Changes Outside of Open Enrollment


Open Enrollment is the annual period when eligible employees can enroll in health benefits or make changes to their existing benefit elections for the upcoming plan year. Open Enrollment typically takes place each year between September and October, with specific dates announced and communicated to all staff in August. Elections made during Open Enrollment become effective January 1 of the following year.

Outside of Open Enrollment, employees may only make changes to their health benefits if they experience a qualifying life event, as defined by IRS regulations. Examples include:

  • Marriage or divorce
  • Birth, adoption, or placement of a child
  • Death of a dependent
  • Loss or gain of other health coverage
  • A change in employment status that affects benefits eligibility

Important: Benefit elections generally cannot be changed outside of Open Enrollment unless you experience a qualifying life event. Premium costs or payroll deductions do not qualify as a life event and therefore do not permit employees to change health plans during the plan year.

Employees are encouraged to carefully review their benefit options during Open Enrollment and wait for confirmation of their estimated employee health share contribution (payroll deduction) before making their elections. Once Open Enrollment closes, benefit elections will remain in effect for the entire plan year unless a qualifying life event occurs.

Leave of Absence (LOA)

Important: If you do not wish to continue your benefits while on leave, please notify the Benefits Office as soon as possible so your coverage can be canceled appropriately.

Every leave situation is different. Benefit costs and District contributions while on leave depend on factors such as the type of leave, retained FTE, bargaining unit, and benefit elections. Employees will receive an individualized benefits statement showing their specific coverage and costs during the leave period.
The Benefits Office will provide a personalized benefits statement outlining your current enrollments and any premiums you may be responsible for during your leave.

Understanding Your Benefits While on Leave

The amount you pay to maintain benefits during a leave of absence may vary based on:

  • The type of leave you are taking.
  • The benefit plan involved.
  • The amount of FTE retain during your leave.
  • Whether the benefit is District-supported or employee-paid.

How will I know what I owe?

The Benefits Office will provide a benefits statement showing your enrolled plans and any premiums due.

STRS Reduced Work Program

Employees participating in the STRS Reduced Work Program continue to receive benefits based on a 1.0 FTE regardless of the amount of FTE on leave.