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Employment or Benefits Changes

The Benefits Office is here for you when life changes.

If you have any questions or concerns about using the attached forms and information, feel free to contact us at HR-Benefits@susd12.org or by calling extensions 2136 or 2067.

FMLA - Family Medical Leave Act

The Family and Medical Leave Act (FMLA) entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons. This fact sheet provides general information about which employers are covered by the FMLA, when employees are eligible and entitled to take FMLA leave, and what rules apply when employees take FMLA leave.


General Information

Qualifying Events

The Qualifying Events Matrix explains some of the events that would qualify you to make changes to your insurance benefits at times other than the open enrollment period. If you experience any of these events and would like to make changes, please complete the Qualified Life Event Request (link below) and submit it to the Benefits Office for consideration via email to HR-Benefits@susd12.org. The subject line should include “Qualifying Event”.

Qualifying Event Matrix

Download as PDF



When you are ready to retire, please contact the HR Department at ext. 2003 for the necessary paperwork to get your started on your next adventure in life! HR will notify the Benefits office, who will send you information in the mail about continuing your coverages.

Risk Management

If you are injured on the job, regardless of whether you will need time off as a result of your injury or not, please contact Ken Kmak at extension 2043, or email kennethk@susd12.org.