2022 UMP SEBB Open Enrollment

This page contains benefit information for 2022. For 2021 Plan overview information visit the 2021 Plan Overview webpage.

UMP (SEBB) Open Enrollment

Welcome to the School Employees Benefits Board (SEBB) Program open enrollment. Open enrollment starts October 25 and ends November 22, 2021. Benefit coverage will begin January 1, 2022.

This page offers information for UMP members that may be helpful during open enrollment. Find out what's new for 2022, learn about your options, and compare the UMP plans to find the one that best fits your needs.

Have questions? Call UMP Customer Service at 1 (800) 628-3481 (TRS: 711) for questions about medical benefits, or Washington State Rx Services at 1 (888) 361-1611 (TRS: 711) for questions about prescription drugs.

You can also visit the SEBB virtual benefits fair starting September 24 to learn about all of UMP's plans, or visit Open enrollment (SEBB) for general information like how to enroll. When you're ready to enroll in a plan, visit SEBB My Account or contact your payroll or benefits office.

 Visit the virtual benefits fair

Keeping SEBB members’ health and safety a top priority during the COVID-19 pandemic, and following the state guidelines for large gatherings, SEBB will not offer in-person benefits fairs this year. Instead, find out more about all of UMP’s plans online with the SEBB’s virtual benefits fair.

A virtual benefits fair is a way to learn about your benefit options through an online, interactive, and personalized experience. It will be available anytime, day or night, starting September 24.

Use your computer, tablet, or smartphone to visit UMP’s virtual benefits booth. Once there, you can view UMP’s short videos to get an overview of all UMP plans or select a specific plan to see more detailed information.

 Check out a UMP webinar

UMP is hosting several webinars during open enrollment.

Learn about all UMP plans

To learn more about UMP's plans and benefit options, view the recorded UMP SEBB Open Enrollment online webinar.

Learn more about UMP Plus

Registration is required.

Visit the UMP Plus–Puget Sound High Value Network and UMP Plus–UW Medicine Accountable Care Network home pages or attend a UMP Plus webinar.

  • Puget Sound High Value Network (PSHVN): Wednesday, October 20 from 4 p.m. to 5 p.m. (Pacific).

  • UW Medicine Accountable Care Network (ACN): Thursday, October 28 from 4 p.m. to 5 p.m. (Pacific).

Communication Access Real-time Transcription (CART) services, or live closed captioning, are available for this event, on demand. Scheduling CART services requires a two-to-three-week lead-time. To request this accommodation, please submit a request to Janice Knutz at janice.knutz@hca.wa.gov as soon as possible. If you make your request less than a week in advance of the event, our language access manager cannot guarantee that a CART writer will be available.

 What's new for 2022

For a summary of the most important information about open enrollment and 2022 coverage, read the UMP Open Enrollment Newsletter 2022.

2022 monthly premiums

To compare 2021 and 2022 premiums for UMP members, read the UMP 2022 premiums flyer.

For the complete list of 2022 premiums, visit the SEBB website (employees or SEBB Continuation Coverage) or read the SEBB Program’s October Intercom newsletter, which will be mailed or emailed (depending on the delivery method you chose) starting on October 5, 2021.

Changes to existing benefits for 2022

  • For UMP Achieve 1, UMP Achieve 2, UMP Plus–PSHVN, and UMP Plus–UW Medicine ACN members, for 2022 plans, there are no changes to the:
    • 2021 medical deductible;
    • 2021 prescription drug deductible;
    • 2021 out-of-pocket maximum; and
    • 2021 SmartHealth wellness incentive ($125 deductible credit to those who qualify).

  • All plans will have a limit of 24 visits for chiropractic (spinal manipulation), 24 visits for acupuncture, and 24 visits for massage per calendar year. This is an increase to the previous benefit limit of 16 visits for chiropractic, 16 visits for acupuncture, and 16 visits for massage. If you see a preferred provider (network provider for UMP Plus) you will pay a $15 copay per visit for each treatment type. For High Deductible you must meet your deductible first. For more information see your plan’s 2022 certificate of coverage.

  • UMP members are no longer eligible to dual enroll in PEBB and SEBB health plans. All dual covered members must select only one coverage plan. For enrollment and eligibility information visit the HCA website at hca.wa.gov/sebb-oe.

  • UMP will now cover some preventive care benefits for chronic conditions for UMP High Deductible members prior to members meeting their combined deductible. Coinsurance will apply.

  • Continuous Glucose Monitors (CGMs) will no longer be covered under the medical benefit. Instead CGMs will be covered under the UMP prescription drug benefit. You will need a new prescription if you are currently getting your supplies through your medical benefit. This change does not apply to Medicare retirees when Medicare is primary.

  • Some pharmacies may be added or removed from UMP’s pharmacy network. To check which pharmacies are available in UMP’s 2022 pharmacy network, use the 2022 Pharmacy Locator for UMP Achieve 1, UMP Achieve 2, UMP High Deductible, UMP Plus. If you are a current UMP member and there’s a change that will negatively impact you, Washington State Rx Services (WSRxS) will contact you at least 60 days before with details about what you need to do. Note: The 2022 Pharmacy Locator is only for the 2022 benefit year and is subject to change.

  • For information about 2022 prescription drug costs, please visit the 2022 plan webpage you are interested (UMP Achieve 1, UMP Achieve 2, UMP High Deductible, UMP Plus–PSHVN, UMP Plus–UW-Medicine-ACN).

  • In order to view your previous prescription claims history in 2022, you need to access your prescription claims history by December 31, 2021. Claims histories may be needed for Health Savings Account submissions, Flexible Spending Account submissions, or tax purposes. By viewing your claims history before the new year, you have access to previous claims.
    • You can view your claims by signing in to your Regence account at ump.regence.com/ump/signin.
    • After you sign in, select “My benefits” and choose the “Pharmacy” tab.
    • Then select “Sign in to your pharmacy account” and select “Claims for (your name).”
    • If you have questions, please call WSRxS Customer Service at 1 (888) 361-1611 (TRS: 711).

  • All UMP members will receive a new UMP ID card from Regence for the 2022 plan year. Use your current ID card through December 31, 2021. Your new ID card will not work until January 1, 2022.

  • You use the same card for both medical services and prescription drugs. Show your ID card to all providers you see, including pharmacies, to make sure they have up-to-date billing information for you. You do not use your UMP ID card for dental services. If you haven’t gotten your card yet and need to fill a prescription in 2022, you can use the below information:

    PCN: NVTU
    BIN: 610602
    Rx group #: 10016720

UMP Plus service area and provider changes

UMP Plus–Puget Sound High Value Network (PSHVN)

  • Beginning January 1, 2022, UMP Plus–PSHVN will no longer be available in Thurston County. UMP Plus - UW Medicine ACN will still be available in Thurston County in 2022 and is substantially similar to UMP Plus - PSHVN. Please go to ump.regence.com/finding-doctors and use the provider search tool to find network providers available to you.
  • The service area in 2022 will include Chelan, Douglas, King, Kitsap, Pierce, Snohomish, and Yakima counties.

Learn more about the plan by visiting the UMP Plus–PSHVN webpage.

UMP Plus–UW Medicine Accountable Care Network (UW Medicine ACN)

  • UMP Plus–UW Medicine ACN does not have any service changes for 2022. The plan will continue to serve King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston counties. Learn more about the plan by visiting the UMP Plus–UW Medicine ACN webpage.

  • UMP Plus–UW Medicine ACN’s customer service number and nurse line will be changing to 1 (888) 402-4238 starting January 1, 2022.

UMP is updating its privacy practices

UMP is updating the UMP Notice of Privacy Practices (effective November 1, 2021). It will be posted on the UMP notice of privacy practices webpage. Read it to learn how UMP and the Health Care Authority are protecting your personal information.

 Information about your 2022 UMP plan

Your 2022 certificate of coverage is your best resource for benefit information. It describes what is covered and how much you will pay for different services.

 Compare UMP's plans

UMP offers UMP Achieve 1, UMP Achieve 2, UMP High Deductible, and UMP Plus. UMP Plus has two network options: Puget Sound High Value Network (PSHVN) and UW Medicine Accountable Care Network (ACN). To quickly compare 2022 plan information:

 Learn more about Centers of Excellence

If you qualify for services, the UMP Centers of Excellence (COE) Program covers single knee and single hip replacement surgery, and spine care evaluation and/or surgery for low to no cost.

This program is available for all UMP members except those enrolled in UMP Plus and UMP members enrolled in Medicare as their primary coverage.* To learn more, watch the COE video or visit Premera’s COE program website.

*Medicare and UMP Plus members have access to covered services related to joint replacement and spine care outside of this program.

 Have more questions about UMP

Explore the virtual benefits fair or call:

  • UMP Customer Service at 1 (800) 628-3481 (TRS: 711) for questions about medical benefits
  • Washington State Rx Services at 1 (888) 361-1611 (TRS: 711) for questions about prescription drugs