2021-2022 Enrollment Information
Our benefit plans are effective October 1st through September 30th of each year. There is an annual open enrollment period each year, during which you can make new benefit elections for the following October 1st effective date. If you plan to make any changes to your coverage, please see the forms to the right, fill out the "SISC Membership Change Form" and the corresponding Medical or Dental Enrollment form.
2021-2022 Open Enrollment is from July 26, 2021 through August 13, 2021
When can you enroll?
Eligible employees may enroll at the following times:
- As a new hire, you may participate in the District’s benefit plans on the first day of the month following your date of hire. Enrollment must take place within 30 days of hire.
Who may enroll?
All active, full‐time or part-time employee who is regularly scheduled to work as defined by the current Collective Bargaining Agreement on file with the Bargaining Unit and with us.
Eligible dependents include:
- Legal spouse or legally registered domestic partner (RDP)
- California Registered Domestic Partners who are members of the same sex or opposite sex (if one or both persons are over the age of 62)
- Children (natural, adopted, and step-children) from birth up to the age of 26, and any other child(ren) for whom you are a legal guardian (legal guardianship eligible until age 19)
- A handicapped child over the age of 26, if they were actively enrolled in the plan at the time they became disabled/handicapped.
- Your registered domestic partner’s eligible children up to age 26
Changes to Enrollment:
You may only make changes to your benefit elections if you experience a qualified change in family status as defined by the IRS or if you qualify for a “special enrollment”. However; any changes you make must be consistent with the change in status. If you qualify for a mid-year benefit change, you may be required to submit proof of the change or evidence of prior coverage.
A qualified change in family status includes:
A qualified change in family status includes:
- An event that is allowed under the Children's Health Insurance Program (CHIP) Re-authorization Act. Under provisions of the Act, employees have 60 days after the following events to request enrollment: Employee or dependent loses eligibility for Medicaid (known as Medi-Cal in CA) or CHIP (known as Healthy Families in CA).
- An event that is a “special enrollment” under the Health Insurance Portability and Accountability Act (HIPAA) including acquisition of anew dependent by marriage, birth or adoption, or loss of coverage under another health insurance plan.
- A court order resulting from a divorce, legal separation, annulment, or change in legal custody (including a Qualified Medical Child Support Order) requiring coverage for your child.
- Change in an individual's eligibility for Medicare or Medicaid.
- Change in your health coverage or your spouse's coverage attributable to your spouse's employment.
- Change in place of residence or work site, including a change that affects the accessibility of network providers.
- Change in a child's dependent status, either newly satisfying the requirements for dependent child status or ceasing to satisfy them.
- Change in work schedule, including an increase or decrease in hours of employment by you, your spouse, or your dependent child, including a switch between part-time and full-time employment that affects eligibility for benefits.
- Change in employment status that affects benefit eligibility, including the start or termination of employment by you, your spouse, or your dependent child.
- Change in number of dependents, including birth, adoption, placement for adoption, or death of a dependent child.
- Change in legal marital status, including marriage, divorce, legal separation, annulment, and death of a spouse.
- Employee or dependent becomes eligible to participate in a premium assistance program under Medicaid or CHIP.
Two rules apply to making changes to your benefits during the year:
- Any changes you make must be consistent with the change in status, AND
- You must make the changes within 31 days of the date the event occurs (marriage, birth, etc.) unless otherwise noted above
Remember that coverage for a new spouse or newborn child is not automatic. If you experience a change in family status, you have 31 days to update your cover‐age. Please contact the Insurance Department immediately to complete the appropriate election forms as needed. If you do not update your coverage within 31 days from the family status change, you must wait until the next annual open enrollment period to update your coverage.