WSR 25-17-014

POLICY STATEMENT

HEALTH CARE AUTHORITY

(School Employees Benefits Board)

[Filed August 8, 2025, 3:06 p.m.]

The following is a list of administrative policies published by the school employees benefits board (SEBB) program. These policies are effective January 1, 2026. You can download the complete policy statements on the SEBB program rules and policies web page at hca.wa.gov/sebb-rules.

The following policies were amended to support the SEBB program:

Policy 11-1: Providing a notice to a school employee. This policy clarifies the requirements of a SEBB organization-to-school employee notice, as stated in WAC 182-31-030(2) and RCW 41.05.009(2).

Policy 11-3: Correcting SEBB organization and contracted vendor enrollment errors. This policy clarifies the requirements placed on a SEBB organization or contracted vendor when they correct their own enrollment errors as described in WAC 182-30-060.

Policy 45-2: Special open enrollment (SOE). This policy applies whenever a subscriber requests an enrollment change or election change outside of the SEBB annual open enrollment period.

Policy 60-1: Required appeals related documents when the SEBB program conducts a brief adjudicative proceeding. This policy clarifies what particular documents are required from a SEBB organization or contracted vendor when the SEBB program is conducting a brief adjudicative proceeding at the request of one of its school employees or subscribers.

Policy 91-3: Washington wellness worksite designation program incentive requirements. This policy provides a set of requirements for the SEBB organizations to use when offering wellness incentives under the Washington wellness worksite designation program.