Governing Board Policies
Section B: Board Governance and Operations
Regulation Title: Board Member Insurance
Regulation Code: BIE-R
Lead Department: Governing Board Office
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It is the policy of TUSD to allow current Governing
Board members and their dependents to be treated as active
employees for the purpose of health insurance enrollment.
This regulation defines the participation requirements, enrollment
process, Board member responsibilities, payment process and
continuation of coverage.
Health Insurance Participation Requirements
Active Governing Board members at the time of the adoption
of the Board Member Insurance Governing Board Policy (BIE)
and all newly elected Governing Board members are eligible
to participate in the District's health insurance coverage
- Health insurance options to be offered include medical,
dental and vision coverage. These plans are defined as health
insurance according to the federal COBRA regulations. Income
replacement and other benefits will not be considered as
eligible plans for Board member participation.
- The insurance options will be offered in a "cafeteria"
style in such that the Board member may elect one or more
of the plans. Example, a Board member electing medical insurance
is not obligated to enroll in dental and/or vision.
- Spouses and dependents of Board members are eligible
for coverage provided the Board member has elected coverage.
Options for coverage elections (plan type and tiers) will
be the same as that offered to active employees.
- Former Board members are not eligible to elect health
insurance if continuation of coverage requirements have
not been met. In order for a former Board member to be eligible
for coverage, he/she must have been enrolled in the TUSD
Health Insurance plan and have continued coverage upon the
termination of service.
- At the time of the adoption of the Policy, all active
TUSD Governing Board members may elect health insurance
coverage. Special Insurance Enrollment forms will be provided
to each Board member. If any coverage is elected, the forms
must be returned to Human Resources within 30 calendar days
after the distribution of forms by the Human Resources Benefits
- All newly elected Board members after the date of the
adoption of the Policy shall be offered the option of electing
health insurance coverage upon the commencement of their
term. If any coverage is elected, the forms must be returned
to Human Resources within 30 days after the first day of
the beginning of the Board Member's term.
- Coverage will become effective the first of the month
following the election of coverage.
- Changes to coverage elections (to add, drop or change
plans), must be due to a qualifying event (i.e., family
status change) or at annual open enrollment.
- Any change in elections must be submitted to the Benefits
Office within 30 days of the qualifying event.
- Acceptable qualifying events to make mid-year insurance
election changes include the following:
- Change in legal marital status, including marriage,
death of spouse, divorce, legal separation or annulments.
- Change in the number of dependents, including birth,
adoption, placement for adoption, or death of a dependent.
- Change in employment status, including termination
or commencement of employment of the member, spouse
- Significant changes in work schedule of employment
by the member, spouse, or dependent, including a switch
between full-time and part-time status, a strike or
lockout or return from an unpaid leave of absence.
- Change in place of residence of the member, spouse
- The dependent satisfies or ceases to satisfy the
requirements for unmarried dependents.
- If the member, spouse or dependent becomes entitled
to Medicare or Medicaid, the member may elect to cancel
the coverage of the member, spouse, or dependent.
- If the plan receives a qualified medical child support
order (QMCSO) pertaining to a member's dependent, the
member may elect to add the child to the plan (if the
QMCSO requires coverage) or drop the child from the
plan (if the QMCSO requires the ex-spouse to provide
- Spouse's open enrollment.
Board Members' Responsibilities
- It is the Board Member's responsibility to alert Human
Resources of any changes to status or address in order to
ensure continuous coverage with elected insurance.
- For the qualifying events other than end of the Board
Member's term or death of the Board Member (i.e., divorce,
legal separation or dependent child's losing eligibility
for coverage as a dependent child), it is the Board member's
responsibility to notify TUSD Human Resources within 60
days after the qualifying event occurs or the date that
the member would lose coverage due to a qualifying event.
- Board members who elect health insurance with TUSD Health
Insurance plan will be provided with the details of the
payment process and include coupons for six months of premium
- Payments for insurance are due on the first of the month
for which coverage has been elected.
- If payment has not been received by the 15th of each
month, a Second Notice will be sent to the member.
- Coverage for the month for which payment has not been
received by the last day of the month will be terminated
retroactively to the beginning of that month. For example,
coverage for the month of March is due on March 1st, if
payment is not received by March 31st, the insurance carriers
will be notified to terminate enrollment effective March
1st. The cost for any services incurred during that time
period will be the responsibility of the member.
- A Board member (and his/her dependents, if applicable)
who continues health insurance coverage through the TUSD
Retiree Group Health Insurance plan must submit payments
in accordance with the process noted above.
- A Board member and his/her dependents who continue health
insurance through the COBRA continuation of coverage must
adhere to the schedule of payments established with the
Continuation of Coverage
- Board members and their dependents who are enrolled in
the TUSD group health insurance plan(s) may continue their
elected coverage when coverage would otherwise end because
of a life event known as a "qualifying event"
as noted above under Enrollment Process.
- Coverage for Board members and their dependents is only
available if an election of coverage existed immediately
prior to (i.e., the day before) the qualifying event.
- When the qualifying event is the end of the Board member's
term, TUSD will offer the member and all eligible dependents
the option of continuing coverage under the TUSD Retiree
Group Health Insurance plan or COBRA continuation of coverage.
- When the qualifying event is the end of the Board member's
term or death of the member, TUSD will ensure that all qualified
beneficiaries will be offered COBRA continuation of coverage.
- A former Board member who was not enrolled in the TUSD
Health Insurance plan(s) while an active member of the Governing
Board and therefore was unable to continue coverage upon
termination of his/her term, will not be eligible for enrollment
in any of the TUSD Health Insurance plans, including the
TUSD Retiree Group Health Insurance plan or the COBRA continuation
- The spouse and/or dependent of a Board member who is
enrolled in the Health Insurance plan will be offered continuation
of the coverage under COBRA if any of the following qualifying
- Governing Board member dies;
- Governing Board member resigns or his/her term ends;
- Governing Board member becomes entitled to Medicare
benefits (under Part A, Part B, or both); or
- Spouse becomes divorced or legally separated from
the Governing Board member.
- Child stops being eligible for coverage under the
plan as a "dependent child."
- For payment process information while continuing
coverage, please see the section above, Payment Process.
Adopted: May 6, 2005 [To Board in Friday Report]