Eligibility
The Board defines a benefit eligible, full - time employee as a staff member the District reasonably expects to work an average of 30 hours or more per week. Eligible employees who are hired on a full - time basis, and the letter of employment or contract start date is the first day of the month, are eligible for coverage on th at date. All other full - time new-hires are eligible for coverage on the first day of the following month.
WHO CAN YOU ADD TO YOUR PLAN:
Eligible:
Ineligible:
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Your legal spouse
A common law spouse/domestic partner
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■ Your or your spouse ’ s child who is under age 26 ■ Legally adopted child or a child placed for adoption ■ Child for which you or your spouse is the legal guardian ■ A disabled child who is unmarried and over age 25 ■ A child for whom health care coverage is required through a Qualified Medical Child Support Order or other court order
Divorced or legally separated spouse
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Foster children
■ Sisters, brothers, parents, in - laws, grandchildren, etc.
Frequently Asked Questions
ARE CHANGES TO MY PLAN ALLOWED DURING THE YEAR?
Generally, you may only enroll in the plan, or make changes to your benefit selections, during the open enrollment period or when you are first hired. However, you may make changes/enroll during the plan year if you experience a Qualifying Life Event (QLE). As with a new enrollee, you must have your paperwork turned in within 30 days of the qualifying life event or you will have to wait until the next annual open enrollment period. Premiums and enrollment eligibility may change; see the Business Office for details. EXAMPLES OF QUALIFYING EVENTS :
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You have a baby or adopt a child
Death of an insured member
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Gain or loss of Medicaid entitlement
You become eligible for Medicare
■ You or your spouse take an unpaid leave of absence ■
You get married, divorced, or legally separated (with court order)
■ Your dependents or you lose health coverage because of loss of eligibility or loss of employer contributions
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