SFUSD Open Enrollment Guide

Welcome San Francisco Unified School District (SFUSD) employees to your Open Enrollment elections guide. The San Francisco Health Service System (SFHSS) administers your Medical and Vision benefits. Please note that SFHSS does NOT administer your Dental, Flexible Spending Accounts (FSA), or Voluntary Benefits. You must reach out to the SFUSD Benefits Office or follow their instructions to make changes to those benefits during Open Enrollment. 

Open Enrollment begins on October 1 and ends on October 24, 2025 at 5 p.m. PST.

Your 2026 San Francisco Health Service System (SFHSS) benefits are here!

Each year, Open Enrollment provides you with the opportunity to review your benefits and make any updates that best support your health and well-being. For Plan Year 2026, the Open Enrollment period will be held from October 1 to October 24, 2025.

During this period, you may:

• Review your current medical, dental, vision, and other benefit elections.
• Compare plan options and make changes to your coverage.
• Update your beneficiaries.
• Enroll in or waive coverage.

I encourage you to take advantage of this important opportunity to ensure that your benefits align with your needs and those of your family.

In good health,


Rey Guillen
SFHSS Executive Director

SFHSS members can complete their Open Enrollment elections online through SF My Hub. Review your Open Enrollment Letter to see your current medical and vision elections, then click on the icon below to access SF My Hub.

Important: If you are an employee of San Francisco Unified School District and have not previously registered an account, you will need to Register Your Account (one-time only) first.

Do you have changes you want to make in your benefits elections?

If YES, go to Steps 2 through 5 on how to make changes.

If NO, and you have no changes to your benefit elections, then you have no further actions to take.

Review the dependent(s) listed in your enclosed Open Enrollment letter and dependent eligibility rules here.

Do you need to add or drop a dependent? 

If NO, and you have no changes to your benefit elections, then you have no further actions to take.

If YES, complete the Add Individual Dependent/Beneficiary Information in SF My Hub to add dependents or modify existing dependents.

Save and continue through all the screens and confirm at the end to submit your changes.

Submit copies of supporting documents. New dependents must have supporting documentation submitted with their elections in order to be enrolled (e.g. birth certificate, certified marriage certificate).

If you need more detailed instructions, go to page 9 of this document:  How to Enroll Manual: New Hire/Rehire for SF Unified School District and City College Employees

Start by reviewing the Service Areas of the medical plans available to you here. There are five (5) medical plans to choose from, including four (4) HMO plans and one (1) PPO plan. Review your options below. You can compare in-network providers by HMO plans on page 10, and a summary of benefits for all medical plans. 

Select your plan and follow the instructions in SF My Hub. 

Review the Vision benefits options and rates on here. You must be enrolled in a medical plan to receive basic vision benefits.

Enrollment in the VSP Premier Plan requires that all dependents enrolled in medical coverage be enrolled in the VSP Premier Plan.

Select your plan and follow the instructions in SF My Hub. 

Complete your elections on SF My Hub. 

Make sure to select Save and Continue on each screen, and click Submit at the end to finalize your enrollment. Otherwise, your elections will not be recorded. For step-by-step guidance, refer to the: How to Enroll Manual: New Hire/Rehire for SF Unified School District and City College Employees

If you are unable to enroll online, download an Open Enrollment Application form and return your form and documentation by fax or mail to SFHSS. Our mailing address is 1145 Market Street, 3rd Floor, San Francisco, CA 94103 or fax to (628) 652-4701. Our business hours during the Open Enrollment period are listed under Contact Us on this webpage.

The San Francisco Health Service System does not administer dental benefits for SFUSD members. Your dental benefits are administered through the SFUSD Benefits Office.

You can access your dental benefits by logging into your employee intranet here. 

After Open Enrollment ends, you’ll receive a Health Benefits Enrollment Confirmation Statement in the mail in December. Carefully review your letter to ensure your benefit elections are correct. Changes made during Open Enrollment take effect January 1, 2026.

Telephone or In-Person Office Support

We strongly encourage you to enroll online. If online enrollment is not an option, you may:

• Fax your Open Enrollment Application Form and supporting documents to (628) 652-4701
• Deliver them in person to our Drop Box, available from 9 a.m. to 4:30 p.m. at 1145 Market Street, 3rd Floor, San Francisco, CA 94103

Our SFHSS Benefits Analysts are available by phone or in-person to assist members.

SFHSS Member Services Contacts:
Telephone: (628) 652-4700
Fax: (628) 652-4701

SFHSS Member Services Office:
1145 Market Street, 3rd Floor
San Francisco, CA 94103.

Hours of Operations (Only During the Open Enrollment Period):

Drop Box Hours
Monday through Friday, 9 a.m. to 4:30 p.m. 

Walk-In Hours 
Monday, Tuesday, Wednesday and Friday, 9 a.m. to 4:30 p.m. Thursday is from 10 a.m. to 4:30 p.m. 

Telephone Hours 
Monday, Tuesday, Wednesday and Friday, 9 a.m. to 12 noon, and resumes from 1 p.m. to 4:30 p.m. Thursday is from 10 a.m. to 12 noon, and resumes from 1 p.m. to 4:30 p.m.