

Open Enrollment Guide 2026
Welcome City and College of San Francisco 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 City College of San Francisco 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. All paper applications and any applicable verification documents must be postmarked by October 24, 2025 to be accepted.
Executive Director’s Open Enrollment Message
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
Enroll with SF My Hub
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 the icon below to access SF My Hub.
Important: If you are an employee of City College of San Francisco and have not previously registered an account, you will need to Register Your Account (one-time only) first.
Step 1 - Need to Make Updates?
Do you have changes you want to make in your benefits elections or dependent(s)?
If YES, go to Steps 2 through 6 on how to make changes.
If NO, and you do not want to enroll in Health Benefits or Dependent Care FSA account for the next plan year, then you have no further actions to take and skip to Step 6 below.
Step 2 - Add or Drop Dependents
Review the dependent(s) listed in your enclosed Open Enrollment letter and dependent eligibility rules here.
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. social security card, birth certificate, certified marriage certificate).
Step 3 - Medical Benefits
Start by reviewing the Service Areas for the medical plans available to you. There are five (5) options to choose from, four (4) HMO plans and one (1) PPO plan.
- Compare in-network providers for each HMO plan by clicking here.
- View a summary of benefits for all medical plans here.
- Use the Benefits Plan Comparison tool available on SF My Hub.
Make sure to review your rates for Plan Year 2026. Once you’ve made your decision, select your plan and follow the instructions for enrollment through SF My Hub.
Step 4 - Vision Benefits
Review the Vision benefits options and rates 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 for enrollment through SF My Hub.
Step 5 - Complete Your Elections
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 processed.
If you are unable to enroll online, download an Open Enrollment Application form and return your form and applicable verification documents by fax or mail to SFHSS.
Dental Benefits
The San Francisco Health Service System does not administer dental benefits for CCSF members. Your dental benefits are administered through the CCSF Benefits Unit. They can be emailed at benefits@ccsf.edu
Step 6 - Confirmation Letter
After the Open Enrollment period 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 will take effect on January 1, 2026.