Open Enrollment

Important Information

ADDING DEPENDENTS

To add a newly eligible dependent you will need to complete the appropriate enrollment form and provide documentation of the dependents eligibility (e.g. birth certificate, marriage certificate, divorce decree, adoption order, certificate of Domestic Partnership, etc.). Forms can be printed online, or secured at the District’s Risk Management Office. Completed forms along with supporting documentation must be submitted to Risk Management prior to coverage becoming effective.

Newly eligible dependents must be added within 30 days of their initial eligibility. If not added within 30 days, the dependent will not be eligible until the next Open Enrollment period.