UMP SEBB Open Enrollment

Attend a SEBB benefits fair to meet with plan representatives and to learn more about your options for 2025. Benefits fairs will be held across Washington between October 28-November 7. Visit SEBB benefits fairs for the full schedule and more details.

Learn more about all UMP plans online at SEBB's virtual benefits fair.

Explore your benefit options from the comfort of your own space with the virtual benefits fair, an online, interactive, and personalized experience. Available 24/7, starting October 4.

Visit UMP’s virtual benefits booth from any device (computer, tablet, or smartphone):

• Watch short videos for an overview of all UMP plans
• Explore detailed information on a specific plan of your choice

UMP is hosting several webinars during open enrollment.

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

For general plan information, visit the UMP Plus–Puget Sound High Value Network and UMP Plus–UW Medicine Accountable Care Network plan detail pages or register to attend a UMP Plus webinar.

• Puget Sound High Value Network (PSHVN): Wednesday, October 23, 4-5:30 p.m. PST

  • Register for the webinar on the Zoom webinar webpage.
  • The recorded session will be available within five business days on PSHVN's website.

• UW Medicine Accountable Care Network (ACN): Friday, October 25, 4-5:30 p.m. PST

  • Register for the webinar on the Zoom webinar webpage.
  • The recorded session will be available within five business days on UW Medicine ACN’s website.

Communication Access Real-time Transcription (CART) services, or live closed captioning, are available for this event, on demand. Scheduling CART services requires a request to be placed 2-3 weeks before the event date. To request this accommodation, please submit a request to Lauren Johnston at lauren.johnston@hca.wa.gov as soon as possible. Please submit your request for live closed captioning (CART) services at least 1 week prior to the event to ensure availability. If you make your request less than a week in advance of the event, the language access manager cannot guarantee that a CART writer will be available.

For a summary of the most important information about open enrollment and 2025 coverage, read the UMP Open Enrollment Newsletter.

To compare 2024 and 2025 premiums for UMP members, read the UMP 2025 premiums flyer.

For the complete list of 2025 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 7, 2024.

There are no changes to the following for UMP Achieve 1, UMP Achieve 2, UMP Plus–PSHVN, and UMP Plus–UW Medicine ACN members:

• Medical deductible
• Prescription drug deductible
• Out-of-pocket maximum
• SmartHealth wellness incentive ($125 deductible credit to those who qualify)

• Washington State Rx Services (WSRxS) has changed its name to ArrayRx Your prescription drug benefits are not changing, but you will see ArrayRx referenced instead of Washington State Rx Services on benefit documents and on your new member ID card.

• UMP is updating its privacy practices
  As of November 1, 2024, UMP is introducing an updated Notice of Privacy Practices. You can access the new notice on the UMP notice of privacy practices webpage. Take a moment to review the updated notice to understand how UMP and the Health Care Authority are committed to protecting your personal information.

• The UMP High Deductible health plan deductible is increasing
  The deductible for UMP High Deductible members is increasing to $1,650 for a single subscriber and $3,300 for a family. This is an increase from $1,600 for a single subscriber and $3,200 for a family. This deductible increase is required to maintain compliance with IRS rules, so that a subscriber can make eligible health savings account (HSA) contributions in 2025. UMP High Deductible members will be receiving a new ID card for 2025 with the updated deductible amounts.

• Changes to cost shares for supplemental and diagnostic breast exams
  Starting January 1, 2025, you will pay $0 for medically necessary diagnostic and supplemental breast exams. These services are subject to the deductible under the UMP High Deductible health plan.
  

• Prescription drug costs
  For information about 2025 prescription drug costs, please visit the 2025 plan webpage for the plan you are interested in (UMP Achieve 1, UMP Achieve 2, UMP High Deductible, UMP Plus–PSHVN, UMP Plus–UW Medicine ACN).

• See changes to the UMP Preferred Drug List
  Starting in November, see a list of anticipated changes to the UMP Preferred Drug List (PDL). The list is updated throughout the year and does not contain every anticipated change to the UMP PDL. It only contains changes that may negatively impact members, such as increasing a drug’s cost or limiting the amount of drug available per refill.
  

• UMP Plus–Puget Sound High Value Network (PSHVN):
  • For 2025, UMP Plus–PSHVN will no longer serve Chelan and Douglas counties.
  • The plan will continue to serve 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):
  • For 2025, UMP Plus–UW Medicine ACN does not have any service area changes.
  • The plan will continue to serve Benton, Franklin, King, Pierce, Skagit, Snohomish, Spokane, and Thurston counties.
  • Learn more about the plan by visiting the UMP Plus–UW Medicine ACN webpage.

Your 2025 certificate of coverage is your best resource for benefit information. It describes what is covered and how much you will pay for different services.

• UMP Achieve 1
• UMP Achieve 2
• UMP High Deductible
• UMP Plus–Puget Sound High Value Network (PSHVN)
• UMP Plus–UW Medicine Accountable Care Network (ACN)

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 2025 plan information:

• Review benefits comparisons (UMP Achieve 1, UMP Achieve 2, UMP Plus, and UMP High Deductible).
• Use SEBB's medical benefits comparison tool to explore your options. Select up to three UMP plans to find the best fit for you.
• Review Summaries of Benefits and Coverage.
• Read this summary of your prescription drug benefit.

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.

Explore the virtual benefits fair or call:

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

ArrayRx and Centers of Excellence do not provide BlueCross and/or BlueShield services and are separate companies solely responsible for their products/services.