities. Dental plans in Alaska provided by Delta Dental of Alaska. This site is meant to help you learn about our health plans and other benefits and services. I made a mistake on my enrollment, or received a decision from the SEBB Program that I disagree with. 2020 employee benefits guide â City of Louisville, CO. 1 Nov 2016 â¦ Delta Dental â PPO + Premier Plan â¦ 2020 Open Enrollment dates: â¦ Eligibility Learn more about open enrollment, plans and premium changes, and more on the HCA website. 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 also must state whether or not you use tobacco during your initial 31 day enrollment window. Visit SEBB My Account. If you're eligible for SEBB benefits, you have access to a free wellness program called SmartHealth. Annual open enrollment is your opportunity to make any changes to your coverage. Change your medical, dental, or vision plan. 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. 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 . The SEBB Program is offering a one-time opportunity to enroll and purchase supplemental LTD during this year's annual open enrollment. Visit the Health Care Authority website for additional information and an Appeal Form. Benefits under the `` coverage Summary '' section shows your health insurance is funded a... 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