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Open Enrollment

Open Enrollment will take place between beginning August 26, 2016 and last through September 23, 2016.  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, 2016. 


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 12, 2016.


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 23, 2016.  For your convenience, application forms are available on the District Website:

http://www.hawthorne.k12.ca.us>Employees>Open Enrollment


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 from 3:00PM to 5:00PM on the following dates:


Thursday, September 8, 2016

Board/Staff Development Room

Thursday, September 15, 2016

Board/Staff Development Room

Thursday, September 22, 2016



Open Enrollment Meeting at PVMS/Library from 3:00PM to 5:00PM on Tuesday, September 20, 2016.



August 26, 2016                       Open Enrollment Period Begins

September 12, 2016                 Request for Open Enrollment Information forms due

September 23, 2016                 Completed application/enrollment forms due