2017 Health Insurance Open Enrollment
Open Enrollment dates: May 23, 2017 – August 12, 2017
Open Enrollment CLOSES at 4 p.m. August 12, 2017
All changes will take effect October 1, 2017
Each Summer, Keyes Union School District conducts an annual Open Enrollment. This is an important time because it is the one time during the year you may change your benefit elections and/or add or delete family members from benefit coverage without documenting a qualifying event.
This open enrollment period affects Medical, Dental, and Vision insurance.
Any and all changes will need to be made prior to the close of Open Enrollment on August 12, 2017. If your elections and changes result in altered payroll deductions, you will find them reflected on your September 30, 2017 pay warrant.
Your medical, dental and vision insurance adjustments will go into effect on October 1, 2017.
The links below contain important insurance information. Please click on the links to get a summary of the rate changes as well as the updated plan information.
All changes must be made at the District Office by August 12 at 4:00 PM.
You are welcome to call Elizabeth Smiraglia with any questions or concerns at (209) 669-2921 x 3604 or email at email@example.com
If you are a part time employee or were hired prior to January 1, 2012 and have other group coverage, you may opt out of insurance through KUSD. However, new reporting laws require a “Declination of Insurance” form for every employee who is opting out. Please complete the form and return it to the District Business Office along with “Proof of Other Coverage.”
- Not making any Medical, Dental or Vision Changes? – NO RESPONSE REQUIRED
- Adding Dependents
- To add your spouse or child, please complete the corresponding enrollment form and attach the required proof of eligibility (first page of the previous calendar year’s IRS Federal Tax Return for spouse (financial information and first five digits of the social security number may be blacked out), marriage certificate for souse, birth certificate for child/children, adoption papers, etc.)
- Participating in American Fidelity’s Flexible Spending Plan?
You must re-enroll each year for the Flex Plan. A representative from American Fidelity will be at each site to help you after the start of the school year. Please watch for further information for dates and times.
Please click on the link to see more information including descriptions of medical insurance plans and/or miscellaneous forms.