COBRA and other continuation coverage enrollee data needed

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COBRA and other continuation coverage enrollee data needed

This is our last request for a list of employees and dependents who lost district coverage prior to January 1, 2020.

Please send information on any COBRA enrollees, employees currently self-paying for benefits while on approved leave, and employees and dependents losing eligibility for health coverage that have not already been submitted.

Do not include employees terminating benefits effective January 31, 2020 or after. These employees will automatically receive a COBRA packet from Health Care Authority (HCA) when they are terminated in SEBB My Account.

How and when to provide the data

Please use the Continuation Coverage Spreadsheet to provide the data. Complete and return the spreadsheet through FUZE (secure email), no later than January 21, 2020.

The spreadsheet must include:

  1. Any employees self-paying on approved leave (e.g., leave without pay, L&I, military, layoff, and disability retirement).
  2. Any employees enrolled in COBRA, and to the best of your knowledge, were still enrolled in COBRA coverage on December 31, 2019.
  3. Any employees who lost eligibility on December 31, 2019 because they are not eligible under SEBB Program rules (WAC 182-31-140)
  4. Any dependents (e.g., grandchildren, domestic partners not state-registered) who lost eligibility on December 31, 2019 because they are not eligible under SEBB rules (WAC 182-31-140)

The spreadsheet also requires information to help identify each of the enrollees, the type of coverage they are currently enrolled in, the start and end date of their coverage, and the last month of COBRA premiums paid. The SEBB Program will not enroll any COBRA subscriber’s without verification COBRA premiums were paid through December 31, 2019. If paid through information is not included, COBRA enrollees will be contacting you or your previous COBRA administrator to request proof premiums were paid through December 31, 2019 in order to enroll in SEBB Continuation Coverage January 1, 2020.

Next steps

Once we receive the spreadsheet, we will mail a SEBB Continuation Coverage Election Notice explaining their continuation coverage options. The maximum amount of time the individual may continue benefits will be determined based on the individual situation.

Questions?

Submit any questions through FUZE or call 1-800-700-1555.