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You have 30 days from your hire date to submit enrollment forms to the Benefits Department.  All other changes can be made during Open Enrollment in May of each year or within 30 days of a qualifying event.

The information required on the medical, dental, and vision insurance forms will be your name, address, birth date, social security number plus any dependents you want to enroll.  Please indicate which plan you are selecting on the enrollment form and complete a Life Insurance Beneficiary form if your position is eligible for benefits.

Send your completed  forms to the Benefits Department via mail, District mail, email or drop off at the Education Services Center. 

Qualifying Events Reminder:  Outside of the District's annual Open Enrollment period, you cannot add, drop, or change your election until the next Open Enrollment period unless you experience a "Qualified Status Change" or HIPAA Special Enrollment event as defined by the IRS.  The following are examples of "Qualified Status Changes"; other changes may be permissible:

• Marriage, Domestic Partnership, Divorce or Legal Separation
• Birth or Adoption
• Death 
• Loss or Gain of New Coverage for you and/or your dependents 

You must notify the District's Benefits Office of any of the above events within 30 days of the event.  Failure to do so will result in a forfeiture of COBRA rights and responsibility for any premium contributions and forfeit your right to enroll in the District's plans until the next open enrollment period each May.