Important Appeal Reminder

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For situations when the SEBB Program sends a letter to a member with appeal rights attached, please do NOT fill out the employer portion of the appeal form. Instead, direct the employee to follow the appeal directions in the letter. Program letters contain appeal rights that explain to members that they need to file their appeals directly with the Appeals Unit and have a strict 30-day appeal deadline.

Some examples of situations where the Program issues a decision that must be appealed directly to the Appeals Unit:

  • Spousal Surcharges- The Program sends letters informing members that they will be paying the spousal surcharge because they failed to re-attest during the annual open enrollment period.
  • Confirmation letters – The Program sends letters after a member makes elections or changes to elections during a recent open enrollment window (including annual open enrollment, Special Open enrollment, or a newly eligible employee who has just made an election for the first time).
  • Letters that deny someone’s request to enroll a disabled dependent.
  • Letters that deny someone’s request to enroll an extended dependent.