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New or Recently Updated
2025 – 2026 Active Enrollment Form
The Active Enrollment Form is used for any changes for employee enrollment.
2025-2026 Family Status Change Form
If you have a family status change, or qualifying event, use the forms to complete the enrollment.
Retiree Special Open Enrollment – Spousal Affidavit
Use this form if you have a spouse on Retiree Medical for changes during the Retiree Special Open Enrollment.
Retiree Special Open Enrollment – Benefits-at-a-Glance Booklet
This is the Retiree Special Open Enrollment Booklet.
Retiree Special Open Enrollment – Memo for those who have Retiree Life Insurance ONLY
If you have only Life Insurance as a Retiree, this memo is for you.
Retiree Special Open Enrollment – Memo for those in Medical/Dental/Vision/Life
This memo is for Retirees with Medical, Dental, Vision, and Life.
Retiree Special Open Enrollment – 2025 Enrollment Form
Use this form for the Retiree Special Open Enrollment!
Added Benefit – Additional EAP Services through Voya!
As an added benefit for all employees through Voya, you can access their Employee Assistance Program (EAP) services at no additional cost to you!
SJCSD EAP Information – Dr. Townsend Clinic
This flyer has more information on the Employee Assistance Program for all SJCSD Employees and family members!
2025 Retiree Spousal Affidavit
If you cover a spouse on the SJCSD Medical Plans, please be sure to fill out the attached form.