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Benefit Eligibility
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Everett Public School employees are eligible for School Employee Benefits (SEBB) if they are anticipated to work 630 or more hours during the school year. This is the general rule of eligibility determined by the Washington State Health Care Authority.
Upon hire into a benefits-eligible position, employees receive notification and enrollment instructions.
Newly eligible employees must complete and submit their enrollment elections and dependent verification (DV) documents (if applicable), no later than 31 days after becoming eligible for SEBB benefits (WAC 182-30-080).
Your SEBB benefits include medical, dental, vision, life and AD&D, flexible spending arrangements -- just to name a few. Explore benefits available to you as a school employee and learn how to enroll and manage your coverage by visiting School Employee Benefit Website
Enroll/Waive Coverage
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Manage your benefits, dependents, premium surcharges, and insurance statements via:
- You will need to create a login for Benefits 24/7
- Click on Eligibility tab under your dashboard and follow the prompts
- Enroll or waive coverage - You can waive SEBB medical coverage, but not dental and vision
- Review supplemental options and complete attestation
- Download confirmation of elections for your records
Enrollment Information
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Documents to Enroll Dependents
The Washington State Health Care Authority - SEBB program – requires dependent verification for every dependent you request to have coverage through their program. Click Here to find the list of items accepted by the Health Care Authority in order to verify your dependent.
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SEBB Benefits for Substitutes
Substitutes may qualify for SEBB benefits if:
- They are placed in a long-term position expected to meet the 630-hour requirement.
- They reach 630 hours worked at any point during the school year.
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Annual Open Enrollment
During annual open enrollment, employees can make changes to their SEBB benefits during annual open enrollment, which typically occurs in the fall. These changes take effect January 1 of the following year. To learn more about visit Annual Open Enrollment Webpage
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Special Open Enrollment
Certain life events let you change your benefits outside of annual open enrollment. For example, you move to a new county, get married, or have a child. We call these "special open enrollment" events. Learn what events qualify for special open enrollment and the steps you need to take to change your benefits. Click > Special Open Enrollment
Benefit FAQs
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What is DCAP?
Dependent Care Assistance Program (DCAP) - Set aside pretax money from your paycheck to help pay for child care or elder care expenses. Generally, DCAP is available to school employees who are expected to work at least 630 hours during the school year. CLICK HERE to learn more about DCAP.
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What is FSA?
Flexible Spending Arrangements (FSAs) allow you to set aside pretax money from your paycheck to pay for out-of-pocket health care costs. Generally, FSAs are available to school employees who are expected to work at least 630 hours during the school year. CLICK HERE to learn more about FSA.
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What is HSA?
HSAs are available to subscribers enrolled in a SEBB high-deductible health plan (HDHP). You can use your HSA to pay for IRS-qualified, out-of-pocket medical expenses. CLICK HERE to learn more about HSA.
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What if I disagree with my benefit decision?
If you disagree with the Districts determination regarding eligibility, you have the right to appeal, following the rules and process set forth in WAC 182-32-2020. You must submit the Employee Request for Review/Notice of Appeal to the benefits office no later than 30 days after the date of the district’s decision you are appealing. Additional information and the appeal form may be obtained at https://www.hca.wa.gov/assets/pebb/20-0161-sebb-employee-request-for-review-notice-of-appeal.pdf or https://www.hca.wa.gov/about-hca/file-appeal-sebb.
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I need to make direct payments for my benefits. Where do I submit my payments?
If you are no longer receiving a regular paycheck from the district but you still have benefit coverage, you will be expected to submit your payment to the payroll office by the 15th day of the coverage month. Payment must be in the form of a check, made out to Everett Public Schools, must be mailed to Attention: Payroll Office, P.O. Box 2098, Everett, WA 98213, or delivered to the Payroll Office at the Community Resource Center located at 3900 Broadway, Everett 98201.
Please call the payroll office directly if you have specific questions regarding your premium amount and making your payments, 425-385-4160.
CHIPRA NOTICE
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Some Everett Public School employees may qualify for health care coverage through the Washington Apple Health (Medicaid) program at no cost. If you would like to see if you or your dependents qualify for coverage, you may apply online at wahealthplanfinder.org, or by contacting the Health Benefit Exchange Customer Support Center at 1-855-923-4633 (TTY: 1-855-627-9604).
If you or your dependents qualify for no-cost Apple Health, you will have a choice of available managed care plans depending on the county you live in. There are no premiums, copays, or deductibles.
If you or your dependents qualify for no-cost Apple Health, you may also keep your employer-based insurance and receive help with the cost of your health insurance premiums.
Call toll free, 1-800-562-3022, ext. 15473, or visit the Premium Payment page on the Health Care Authority's website for more information. The site includes general information and an application form for your convenience. Additional information is available at the U.S. Department of Labor's website.
Contact Information
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Benefit Enrollment & Eligibility Questions
Email: Benefits@everettsd.org
Phone: 425-385-4115
Plan Questions
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For coverage details, services, or in-network provider questions
Contact your insurance provider directly
