Have a Life Changing Event?

You only have 60-days from the date of:

Loss/Gain of Coverage, Marriage/Domestic Partnership, Birth/Adoption of Child to notify the SUSD Benefits Department and make your benefit changes.  

Benefit Enrollment/Change Forms you will need to complete and submit are located under the Enrollment Forms section.  Completed benefit enrollment forms and verification documents can be scanned/emailed to the Benefits Department at Benefits@stocktonusd.net for processing. 

Loss/Gain of Outside Health CoverageNeed proof of the loss/gain of outside health coverage: letter from the insurance carrier/employer, or COBRA notice that confirms the date you and any dependents lost/gained outside health coverage

Marriage/Domestic PartnershipNeed Certified Marriage Certificate or State of California Domestic Partnership Certificate and Spouse/Partner's SSN card

Birth/Adoption of ChildNeed certified Birth Certificate and Child's SSN card (NOTE: Certified Birth Certificate and SSN card take time to receive, so the Hospital issued Birth Certificate must be provided for the initial enrollment)

DivorceNeed a copy of the stamped final divorce decree: the final date will end coverage at the end of that month 

Death of DependentNeed a copy of the death certificate

American Fidelity 

Questions on your current policies, or to make changes/cancel your policies, please contact American Fidelity at 1-800-365-8306