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  • Special Enrollment – Life Event

Throughout the course of the year, life happens and there may be times when you need to make some adjustments to your benefits to meet the needs of you and your family. The District’s plan allows for certain changes to your plan benefits due to specific “Life Events” within set periods of time. You may request a special enrollment if you are adding a new dependent to your coverage due to one of the following life events:

  • Special enrollments that must be requested within 31 days of the life event
    • Marriage/Domestic Partnership, Birth, Adoption, or Legal Guardianship
    • A dependent’s loss of health insurance or group health plan coverage

  • Special enrollments that must be requested within 60 days of the life event
    • A dependent’s loss of eligibility of Medicaid or a State Children’s Health Insurance Program (“SCHIP”) coverage. You must request enrollment within 60 days after that coverage ends.

For more detailed information about Special Enrollments, please feel free to review the “What if my needs change during the year?” section of the New Hire Benefits Information Guide or contact the District’s Benefits Department at 559.457.3520.

Ready to Get Started?

To begin your special enrollment form, click on the button below and log in using your district email and password that you use to access your district computer and related systems. 

Special Enrollment Form

If you have trouble signing in, please contact the IT Help Desk at 559.457.2600. If you have any other questions, please contact the Benefits Department at 559.457.3520. 

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