ELIGIBILITY
Full-Time Employees: All full-time employees are eligible to participate in the health & welfare benefits program. Certificated employees are considered full-time if they work at least 75 percent of a full-time assignment. Classified employees are considered full-time if they work at least six hours per day.
Part-Time Employees: Employees who work at least 50 percent of a full-time assignment may participate in the full benefits package, which includes medical, dental, vision, and life insurance. The district will contribute half the percentage paid for full-time employee premiums. Employees who work less than a 50 percent assignment are not eligible to participate in the district’s health & welfare benefits program.
Dependents: Eligible dependents include a spouse, registered domestic partner, and children (biological, adopted, or stepchildren) up to age 26, regardless of student status.
WAIVING BENEFITS
Full-time employees may waive medical, dental, and vision coverage or waive medical and retain dental and/or vision coverage. Employees will still receive district-paid life insurance and have the option to enroll in the Flexible Spending Account and voluntary life and cancer insurance plans. Employees waiving medical insurance must provide proof of other medical insurance coverage. No financial incentive is offered to employees who waive health insurance benefits.
Part-time employees who elect to participate in the health and welfare benefits package may not waive individual components of the package.
ENROLLMENT
Benefit Plan Year: The plan year runs from January through December, with open enrollment taking place in October each year.
New Employee Enrollment: Coverage for new employees and their dependents is effective on the first day of the month coinciding with or following commencement of active employment. Employees must enroll within 30 days of their start date.
Mid-Year Enrollment Due to a Qualifying Event: Employees may enroll themselves and their dependents outside the open enrollment period only in the case of a qualifying event. Valid qualifying events include marriage; entering into a domestic partnership; legal separation or divorce; birth, legal adoption, or acquiring legal custody of a child; and loss of other health insurance. Enrollment must take place within 30 days of the qualifying event, and supporting documentation must be provided (e.g., birth certificate, marriage certificate, income tax return, or court order).
COVERAGE WHILE ON LEAVE
Employees on Board-approved leaves of absence without pay may participate in the district’s health & welfare benefits program at their own expense.
TERMINATION OF BENEFITS
End of Employment: Coverage ceases at the end of the month following the last day of paid service.
Loss of Eligibility: Employees are required to notify the district within 30 days if a dependent ceases to be eligible for coverage, such as in the case of a divorce or a child no longer meeting the criteria for a dependent child. Failure to notify the district of such an event may result in the employee being billed for services or being dropped from coverage by the insurance company. COBRA rights arising from the qualifying event may also be forfeited.