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City & County of
SF Employees

Welcome

The City and County of San Francisco offers eligible employees the opportunity to enroll themselves and eligible family members in medical, dental, vision and Flexible Spending Account (FSA) benefits. Enrollment must take place within 30 days of the start work date, no later than 30 days after a qualifying event, or during the annual Open Enrollment period, which takes place each year during the month of October.

Eligibility Rules

The following are eligible to participate in the San Francisco Health Service System (SFHSS) as members:

  • All permanent employees of the City and County of San Francisco whose normal work week is not less than 20 hours.
  • All regularly scheduled provisional employees of the City and County of San Francisco whose normal work week is not less than 20 hours.
  • All other employees of the City and County of San Francisco, including temporary exempt “as needed” employees, who have worked more than 1,040 hours in any consecutive 12 month period and whose normal work week is not less than 20 hours.
  • Elected Officials.
  • All members of designated boards and commissions during their time in service to the City and County of San Francisco as defined in San Francisco Administrative Code Section 16.700(c).
  • All officers and employees as determined eligible by the governing bodies of the San Francisco Transportation Authority, San Francisco Parking Authority, and Treasure Island Development Authority, Superior Court of San Francisco and any other employees as determined eligible by ordinance.
  • All other employees who are deemed 'full-time employees' under the federal Patient Protection and Affordable Care Act (section 498OH).

Medical

City and County of San Francisco employees can choose from UnitedHealthcare City Plan PPO, Blue Shield of California Access+ HMO, Blue Shield of California Trio HMO or Kaiser Permanente HMO health plans.

Please note that both Blue Shield of California HMO and Kaiser Permanente HMO require enrollees to live or work in a zip code serviced by their plan. UHC City Plan PPO does not have service area requirements.

Dental

SFHSS recognizes that dental benefits are a very important part of your healthcare coverage and for maintaining your good overall health. Consequently, City & County of San Francisco employees have three dental plans to choose from: Delta Dental PPO, DeltaCare USA DHMO or UnitedHealthcare Dental DHMO

PPO-style dental plans, like Delta Dental PPO, allow you to visit any in-network or out-of-network dentist. DHMO (short for Dental Health Maintenance Organization) plans require you to receive all your dental care from within a network of participating doctors.

Vision

All SFHSS members and their dependents who are enrolled in an SFHSS medical plan are automatically enrolled in the VSP Basic Plan at no additional cost. We also offer an enhanced plan called the VSP Premier Plan at an additional cost based on the number of members enrolled in coverage.

If you do not enroll in a medical plan, you and your dependents cannot access VSP Vision Care benefits.

Additional Benefits

SFHSS understands that there are more areas in your life that need additional services, care or coverage. To meet your expanding needs, we offer a large spectrum of additional benefits designed to complement, protect and enhance your quality of life and financial security for your family due to unforeseen events. 

Additional benefits range from Life and Disability insurance, which comes with different union memberships, Flexible Spending Accounts (FSAs), which allow you to spend pre-tax dollars on health expenses and/or child or elder care, the Employee Assistance Program (EAP), which provides counseling and other mental health services to employees, a Surrogacy and Adoption Assistance Plan and, finally, a wide range of Voluntary Benefits, which offer a variety of valuable services and coverage at competitive group discount rates.

Rates

Documents & Forms

Benefits Comparison Guide