Healthcare benefits for all eligible school employees are provided by the School Employees' Benefits Board (SEBB). SEBB is responsible for determining the terms of employee and dependent eligibility and enrollment policies, subject to the condition that employees anticipated to work at least 630 hours per year qualify for coverage. Beginning with the 2022 plan year, dual coverage under SEBB and benefits provided under the Public Employees' Benefits Board (PEBB) is prohibited for the same type of coverage.
An employee eligible for both PEBB and SEBB health insurance coverage must choose coverage from the same program, rather than selecting some benefits from each program.
PRO: The current language has been interpreted to allow employees to pick mix and match coverage. This clarifies that they must pick from one or the other. Allowing members to pick from both programs would result in hundreds of enrollments options that every employer would have to manage and each would have to be priced. It would be impossible to administer.
OTHER: Prior to the creation of SEBB, spouses were able to have dual coverage and many employees would like to have that option back. Both boards will continue to look at how that can be accomplished.