Appeals process during the Governor’s state of emergency

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Appeals process during the Governor’s state of emergency

On March 1, 2020, the appeals process was moved to steady-state. This means schools employees should send most appeals about eligibility and enrollment to their employer’s payroll and benefits office. If the payroll or benefits office denies the appeal, employees can appeal to HCA’s SEBB Appeals Unit.

Many benefits administrators and employees are facing issues with the appeals process while teleworking. To address these challenges, the following temporary process changes may help both benefits administrators and employees work through the challenges.

  • If you receive an employee’s appeal and are unable to enter a decision and sign the form electronically, enter your decision into the email and respond to the employee. Let the employee know to include the email with their appeal if they are then appealing to the SEBB Appeals Unit.
  • The employee may leave the social security number field blank to ensure that information is not sent through an unsecured email.
  • The employee has the option to appeal directly to the SEBB Appeals Unit. The SEBB Appeals Unit may reach out to benefits administrators for additional information related to the appeals.

The appeals process and the SEBB Employee Request for Review/Notice of Appeal form are available on the SEBB website.