Page 3 - Inglewood USD Benefits Guide 2019 - Actives Final

ENROLLMENT INFORMATION

Who May Enroll

CLASSIFIED ELIGIBILITY
Effective October 1, 2018, the maximum District annual contribution for District medical insurance for each eligible full-time unit
member shall be equivalent to 100% of each tier (1 party, 2 party, 3 or more) of the District’s lowest cost HMO medical health
benefit plan. Part-time unit members regularly assigned less than full-time, but more than four (4) hours or more, five (5) days per
week, shall receive a percentage of the District’s maximum annual contribution towards health benefits as described below:

At least 6 hours, less than 7 hours: Employee 100%, Employee + 1 , Employee + Family 75%
At least 5 hours, less than 6 hours: Employee, Employee + 1, Employee + Family 62.5%
At least 4 hours, less than 5 hours: Employee, Employee + 1, Employee + Family 50%

The District shall pay the full cost for dental care and vision care insurance for all full time employees and their dependents.

CERTIFICATED ELIGIBILITY
Effective October 1, 2018, the maximum District annual contribution for District medical insurance for each eligible full-time unit
member shall be equivalent to 100% of each tier (1 party, 2 party, 3 or more) of the District’s lowest cost HMO medical health
benefit plan. The maximum District annual contribution for District medical insurance shall be prorated for unit members working
less than full-time. Employees working less than full-time, but at least four (4) hours per day, five days per week, will have a
proportionate amount (same proportion as their working time to full time) contributed to the premium under the same conditions
applicable to full-time employees if the balance is paid by the employee.

When You Can Enroll
As an eligible employee, you may enroll at the following times:
• As a new hire, you may participate in the company’s benefits program on the first day of the month following your date of hire
and no later than 60 days from date of hire
• Each year, during open enrollment
• Within 30 days of a qualifying event as defined by the IRS (see Changes To Enrollment below)

Changes To Enrollment
Our benefit plans are effective October 1 through September 30 . There is an annual open
enrollment period each year, during which you can make new benefit elections for the following
October 1st effective date. Once you make your benefit elections, you cannot change them
throughout the year unless you experience a qualifying event as defined by the IRS.
Examples include, but are not limited to the
following: • Change in your residence or workplace (if
• Marriage, divorce, legal separation or your benefit options change)
annulment • Loss of coverage through Medicaid or
• Birth or adoption of a child Children’s Health Insurance Program (CHIP)
• A qualified medical child support order • Loss of coverage from another health plan
• Death of a spouse or child
• A change in your dependent’s eligibility Benefits Plan Year:
status October 1–
September 30
Coverage for a new dependent is not automatic. If you experience a qualifying event, you have 60
days to update your coverage. Please contact the Benefits Department immediately following a

qualifying event to complete the appropriate election forms as needed. You may login to
PlanSource to update your dependent information as needed. PlanSource login information is
located on page 4 of this guide. If you do not update your coverage within 60 days of the
qualifying event, you must wait until the next annual open enrollment period to update your
coverage.

Online Carrier Resources
Take advantage of the online resources available through our insurance carriers. You can locate network providers,
manage your claims, obtain health and wellness information, and much more! Insurance carrier website addresses are
located on page 17 of this guide.

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