Open Enrollment for Classified & Management is 8/30/16 to 9/9/16.
Open Enrollment for Certificated is 9/12/16-10/7/16.

Eligibility and Effective Dates

Eligibility Requirements - Employees
To participate as an “Employee” in the health plans of the District, individuals must be employed and paid for services by the Employer and meet the minimum requirements as negotiated by the District Collective Bargaining Units of District’s applicable rules. 
Choice of Coverage & Annual Election
An Employee must enroll self and Dependents (if any are to be enrolled) in the same option(s) at the time of hire or at open enrollment. 
Once each year, the District will hold an Annual Election.  At that time, covered Employees and their covered Dependents may change between the coverage options.  The newly-elected option will become effective October 1st.
Effective Date - Employees
For the Classified & Management employees: Effective the date the enrollment form is received (must be within 30 days of hire)
Eligible Dependents
Employees requesting benefits for their spouse or domestic partner must provide one of the following documents at the time of their request:

  • Marriage certificate
  • Domestic partnership state registration

To enroll your child dependent, you must provide the following document at the time of request:

  • Birth Certificate

The definition of eligible dependents is impacted by government regulations and plan provisions. At the time of the printing of this guide, eligible dependents are defined as:

  • Legally married spouses
  • Qualified domestic partners
  • Children up to age 26 
  • Stepchildren
  • Legally adopted children
  • Disabled children (Social Security determination required after age 26/no age maximum)
  • Children of qualified Domestic Partnerships
  • Any child for whom a Qualified Medical Child Support order that complies with all applicable laws has been issued (effective August 10, 1993)

Note: Government regulations and plan parameters that alter this section will prevail.
Employee Certification of Dependent
Proof of dependent status for verification is required for all first time enrollees and when any addition is made. If you are unsure whether a person qualifies as your dependent, call Benefits for assistance.  All employees are required to submit proof of eligibility certifying that the individuals enrolled as dependents meet the eligibility requirements.
HOW & WHEN TO ENROLL…
When it is time for you to enroll, you will need to have the following information available:

  • Names, Social Security numbers, and dates of birth for eligible dependents you wish to enroll
  • Name, Social Security number, and date of birth for life insurance beneficiary
  • If you are adding a new dependent to your insurance, you must provide proof of dependent status (i.e. marriage certificate, birth certificate, court order)

Making Changes During the Year
The choices you make when you first become eligible remain in effect for the entire plan year. Once you are enrolled, you must wait until the next open enrollment period to change your benefits or add coverage for dependents, unless you have a qualified change in family status as defined by the IRS.

    • Change in marital status
    • Change in number of dependents (birth, adoption, death)
    • Change in spouse or dependent’s eligibility under an employer’s plan that results in an involuntary loss of coverage.
    • Change in employment status that changes eligibility status
    • Change in eligibility for a state program such as Medicaid

When you experience a family or employment status change, the benefit changes you request must be consistent with and due to your change in status. For example, if you have a newborn child, you may not also add other dependents that you did not previously add to the plan. If you need assistance determining what changes are allowed, contact Benefits.
Any benefit change needed due to a qualifying status change event must be made within 30 days of the event (or within 60 days of a loss of Medicaid/CHIP coverage, or within 60 days of gaining eligibility for a state’s premium assistance program under Medicaid or CHIP).
You must submit appropriate documentation and complete any necessary change forms or you will not be able to make a change until the next annual open enrollment period.
Opting out of Benefits:
“Opt Out” of medical insurance will continue to be an option for 2016/17.  Those who choose this option will receive: Medical only $250 tenthly or Medical, Dental and Vision $280 tenthly.  If you are currently enrolled in this program and would like to continue it for 2016, you must re-enroll and renewal will be required annually.
In order to be enrolled, please complete the following steps:

    • Complete the District’s “OPT OUT” form;
    • Please return the Opt Out form to the Payroll Department at the District Office.  These forms are not to be sent through District Mail.