Open Enrollment will take place between August 30, 2012 and September 20, 2012.  Open Enrollment is the ONLY time during the year that insurance changes can be made.  Only during this period may you transfer from one medical and/or dental carrier to another or add eligible dependents not already covered by your insurance.  All changes, including transfers and additions, will be effective October 1, 2012. 

The following dependents may be added to your coverage at any time of the year within thirty-one (31) days from the date of: 1) newborn; 2) legally adopted children; 3) new spouse/domestic partner.  Dependents may be deleted from your coverage at any time during the year.

Employees requesting to make any changes to insurance coverage must complete and submit the Request for Open Enrollment Information form below to the Human Resources Office by September 14, 2012. Requests received by Human Resources after September 17, 2012, cannot be processed.

The appropriate application(s) or change form(s) will be sent to your attention.  Please complete and submit to Human Resources no later than September 21, 2012.  Click here for the forms.

If you cannot access the District Website, please see a clerical staff member at your site or contact Human Resources.

Open Enrollment Meetings will be held at the District Office’s Board/Staff Development Room from 3:00 p.m. to 5:00 p.m. on the following dates:

OPEN ENROLLMENT SCHEDULE:

August 30, 2012                       Open Enrollment Period Begins

September 14, 2012                 Request for Open Enrollment Information forms due

September 21, 2012                 Completed application/enrollment forms due

If you have any questions, please contact Rita Encalada in the Human Resources Department.