Admin

Changes Outside of Open Enrollment

Newly eligible employees (i.e., changing from less than half-time to half-time or more monthly assignments or returning from long-term, unpaid leave of absence) may enroll for coverage by submitting a Benefits Enrollment/Change Form with supporting documentation for eligible dependents to the Employee Benefits Department within 31 days of becoming eligible. See forms list below.

Newly eligible dependents (i.e., marriage, registration of domestic partnership, birth, adoption, or placement for adoption, permanent legal guardianship) may be added to your coverage by submitting a Benefits Enrollment/Change Form with supporting documentation for eligible dependents to the Employee Benefits Department within 31 days of the qualifying event. See forms list below.

Loss of other non-district medical coverage: When an employee or a dependent does not enroll for district health coverage because they have other coverage, a federal law known as HIPAA (Health Insurance Portability and Accountability Act) permits enrollment at times other than Open Enrollment when loss of the other coverage occurs. Completion of a Benefits Enrollment/Change Form with proof of loss of coverage (i.e. COBRA letter) plus supporting documentation for eligible dependents must be submitted to the Employee Benefits Department within 31 days following the loss of the other coverage. The loss of coverage must be through no fault of the dependent. This special enrollment provision also allows an employee to enroll for coverage for self/dependents within 31 days of acquiring a new dependent (i.e., marriage, registration of domestic partnership, birth, adoption, or placement for adoption). See forms list below.

Forms:

Benefits Enrollment/Change Form

Dependent Eligibility Verification Requirements

Ending District Coverage:

Employees are responsible for dis-enrolling any dependent who loses eligibility for coverage (e.g. divorce, termination of domestic partnership, death) within 60 days of the dependent's eligibility status change. In many cases, dependents losing coverage will be entitled to continue coverage on a self-pay basis under COBRA (Consolidated Omnibus Reconciliation Act). Regardless of the timing of notice to the district, coverage for an ineligible dependent will end on the last day of the month in which the member loses eligibility (subject to any continued coverage option available and elected).