New or Recently Updated

Open Enrollment Consultation Calendar (October 2023)

Join us in person or virtually to chat about your open enrollment questions.

2023 Mass Mutual Rates – Employee

See attached for Mass Mutual Rates - Employee Whole Life.

2023 Mass Mutual Rates – Spouse

See attached for Mass Mutual Rates - Spouse Whole Life.

2023 Mass Mutual Rates – Child

View the 2023 Mass Mutual Rates for Child Whole Life.

Active Enrollment Form 2023-2024

Be sure to use this form for any active enrollment changes during 2023-2024 school year.

2023 Benefits-at-a-Glance Booklet

This booklet includes details to help you make informed decisions during Open Enrollment.

Express Scripts Mobile App

Express Mobile App helps you take control of your prescription plan!

Express Scripts – Getting Started with Home Delivery

Ready to get started with Express Scripts Pharmacy Home Delivery? This guide tells you how!

2023 SJCSD Retiree Enrollment Form

Use the Retiree Enrollment form to make changes to your current insurance, or update your beneficiary or address.

2023 Retiree Benefits-at-a-Glance Booklet

SJCSD 2023 Retiree Benefits can be found in this booklet.

2023 Retiree Spousal Affidavit

If you cover a spouse on the SJCSD Medical Plans, please be sure to fill out the attached form.

Wellness Program Notice

See attached for the Wellness Program Notice