2019-20 DMUSD Benefits Page
Hello! Welcome to the Benefits Forms and Open Enrollment page for DMUSD. Before getting started, please take a moment to look at our DMUSD Benefits Guide
for a comprehensive overview of the benefits available through the Del Mar Union School District. All District employees are eligible for any of the voluntary plans offered through participating carriers.
PLEASE NOTE: Medical, Dental, Vision, and Life insurance enrollments and changes must be done on their individual respective enrollment forms, all available below. Please fill out and scan your forms to Marco Guajardo at firstname.lastname@example.org (858-523-6192).
Full-time 40 hour per week employees are eligible for the full district-sponsored benefits package. Part-time 30-39 hour per week employees are eligible for the part-time district-sponsored Medical plans. Part-time 20-29 hour per week employees are eligible for the part-time district-sponsored Medical plans after 3 consecutive years of service with the District. See the Medical Insurance section below for information on available plans and rates.
You can also see our New-hire Benefits Information packet for a general overview and enrollment forms:
District Benefits Information Part-Time Staff (2019)
EMPLOYEE ASSISTANCE SERVICE FOR EDUCATION (For all DMUSD Staff)
EASE is a professional, confidential and free service to help you resolve your personal or job-related problems. The EASE Specialists are licensed, trained therapists who will assess the nature of your problem(s) during one to six (6) face-to-face sessions or telephonic or web-video consultation for problem-solving support per incident, per calendar year. The toll-free phone number 1-800-722-EASE is available 24-hours a day, seven days a week.
Medical Enrollment & Change Forms
Please submit all of the following forms that apply for the corresponding Medical insurance changes:
1. DMUSD Election Form - Enroll in a new plan/Change your insurancE
2. Carrier Enrollment Form - Enroll in a new plan/Change your insurance
3. Change Form - For dependent changes (add/drop) & personal information changes
4. Required Dependent Documentation - For all dependent enrollments
Medical Plan Information and Guides
Mid-year Plan Changes
Mid-year plan changes may only be processed outside of Open Enrollment if a Qualifying Event occurs. The change and any required documentation must be submitted within 31 days of the qualifying event date. Please see the following list of Qualifying Events and the allowable changes:
Don't forget that our benefits administrator, SISC, offers a list of free additional services and benefits to Kaiser and Anthem members:
(Live Medical Assistance through Anthem!)
(FREE generic RX for Anthem)
Health Smarts (Family Health Screenings) - Ask your HR/Benefits Department
Employee Assistance Program (All Anthem Members)
Medical Coverage for Out of State Dependents & Travelling Members
If you plan to waive the District’s Medical, Dental and Vision coverage for any plan year, you must return a new waiver form with proof of other group (spousal), Military, or Medicare insurance coverage. Full-time employees must waive all plans together if electing to waive.
Part-Time Benefits Waiver Form
FRINGE BENEFITS (Full-time staff)
Dental & Vision
Enrollment and changes to Delta and VSP plans for full-time employees
Delta Dental Enrollment Form, Coverage Summary, & EOC- Include all dependents on plan
The Hartford Group Term Life
Insurance policy forms and services for full-time employees