Qualifying Life Events: How to Make Benefit Changes

You can make your health benefit elections or changes following a Qualifying Life Event on the MyApps Dashboard, visit the How to Enroll page to learn how to get started.

If you are an employee of the San Francisco Unified School District or City College of San Francisco or a Retiree and you have not yet Registered your Account (one-time only), visit the How to Enroll page to learn how to get started.

If you do not have access to SF My Hub or are a City College of San Francisco employee, you can make your Qualifying Life Event health benefits elections by downloading and returning a completed Enrollment Application Form. 

Find your Enrollment Application Form by clicking the appropriate link below.

• City and County of San Francisco
• MEA
• Superior Court of San Francisco
• Commissioner
• SFUSD
• City College
• Retirees with Medicare
• Retirees without Medicare

Fax your completed form along with photocopies (no originals) of your supporting documentation to (628) 652-4701 or mail to SFHSS, 1145 Market Street, 3rd Floor, San Francisco, CA 94103

Questions?

Contact us at sfhss.org/contact-us