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2025-26
SEA Members have a variety of insurance options to suit your needs. A one-page summary of insurance options is available by clicking on the image to the right. Detailed information specific to your family type is available by clicking one of the options below.
Please note that the cost to members is based on a full time (1.0 FTE) position. If working in a part-time position, a member is responsible for the amount shown on each page, plus the prorated portion of the cost to the district of your plan.
2025-2026 Benefits Presentation
2025-2026 Benefits Presentation
Diversified Benefits Services, our group HRA provider, has prepared an updated presentation for you about our insurance options for this school year. Please see this link to view.
2025-2026 Updates
2025-2026 Updates
What's changed?
What's changed?
Members new to the district and those wishing to make changes in their coverage should complete open enrollment through OEBB website by August 31. Members still may make changes to their plan selections from September 1-15, but will be charged for two premiums (September and October) on your October paycheck.
All members need to log into the OEBB system and make plan selections this year, even if continuing with the same plan.
Members using Kaiser insurance no longer need to submit explanation of benefits (EOB) documents to Diversified Benefit Services in most cases.
Monthly premiums have been adjusted to reflect changes in insurance costs. Please see the table below.
Members who opt-out of insurance will receive at least $550 per month into an HRA VEBA to cover any unreimbursed healthcare expenses.
OEBB now offers a comparison tool you can use to compare coverage between the Moda and Kaiser plans. This tool is available in English and Spanish and can be accessed at https://www.compareoebbplans.com/.
About the Group HRA
About the Group HRA
SSD_GHRA_Video_21-22.mp4We use a special healthcare account called a Group Health Reimbursement Account to enhance health benefits offered through the district. This arrangement provides our members with substantially reduced deductibles and maximum out of pocket costs than the Moda and Kaiser plans alone. The video at left provides some additional information about how this arrangement works.
Our Group HRA is managed by Diversified Benefit Services. To submit claims and receive reimbursement for the portion of your healthcare costs covered by the Group HRA, you'll need to set up an account. See the links below for additional information.
Medical Coverage Options by Family Type
Medical Coverage Options by Family Type
Employee Only - choose this option if you are only covering yourself and have no dependents.
Employee and Spouse - choose this option if you are covering yourself and your spouse, but no children.
Employee and Child - choose this option if you are covering yourself and a child, but not a spouse.
Full Family - choose this option if you are covering yourself, your spouse, and your child(ren).
Dental & Vision Coverage Options
Dental & Vision Coverage Options
Base plans are provided to members at no cost as described in the summary page linked above. If wishing to "upgrade" your coverage, members may do so by paying the difference in cost.
Upgrade Your Insurance
Upgrade Your Insurance
Members have the option to upgrade to a higher level of dental and vision coverage by paying the difference in premium. To calculate your additional cost per month to do so, subtract the cost of the highlighted base plan (Delta Premier Plan 6 for dental and Moda Quartz for vision) from the cost of the upgraded plan.
Additional Insurance Offerings
Additional Insurance Offerings
SEA members may be interested in considering the Short-Term Disability, Long Term Disability, or Life Insurance Benefits offered through OEBB. See the documents below for additional information.
Short Term Disability Insurance.pdfShort-Term Disability
Short-Term Disability
Long Term Disability Insurance.pdfLong-Term Disability
Long-Term Disability
Group Optional Life.pdfGroup Life Insurance
Group Life Insurance
Opt Out of Insurance through the District
Opt Out of Insurance through the District
If an SEA member has other group coverage (e.g., through a spouse), the member may opt out of insurance through the district. Members opting will receive $560 per month into an HRA VEBA account that they can use for any unreimbursed medical expense.
Members wishing to opt out of insurance should complete the form linked at right, then submit it along with proof of your other group coverage to Dalena Fender at the District Office.
FY22 Certified Ind and Married opt out.pdfPage updated
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