Benefit Information

(1) A district employee on an approved leave under the federal Family and Medical Leave Act (FMLA) or the family and medical leave insurance program under chapter 50A.04 RCW (paid family and medical leave program) may continue to receive the employer contribution toward school employees benefits board (SEBB) insurance coverage in accordance with the federal FMLA or RCW 50A.04.245. Employees may also continue current supplemental life, supplemental accidental death and dismemberment (AD&D), and supplemental long-term disability insurance. The school employee's SEBB organization is responsible for determining if the school employee is eligible for leave under FMLA and the duration of such leave. The employment security department is responsible for determining if the school employee is eligible for leave under the paid family and medical leave program.
(2) If a school employee's monthly premium or applicable premium surcharges remain unpaid for sixty days from the original due date, the school employee's SEBB benefits will be terminated retroactive to the last day of the month for which the monthly premium and applicable premium surcharges were paid.
(3) If a school employee exhausts the period of leave approved under FMLA or paid family and medical leave, SEBB benefits may be continued by self-paying the premium and applicable premium surcharges set by the health care authority (HCA), with no contribution from the SEBB organization, as described in WAC 182-31-100(1).

Adding a dependent to SEBB benefits: 

Medical, Dental and Vision 

You have up to 60 days to add a dependent to your medical plan, but we highly recommend you do this in the first 30 days after date of birth or legal custody. It takes a couple of weeks for processing and you don’t want to take the chance of missing the 60 day deadline.

  • ·         Please contact the Benefits Office as we will need to set up a Special Open Enrollment in order for you to add your dependent newborn to your insurance. 

It is not necessary to wait until you have baby’s social security card – the enrollment form asks for baby’s social security number but we need to get baby enrolled as soon as possible, therefore, just plan to give us a call with the social security number when you receive it.

Terming Coverage:

When you are on a leave of absence and lose your benefit eligibility, you may choose to let your benefits lapse. You may possibly have other coverage (such as your spouse’s medical plan) and do not want to pay for District medical premiums. The Benefits Office will talk to you about this and then will end your coverage at this time.  When you return to work from your leave, it is imperative to contact the Benefits Office to get your benefits reinstated. You will need to reenroll in SEBB once we have updated you in the SEBB system. 

How to Pay Your Portion of Premiums

If you need to pay your portion of any insurance premium(s), please complete the Automatic Billing Authorization form and return it to accounting (instructions are on the form).

Cobra Continuation

If you decide to apply for an extended leave of absence, you will have COBRA eligibility for up to 18 months.  This is a federal mandate that protects your availability of medical, vision and/or dental plans.  COBRA is a 100% self-paid program in which you would maintain the same plan(s) you have at the time of group termination, but would pay the premium(s) in its entirety.  If it is determined in our Benefits Department that you are losing benefit eligibility and will not be returning to work within a couple of months of child's birth or legal custody, you will receive a COBRA eligibility packet from SEBB with further instructions.

Optional Benefits   

Leave Share: The  Leave Share program may apply to Maternity and Parental Leave entitlements and provisions. This includes pregnancy, birth and recovery as well as bond with child time. The District will automatically apply all available sick leave, personal leave and vacation before applying Leave Share donations, unless you request us to reserve. If you wish to reserve 40 hours of your sick leave during a Parental/Maternity Leave, please contact the Human Resources Leave Coordinator.   

Short term Disability:  This is an optional benefit that is employee elected during the District’s annual open enrollment period in the Fall. If you have this benefit, you may file a short-term disability claim by following the instructions in your policy. Please contact the NW Benefits at 425-827-8397 if you have any questions regarding this benefit and the claim process. 

Short Term Disability plans have a 12 month pre-existing condition clause. This means that if you have been diagnosed or treated for a disability (pregnancy included) within the past 12 months, this disability will not be covered.