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Waivers

2025 Plan Year Options

Waiver Process

ALL benefit-eligible employees who are waiving their medical insurance for the first time or are continuing to waive, MUST complete the online waiver process through the Benefitfocus website during the annual Open Enrollment period or within 30 days of a qualifying life event.

Employees who fail to complete the online waiver will not be eligible to receive Café Plan Cash and will be designated as a "Medical Waiver" until the next Open Enrollment period or within 30 days of a qualifying life event.

Medical Waiver Options

Negotiated

Employees who are covered through a different employer-sponsored medical plan, the military, Medicare / MediCal / Medicaid.

Exclusions: Individual health plans or coverage through The Marketplace do not qualify.

Café Cash Amount:
Up to $2,000 per year

(Prorated based on the number of months of waiver eligibility)

Payout Schedule:
Post-tax payment in January - December paychecks

(No payout in July & August)

Taxable Benefit:
Yes

Eligibility Requirements

Classified 6+ Hours
Certificated 100%
Leadership 100%

Dental Enrollment
Optional

(No cost)

Group Term Life:
Mandatory

(No cost)

Combining OUSD Benefits

OUSD employees who are covered as a dependent of another OUSD employee on their District-sponsored medical plan.

Café Cash Amount:
None

Eligibility Requirements

Classified 6+ Hours
Certificated
50 - 100%
Leadership 100%
BOE Members
Personnel Commissioners

Dental Enrollment
Optional

(Costs vary based on eligibility)

Group Term Life:
Mandatory

(No cost)

Part-Time Certificated

OUSD employees who are in a 50 - 99.99% FTE position

Café Cash Amount
None

Eligibility Requirements

Certificated
50 - 99.99%

Dental Enrollment
Optional

(Costs based on eligibility)

Group Term Life:
Mandatory

(No cost)

Dental Waiver Option

Dental

Any benefit-eligible employee may waive their dental insurance coverage.

(Please see medical waivers in the previous section for more information on how this may affect your medical waiver pay-out.)

Café Cash Amount:
None

Eligibility Requirements

Classified 6+ Hours
Certificated
50 - 100%
Leadership 100%
BOE Members
Personnel Commissioners

Medical Enrollment
Optional

(Enrolled medical plan may require an employee-paid contribution)

Group Term Life:
Mandatory

(Enrolled group term life premium costs may affect medical waiver Café Cash amount, if waiving medical insurance. See 2025 Medical Waiver Options above for details.)

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Updated 10/29/25 am

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