Under the Patient Protection and Affordable Care Act, minimum standards are set for health insurance companies regarding services and coverage. Most employers with 50 or more employees are required to offer healthcare plans.
Health Insurance Coverage
Most plans provide coverage for visits to primary care physicians and specialists, hospitalization, and emergency care. Alternative medical care, wellness, and prescription coverage will vary by the plan and employer.
Employers are required to provide healthcare to employees who work at least 30 hours per week. Some (though not many) part-time workers are covered by employer plans. In Washington, school districts are required to offer health coverage to any employee anticipated to work more than 630 hours in a given fiscal year.
Dental Care Plan Coverage
Employers with dental care benefits offer insurance that helps pay a portion of the cost for dental treatment and care. Depending on the Health Care Authority's policy for dental care benefits, dental coverage includes a range of treatments and procedures.
Vision Plan Coverage
Employers with vision care benefits offer insurance that helps pay a portion of the cost for vision treatment and care.
Below are the health coverage options provided by the Renton School District for qualified employees. All plans are designed by the Schools Employees Benefits Board (SEBB) and administered by the Washington State Health Care Authority. Plan premiums can be found on the Medical Plan Premiums webpage of the HCA.
The SEBB Program offers a variety of fully insured medical insurance plans. Service agreements were completed with Kaiser Foundation Health Plan of the Northwest, Kaiser Foundation Health Plan of Washington, Kaiser Foundation Health Plan of Washington Options, Inc., Premera Blue Cross, and Providence Health Plan.
Detailed information about available medical plans can be found at the Medical Plans and Benefits webpage of the HCA.
The SEBB Program offers fully insured dental plans through Delta Dental (DeltaCare) and Willamette Dental, with the same covered services and exclusions, provider networks, clinical policies and copays as the DeltaCare and Willamette Dental plans, respectively, under the PEBB Program.
Detailed information about available dental plans can be found at the Dental Plans and Benefits webpage of the HCA.
The SEBB Program offers fully insured vision plans. These plans are contracted with Davis Vision, EyeMed and MetLife.
Detailed information about available vision plans can be found at the Vision Plans and Benefits webpage of the HCA.
The Washington Health Care Authority has provided a website to help employees discover and understand their benefits. We would encourage anyone to visit the HCA's webpage for additional information. The link is provided below: