Categories
New or Recently Updated
2024 – 2025 Family Status Change Forms
If you have a family status change, or qualifying event, use the forms to complete the enrollment.
2024 – 2025 Active Enrollment Form
The Active Enrollment Form is used for any changes for employee enrollment.
2025 Retiree Spousal Affidavit
If you cover a spouse on the SJCSD Medical Plans, please be sure to fill out the attached form.
2025 Retiree Benefits-at-a-Glance Booklet
SJCSD 2025 Retiree Benefits can be found in this booklet.
DistrictWell Program Activity Options
Participate in the Districtwell Well-Being Program! Winners will have the opportunity to earn a one-time payroll incentive!
OPEN ENROLLMENT! 2025 Benefits-at-a-Glance Booklet
This is the Benefits-at-a-Glance booklet for Open Enrollment 2025!
2024 HRA Screening Surcharge Program Details
See attached for the 2024 HRA Program Details! The deadline is November 15, 2024.
Hospital Indemnity Form – Preferred Benefit Administrators
Use this form for your Hospital Indemnity Reimbursement.
Marathon Health Portal Guide_HRA Screening Program
See the guide provided by Marathon Health for navigating to the HRA Screening Program via the website or app!