Welcome to Open Enrollment 2020!
We want to help make Open Enrollment to be convenient and easy for you.
Follow the step-by-step enrollment guide below. Each step follows along with your Open Enrollment Booklet that you received in the mail along with your Open Enrollment letter.
By following each step, you will quickly navigate through each of your benefit options and be able to decide if you need to make any changes.
Step 1 - Review your Open Enrollment Letter and Rates
Review your Open Enrollment Letter for current medical and vision elections. If you would like to make changes, go to Steps 2 through 5 on how to make changes. If you do not have any changes, continue to Step 2.
Step 2 - Add or Drop Dependents
Review the dependent(s) listed in your enclosed Open Enrollment letter. If you need to add or drop a dependent, review the dependent eligibility rules here.
Complete box 4 on your Open Enrollment Application Form (enclosed with your Open Enrollment packet that you will receive in the mail) to update your dependent elections.
Remember, new dependents must have supporting documentation submitted with their elections in order to be enrolled (e.g. birth certificate, certified marriage certificate).
What you should know when adding dependents
When adding dependents, remember that not all relationship types are eligible to receive benefits. You can list other relationships that are not eligible for benefits as emergency contacts.
To find out if your dependent is eligible for coverage, please refer to the Eligibility Relationship Types table.
Step 3 - Making Changes to Your Health Plan Benefits
Start by reviewing the Service Areas of the medical plans available to you here.
Complete box 2 on your enclosed Open Enrollment Application Form to select your medical plan.
Active members can select from the following medical plans: UnitedHealthcare PPO (City Plan), Blue Shield of California's Trio HMO or Access+ HMO and Kaiser Permanente HMO.
UHC is offering exclusive Office Hours for members during enrollment. Download the schedule here.
Click here to schedule a 1:1 meeting with Blue Shield of California to get questions answered about the Access+ HMO and Trio HMO plans.
Kaiser Permanente HMO
Click here to visit Kaiser Permanente's SFHSS member site or call (800) 464-4000.
Kaiser Permanente is offering exclusive Office Hours for SFHSS members. Download the schedule for October here.
Click below to see plan documents for plan year 2021.
Step 4 - Vision Benefits
Review the Vision benefits options and rates on page 6 of your Open Enrollment Benefits Booklet. Remember, you must be enrolled in a medical plan to receive Vision benefits.
Enrollment in the VSP Premier Plan requires that all dependents enrolled in a medical coverage be enrolled in the VSP Premier Plan.
Complete box 3 on your enclosed Open Enrollment Application Form to select your vision plan.
Step 5 - Complete and Submit Your Open Enrollment Application
The SFHSS offices are currently closed to the public due to COVID-19.
Complete and submit your Open Enrollment Application Form along with copies (do not send originals) of your supporting documentation by fax to (628) 652-4701 or by mail to the address below.
Our mailing address is 1145 Market Street, 3rd Floor, San Francisco, CA 94103.
Open Enrollment Application Form
Step 6 - Confirmation Letter
After Open Enrollment ends, you’ll receive a Confirmation Statement in the mail from SFHSS in December. Please review your Confirmation Statement to make sure your benefit elections are correct. Changes made during Open Enrollment take effect January 1, 2021.
Our offices are currently closed to the public due to COVID-19.
Telephone Hours: Monday, Tuesday, Wednesday and Friday from 9am to 12pm and 1pm to 5pm and Thursday from 10am to 12pm and 1pm to 5pm.
If you are unable to enroll online, you can also fax your Open Enrollment Application Form and supporting documentation to (628) 652-4701.