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Enrollment Forms

Enrollment Forms are now located under the Frequently Used Forms page. 

2024 Rate Sheets

Effective January 1, 2024 – December 31, 2024

2024 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet

2024 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet

2024 SEIU/Teamsters Early Retiree Rate Sheet

2024 SEIU/Teamsters Early 50% Retiree Rate Sheet

2024 SEIU/Teamsters Over 65 Retiree Rate Sheet

2024 SEIU/Teamsters Over 65 Retiree 50% Rate Sheet

2025 Rate Sheet

Effective January 1, 2025 â€“ December 31, 2025

2025 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet

2025 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet

2025 SEIU/Teamsters Early Retiree Rate Sheet

2025 SEIU/Teamsters Early 50% Retiree Rate Sheet

Enrollment Forms

Enrollment Forms are now located under the Frequently Used Forms page. 

Add dependents outside of Open Enrollment

Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage. Employee must complete a new enrollment along with required documentation.

2024 Rate Sheets

Effective January 1, 2024 – December 31, 2024

2024 SEIU/Teamsters Early Retiree Rates

2024 SEIU/Teamsters Early 50% Rates

Employee Assistance Program (EAP) provides virtual, telephonic and in-person counseling. Work and life services: financial, legal, identity theft, health modules, and more.  These services are available to all employees, including any person living in the same household.  We have switched our EAP provider.  Effective 7/1/23 MHN no longer services the District’s EAP program.  The new provider is now Optum.  Please follow these steps to initiate your EAP services.