Effective January 1, 2020 Northshore School District, as well as all public schools in the State of Washington, will be participating in the School Employee’s Benefits Board (SEBB) insurance offerings. Information regarding SEBB may be found at SEBB Benefits.
- Workers Compensation
- Health Insurance Marketplace Coverage Options
- Premium Assistance Under Medicaid and CHIP
- Medicare Plan D
- Notice of Privacy Practices
If a job injury occurs
Your employer is self-insured. You are entitled to all of the benefits required by the state of Washington’s workers’ compensation (industrial insurance) laws. These benefits include medical treatment and partial wage replacement if your work-related injury or disease requires you to miss work. Compliance with these laws is regulated by the Department of Labor & Industries (L&I).
What you should do
Report your injury. If you are injured, no matter how minor the injury seems, contact:
Get medical care. The first time you see a doctor, you may choose any health-care provider who is qualified to treat your injury. For ongoing care, you must be treated by a doctor in the L&I medical network. (Find network providers at www.FindADoc.Lni.wa.gov.)
Qualified health-care providers include: medical, osteopathic, chiropractic, naturopathic and podiatric physicians; dentists; optometrists; ophthalmologists; physician assistants; and advanced registered nurse practitioners.
File your claim as soon as possible. For an on-the-job injury, you must file a claim with your employer within one year after the day the injury occurred. For an occupational disease, you must file a claim within two years following the date you are advised by a health-care provider in writing that your condition is work related.
The SEBB Program offers COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) for you and your dependents, if eligible, to continue your insurance with the SEBB Program. SEBB Continuation Coverage (COBRA) is a temporary extension of SEBB insurance coverage for employees who lose eligibility. For additional information please click here SEBB COBRA, or you may wish to contact SEBB COBRA directly at 1-800-200-1004.
Health Insurance Marketplace Coverage Options
Premium Assistance Under Medicaid and CHIP
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or www.insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan.
If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’t already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444-EBSA (3272).
You may be eligible for assistance paying your employer health plan premiums. Residents of Washington State can learn more by visiting:
Washington State Health Care Authority
To see information for other states, visit:
Employee Benefits Security Administration
Centers for Medicare & Medicaid Services
1-877-267-2323, Menu Option 4, Ext. 61565
Medicare Plan D
Helps cover the cost of prescription drugs.
May help lower your prescription drug costs and help protect against higher costs.
Part D plans are run by Medicare-approved private insurance companies.
There is a premium for Medicare Part D.
Medicare Part D is available to people enrolled in Medicare Part A and/or Part B. Part D coverage provides prescription drug benefits through private plans. These plans provide at least a standard level of coverage set by Medicare.
All SEBB medical plans provide creditable prescription drug benefits that are as good as or better than Medicare Part D coverage. When you become entitled to Medicare Part A and/or Part B, you normally would also enroll in Medicare Part D, or have other creditable drug coverage to avoid penalties. You can avoid penalties by deferring Medicare enrollment when you’re enrolled in SEBB coverage.
To avoid paying a higher premium, you should enroll in a Medicare Part D plan within 63 days after your SEBB medical coverage ends. If you don’t enroll within the 63-day deadline, your Medicare Part D plan’s monthly premium may increase by 1 percent or more for every month you didn’t have creditable coverage.
If you enroll or cancel (terminate) enrollment in Medicare Part D, you may need a “notice of creditable coverage” to prove to Medicare or the prescription drug plan that you have had continuous prescription drug coverage to re-enroll at a later date without penalties. You can call the SEBB Program at 1-800-200-1004 (select menu option 6) to request a notice of creditable coverage.
For questions about Medicare Part D, call the Centers for Medicare & Medicaid Services at 1-800-633-4227. Or visit SEBB's website Medicare Part D.
Notice of Privacy Practices
The Health Insurance Portability and Accountability Act (HIPAA) provides privacy procedures for personal health information (PHI).
What is HIPAA?
The Health Insurance Portability and Accountability Act (HIPAA), provides privacy protections for protected health information (PHI).
The Health Care Authority (HCA) follows HIPAA rules for Apple Health (Medicaid) and Public Employees Benefits Board (PEBB) programs and must provide privacy protections for personal and health information collected about members, applicants, state employees and retirees, even after death. This includes written, spoken, and electronic information.
Is there a form I need to sign to release my information?
Yes. If you want HCA to release your information to someone (a relative, friend, legislator, etc.), you must sign an authorization form. For information on when we might release information without your signed authorization, such as to a health care provider, see your notice of privacy practices.
Note: If you are a retiree receiving benefits from the Department of Retirement Systems (DRS), the PEBB Program may share your information with DRS to better serve you.
Where can I find a copy of my notice of privacy practices?
- For UMP subscribers: UMP notice of privacy practices
- For all other HCA clients: Notice of privacy practices
(available in 14 languages)
Where can I find more information?
For more information about the privacy practices of HCA, you may call 1-844-284-2149 (toll-free) or email HCA's privacy officer.
If you have a complaint about our health information practices or believe that we have violated your privacy rights, please make a complaint to the HCA privacy officer.
HCA privacy officer
Phone: 844-284-2149 (toll-free) or 360-725-2108
Health Care Authority
PO Box 42704
Olympia, WA 98504-2704