Open Enrollment

Thursday, May 11, 2017 – Friday, August 25, 2017
Deadline: Friday, August 25, 2017, 5 pm to the Benefits Office at Indian Valley Campus


We are pleased to announce the 2017-2018 Annual Open Enrollment for all benefit eligible employees, beginning Thursday, May 11, 2017.

Any enrollment changes for you or your dependents will go into effect on October 1, 2017, with any employee premium contributions beginning on the September 2017 payroll. The District maximum medical contribution remains unchanged.

If you are satisfied with your current coverage, there is no action needed.

To enroll or change enrollment, you must complete:

Medical Plan Election Form


Kaiser Enrollment Form


Blue Shield Enrollment Form

To change dependent enrollment, you must complete:

Membership Change Form

Flex Week Open Enrollment Sessions for Health Benefits

Wednesday, August 16, 2017
2 pm to 3 pm

Building 27, Room 116, Indian Valley Campus

Thursday, August 17, 2017
10 am to 11:30 am

Academic Center, Room 255, Kentfield Campus

Dependent Eligibility - Required Documents

If you are adding an eligible dependent, the following documents are required by SISC.

The following verification documents are also required to enroll a dependent in health benefit plans. SISC requires the Social Security Numbers for all dependents to be covered on the plans. SISC reserves the right to request additional documentation to substantiate eligibility.


  • Prior year’s Federal Tax Form that shows the couple was married (financial information may be blocked out)
  • Marriage Certificate for newly married couple where tax return is not available

Domestic Partner

  • Certificate of Registered Domestic Partnership issued by the State of California
  • SISC Affidavit of Domestic Partnership (when applicable)

Children, Stepchildren, and/or Adopted Children up to age 26

  • Legal Birth Certificate or Hospital Birth Certificate (to include full name of child, parent(s) name & child’s DOB)
  • Legal Adoption Documentation

Legal Guardianship up to age 18

  • Legal Court Documentation establishing Guardianship

Dependent Terminations

What are the employee and district responsibilities regarding spouse/domestic partner and/or dependent children terminations?

It is the employee’s responsibility to notify the district of any changes in eligibility status for their spouse/domestic partner or dependent(s) within 31 calendar days of their Mid-Year Qualifying Event. The district is required to notify SISC in a timely manner of these changes. Paid claims on a non-eligible spouse/domestic partner or dependent(s) will be recovered.

Pre-Tax Your Share of Premium

If you have any out of pocket share toward the premium, you may consider having the deductions taken on a pre-tax basis. By signing up for this option your federal, state and social security deductions will decrease. Please complete and submit the Salary Reduction Agreement by August 25, 2017 to the Benefits Office.

Plan Documents

The 2017-2018 plan documents

Kaiser Permanente

Blue Shield

To view the 2016-2017 plan documents, go to the Employee Benefits web page.

Blue Shield of California: 2-Tier Anchor Bronze Plan

All variable hourly, temporary, part-time, seasonal employee or student workers of the Marin Community College District (MCCD) may purchase health insurance for themselves and their eligible children as part of the 2017-2018 Open Enrollment. Employees who choose to enroll will be responsible for making monthly premium payments to the District’s benefits office. Contact the Benefits Office for additional information.

The Hartford

During Open Enrollment, you have the opportunity to enroll in Voluntary Life, AD&D, Short-Term Disability and Long-Term Disability with The Hartford. When you enroll in The Hartford voluntary coverage during open enrollment, The Hartford may require you to submit an Evidence of Insurability (EOI) form, which involves providing the insurance company with additional information about your health.

Go to the Employee Benefits web page to view the plan documents

To enroll, complete The Hartford Enrollment form and return to the Benefits Office.

Open Enrollment for Pre-Tax Benefit Enrollment - TDS and Guardian

Flexible Spending Account (FSA) and Guardian Voluntary Plans - For Eligible Employees

Now is the time to enroll for an effective date of October 1, 2017.

TDS Open Enrollment Flyer

The College of Marin provides you with several benefits options that allow you to use pre-tax money to increase your spending power and protect you when unforeseen events put you at risk with loss of income, unanticipated medical expenses and more.

You pick the coverage that best suits you and your family. Supplemental Insurance Programs Offered to College of Marin Employees:

  • Flexible Spending Account (FSA) with debit card
  • Dependent Care Account
  • Short-Term Disability
  • Long-Term Disability
  • Term Life Insurance
  • Group Cancer Insurance
  • Group Critical Illness
  • Group Accident Insurance

You can have up to $2,600 withheld annually on a pre-tax basis to pay for any out of pocket medical/dental expenses (Medical FSA) and an additional $5,000 withheld annually for dependent care expenses (Dependent Care FSA) may also be withheld. 

Call 1-800-863-9019 and speak with a Benefits Counselor. They will answer your questions, review your options and enroll you right over the phone, it's that easy!

The Benefit Counselors are available Monday - Thursday 11 am to 7:30 pm and Saturday 8:30 am - noon. Call them when it's convenient for you. Enrollment in the plan is optional.          

Transportation Plan

A Transportation Plan is an employer-sponsored benefit program that allows you to set aside pre-tax funds in separate accounts to pay for qualified workplace mass transit and parking expenses.

If you are planning to use the SMART train for your commute, you will want to consider setting up an account. Monthly limits are set by the IRS. You can put up to $255 pre-tax dollars per month into both the transportation and parking accounts and can make contribution changes monthly. Your monthly balance is carried forward and you can make adjustments to your contribution, enroll or terminate plan participation at any time during the plan year.

As with the Flexible Spending Accounts that are also administered by TDS, you have access to the funds through a debit card or manual reimbursement claim form.

Call 1-800-863-9019 and speak with a Benefits Counselor. They will answer your questions, review your options and enroll you right over the phone, it's that easy!

The Benefit Counselors are available Monday - Thursday 11 am to 7:30 pm and Saturday 8:30 am to 12:00 pm. Call them when it's convenient for YOU!

Enrollment in the plan is optional.

Transportation and Parking Benefit Summary

Commuter Benefit Solutions

Introductory Letter/Interest Survey

Pet Insurance

We are pleased to announce Pet Insurance from Nationwide. With Nationwide, you are free to use any Veterinarian, even specialists and emergency providers.  Once you enroll, Nationwide will bill you directly on a monthly basis. There is no payroll deduction option.

Coverage will be effective as of October 1, 2017.

Plan Highlights:

  • Preferred pricing for employees with multiple pet discounts available
  • Annual maximum benefit $7,500; a bucket of money to use for treatments/services (no complicated benefit schedule)
  • Simple 90% reimbursement of invoice (vet bill); $250 annual deductible
  • No age limitations; rates will not increase with age
  • Simple pricing; rates are based two factors only - state and species
  • No waiting period for Hereditary coverage

Plus new "additional" benefits:

  • Advertising and reward expenses
  • Emergency boarding
  • Loss due to theft
  • Mortality benefit

Easy enrollment

There are three simple ways for employees to sign up for their new pet insurance voluntary benefit:

  1. Go directly to
  2. Visit and enter your company name
  3. Call 877-738-7874 and mention that you are an employee of Marin Community College District to receive preferred pricing.