Eligibility & Changes

Important Reminders

Eligibility

You are eligible for benefits if you work at least 20 hours per week. You may also enroll your eligible family members under certain plans you choose for yourself. Eligible family members include:

Your legally married spouse
Your children who are your biological children, stepchildren, legally adopted children or children for whom you have legal custody (age restrictions may apply). Disabled children age 26 or older who meet certain criteria may continue on your health coverage.

When Coverage Begins

New Hires: You must complete the enrollment process within 31 days of your date of hire. If you enroll on time, coverage is effective on the first of the month following the date when you begin working. All eligible staff are required to complete their enrollment during the enrollment period. You may elect to decline coverage, in which case you will only receive the District provided life insurance.
Open Enrollment: Changes made during Open Enrollment are effective January 1, 2025 - December 31, 2025.

Choose Carefully

Due to IRS regulations, you cannot change your elections until the next annual Open Enrollment period, unless you have a qualified life event during the year. Following are examples of the most common qualified life events:

Marriage or divorce
Birth or adoption of a child
Child reaching the maximum age limit
Death of a spouse, or child
You lose coverage under your spouse’s plan
You gain access to state coverage under Medicaid or CHIP

Making Changes

To make changes to your benefit elections, you must contact Human Resources within 31 days of the qualified life event (including newborns). If changes are not submitted on time, you must wait until the next Open Enrollment period to make your election changes.

Required Information—When you enroll, you will be required to enter a Social Security number (SSN) for all covered dependents. The Affordable Care Act (ACA), otherwise known as health care reform, requires the company to report this information to the IRS each year to show that you and your dependents have coverage. This information will be securely submitted to the IRS and will remain confidential.