Health, Vision, Dental, and More. 12. Please note that SEBB employees who do not either enroll in or waive SEBB Program coverage during open enrollment will automatically be enrolled into the Uniform Dental Plan. ... entities that have been selected by a Plan for … Benefits: PPO Managed-care plans: Uniform Dental Plan (Group 09600 PPO) DeltaCare (Group 09601) Williamette Dental … You and any enrolled dependents must enroll in the same SEBB dental plan. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. The basic long-term disability (LTD) benefit is based on a percentage of your paycheck. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. 10.1 Self-pay Services. Sebb Uniform Dental Plan Washington Vision plan options There are three SEBB Program vision plans to choose from. 1-800-537-3406. Every staff member must choose a new medical, dental and vision plan OR officially opt out of coverage.. Open enrollment is October 1 through November 15. SEBB medical and dental monthly enrollment reports Data showing how many subscribers are enrolled in SEBB Program medical and dental plans each month. See the Certificate of Coverage available in the Forms & Resources section below for a list of covered services and exclusions.. stream New to Delta Dental? Overview. Both plans will offer: No annual maximum, no deductible, and no copay for general office visits. deltadentalwa.com/sebb 1-800-650-1583 Uniform Dental Plan by Delta Dental deltadentalwa.com/sebb 1-800-537-3406 Willamette Dental Group sebb.willamettedental.com 1-855-433-6825. That means you now have a co-pay for services other than preventive and diagnostic. 3 0 obj Vision plan options There are three SEBB Program vision plans … Customer Service. endobj Will the basic long-term disability benefit be substantial enough to cover my expenses if I become disabled? health care options is offered for both fully insured and self-insured plans. technical assistance only and cannot help you with choosing plan. 400 Fairview Ave N, Ste 800. 1-800-650-1583. Individual Dental Plans Washington State . Dental through Uniform Dental Plan (also known as the Delta Dental PPO), DeltaCare (the Delta Dental managed-care plan), and Willamette Dental Group. Uniform Dental Plan (UDP) Plan #03000 Delta Dental PPO Effective Date: January 1, 2014 Plan Summary Out of State PAYMENT LEVELS Delta Dental PPO Dentist Delta Dental Premier® Dentist Dentist Class I – Diagnostic & Preventive Exams, Prophys, X-rays, Fluoride, Sealants 100% 80% 9 0% Class II – Restorative To inform their decision, the SEB Board reviewed the specific reference to state-registered domestic partners in RCW 41.05.740(6)(d)(iii). More information is included about this plan below. Vision Benefits: … It powers everything we do as we work to remove the barriers to oral health care. Uniform Dental Plan (UDP) Group #09600 THIS IS THE DELTA DENTAL PPO PLAN Best for those who want the freedom to choose their favorite dentist • You pick your dentist from the largest provider networks: state and national • Get specialist care without a referral • Deductible waived for preventive care -you pay $0 • Deductible & See 2021 SEBB Dental Benefits Comparison. When do new employees start receiving benefits? Medical: UMP Achieve 1, with a $33 monthly premium, Basic accidental death and dismemberment (AD&D): MetLife, Basic long-term disability (LTD): The Standard. Uniform Dental Plan Group #3000 . Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. Dental services covered by Uniform Dental are not subject to the health insurance deductible. SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). Before you select a plan or provider, compare dental plans to find out what services are covered, which providers are in-network, and your costs for care. Your employer pays the premium. What’s the difference between “fully insured” and “self-insured” plans? You MUST select a general practice, primary care dentist (PCD) from the DeltaCare network within 50 miles of your residence to manage all of your dental care needs. If you have questions about your specific medical, dental or vision insurance benefits please … <>>> <> 2 0 obj If you are eligible for the employer contribution toward SEBB benefits, but do not waive or enroll in SEBB Program medical coverage within the required timeline, you will be automatically enrolled in UMP Achieve 1 as your medical plan, Uniform Dental Plan… Willamette Dental … We believe everyone deserves a healthy smile. However, you can purchase supplemental LTD coverage. By law, the SEB Board establishes eligibility criteria for dependents, including legal spouses and state-registered domestic partners. How to find that information will be included in the enrollment guide mailed in September. Kaiser Permanente NW plans Both plans will offer: No annual maximum, no deductible, and no copay for general office visits. The school year, as defined in RCW 28A.150.203(11), is September 1 through August 31. Uniform Dental Plan (UDP) To choose the best plan for you and your family, use the information on this page to compare the different provider networks and costs of each plan, or review the Health Care Authority’s 2020 Dental Benefits comparison chart or 2021 Dental Benefits comparison chart. Other benefits include the Medical Flexible Spending Arrangement, and Dependent Care Assistance Program. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 30 0 R 31 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Uniform Dental Plan. Learn more about your customer service options. Life and accidental death and dismemberment (AD&D) insurance ... defined in the SEBB Program rules If I waive medical … We will offer managed-care dental plans through Delta Dental of Washington (DeltaCare) and Willamette Dental. To learn more about SEBB Program health plans, read the certificates of coverage (COCs) and summaries of benefits and coverage (SBCs) for each plan, or visit the plan websites. Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. Uniform Dental Plan (UDP) is a preferred provider organization (PPO) plan. SEBB Program fully insured plans are not offered in all counties. They won’t be able to change plans or enroll any eligible dependents until the next SEBB Program annual open enrollment or unless they have a special open enrollment event that allows the change, such as a marriage, birth, or adoption. If you are expecting to receive any of these services, you may want to contact the insurance company to find out your anticipated cost share and to see if any prior authorization is needed. • Page 53: Find information on our Health plans with a health savings account webpage. The Vision benefit comparison chart is available on page 53. payroll or benefits office with SEBB Program questions." Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. The insurance plan year for the SEBB Program is a calendar year, January 1 through December 31. �-@�� e�@�A�of��+X�I��+�e��%�JE��5;�Pf]����T�\��s��4ʥڶ�t�����T�am���:�"����*DVd�w��$�boXZ��͓Z����I"�ѡF�T. A “self-insured” plan is offered by the employer organization — in this case, Washington State. Uniform Dental Plan. Check with the plan to see if your dentist is in the plan… When dental plan enrollment ends, the enrollee may be eligible for continuation coverage if they apply within the timelines explained in the “Options for continuing SEBB dental coverage” on page 9. 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). Uniform Medical Plan. Find a Dentist Tool Select 'DeltaCare' … Medical plans Kaiser Foundation Health Plan of the Northwest KaiserPermanente NW 1, 2, 3 my.kp.org/sebb September 1 to December 31, 2019: 1-800-728-2779 See 2021 SEBB Vision Benefits Comparison. $500 in the member’s lifetime (maximum lifetime benefit) This is a summary of SEBB UDP plan … For help understanding the SEBB plans and choices, call the Benefit Helpline at 206-957-7066. 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