Important Healthcare Information everyone should read.
Attached is the:
2017 Open Enrollment Memo
2018 Health Insurance Opt-Out Election Form
2018 Affordable Care Act (ACA) Waiver Form
Open enrollment is from November 1, 2017 through December 31, 2017.
** Even if you are already enrolled in the 2017 buyout, in order to opt out of the health insurance and enroll in the District buyout for the 2018 plan year you MUST complete the following STEPS:
The forms needed for the buyout can be found on the District website, public folders, Main Office of all schools, and the Personnel Office. The aforementioned items should be submitted by email to: Renee Jones at: firstname.lastname@example.org.
Failure to submit these forms during every open enrollment for the following plan year will result in a forfeit of your buyout for that plan year.
Acknowledgment of receipt of your Opt-Out Election Form, ACA Waiver Form and a copy of your health card for you and ALL of your dependents for the 2018 Plan year
will be confirmed by email response.
If you have any questions please feel free to call 992-1013 or email: email@example.com Renee in Personnel.