Qualifying Life Event

District benefits are paid on a pre-tax basis under a Flexible Benefit Plan/Section 125 program governed by the Internal Revenue Code. An important rule for Section 125 plans is that you may only make changes to your elections if you or your dependent(s) experience a Qualifying Life Event (QLE).

 A QLE is an event defined by the Internal Revenue Service in Section 125 that allows you to make changes to your benefit elections outside of annual open enrollment.

Qualifying Life Event changes include some of the following examples: 

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Change in your legal marital status

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Birth / Adoption or Placement for Adoption

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Change in employment status for you, your spouse and/or dependent child(ren)

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Medical support order

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Dependent eligibility status changes

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Medicare, Medicaid and CHIP

Cartoon illustration of two women. One is seated in a chair holding a baby. The other is an expectant mother sitting on the floor. A large calendar is is the background showing a circled date.

Have a Qualifying Life Event?

Timing is Everything

Notify Benefits within 30 calendar days of the qualifying event date. There are no exceptions to this rule. 

Changes not made within the required time frame will need to wait until the next annual open enrollment period.

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Submit Dependent Verification Documentation

Submit verification documents using Virtru secure email to  Benefits@roundrockisd.org.

Do not include SSN’s in emails. Alternatively, fax documents to 512-464-5060.  

> Download documents

Benefits Contact Information

FAQs

Q: Are the 30*, 40* and 60* calendar day submission deadlines flexible?
A: No. This could jeopardize the District’s tax advantage status. The only flexibility is if day 30 falls on a day that the District is closed, day 30 is considered the next business day. *Calendar days include weekends and holidays. Eligible individuals who have lost or gained coverage through Medicaid or the Texas Children’s Health Insurance Program (CHIP) must provide supporting documentation and complete enrollment change forms within sixty (60) calendar days of the date coverage begins or ends.

Q: Am I required to provide relationship verification to enroll dependent(s)?

A: Yes. Supporting documentation is required if enrolling dependents in any District plan. Documentation not received within the required deadline will result in coverage being denied for dependents. Important information and instructions are provided in the Qualifying Life Event Documents link above.

Q: When will I see the changes effective in my paycheck?
A: Premiums are deducted from your paycheck once a month for the current month’s coverage, e.g. February premiums pay for February coverage. Double premium payments may occur if not finalized by the payroll deadlines. Premiums are not pro-rated and are subject to the benefit effective date. For example, your child is born on Nov. 5; premiums for November and December are deducted from your December paycheck. Refunds can only be made if required documentation is received prior to the effective date of the new coverage.

Q: When will my new coverage be effective?
A: Once your paperwork is submitted and finalized, the effective date of your new benefit is subject to the qualifying event date. For example the effective date for birth or adoption is the date of the event. Talk to your benefit specialist for specifics relating to your qualifying life event.

Q: How can I speak with my benefits specialist?
A: If you would like to meet with your benefits specialist in person, please visit HR Services Benefits during business hours located at 7700 Cornerwood Dr, Austin, TX 78717. Please let your supervisor know that you are visiting the human resource offices.

Q: How do I get help or have my questions answered?
A: Start by reviewing the information provided on this page and if you still need help, please email Benefits or contact your benefit specialist.

Where to Go for Care

Virtual Visit, Doctor’s Office, Retail Clinic, Urgent Care or ER?

If you aren’t having an emergency, deciding where to go for medical care may save you time and money.

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