Employee's may request a change to their benefit elections outside of the annual open enrollment if they experience a Qualifying Life Event, such as marriage, death, divorce, birth, adoption, or loss of coverage.
It is the employee's responsibility to notify the Human Resource office within 30 days of the qualifying life event by completing and submitting the Request for Change form along with documentation of the Qualifying Life Event. If the change is not submitted within the 30 day window, you will have to wait until the next open enrollment period to make your changes. The District's annual open enrollment is held in the Fall with changes effective January 1st.
Please complete the form below and submit it to Melissa Kempf at kempmel@sdmfschools.org with the proper documentation.
Benefit Election Request for Change Form
