The annual open enrollment period, starting Friday, May 2 through Friday, May 30, 2025, allows you to review your benefits and ensure the best plan for you and your family.  

If you want to make changes to your medical or dental, please complete the plan enrollment form of your choosing, attach any required documentation, and return it to the Payroll/Benefits Office by Friday, May 30, 2025.

You do not need to do anything to keep your current plans. 

Section 125 Health Savings Account (HSA) 
If you wish to enroll or make changes to an existing medical plan with HSA, you need to contact American Fidelity, the District administrator for HSA. To schedule individual appointments with an American Fidelity representative, click HERE, or call 1-800-365-8306, option 7.

Forms for Active Employees: 

(2025-2026 Documents will be updated when available)

2025-2026 Insurance Rate Sheet

Kaiser HMO Enrollment Form	Anthem HMO PPO Enrollment Form
Kaiser HSA Enrollment Form	Anthem HSA Enrollment Form
Dental and Vision Plans Election Form
Pre-Tax Authorization Form	SISC III Membership Change Form

Links to Plan Benefit Summaries:

HMO PPO Summary of Benefits:	HSA Summary of Benefits:
Kaiser Traditional Plan Benefit Summary	Kaiser HSA Plan Benefit Summary
Anthem HMO Premier 10 Benefit Summary	Anthem HSA Benefit Summary
Anthem HMO Classic Benefit Summary	SISC Platinum Benefit Summary
Anthem PPO 90-20 Plan Benefit Summary	SISC Platinum + Benefit Summary
Anthem PPO 80-20 Plan Benefit Summary
Delta Dental Base Plan Benefit Summary
Delta Dental Enhanced Plan Summary	Vision Enhanced Plan Benefit Summary

Useful Links:

Kaiser Enrolllment Guide

Anthem HMO Enrollment Guide

Anthem PPO Enrollment Guide

SISC Value Added Services (Employee Assistance Program) 

Dependent Eligibility Chart