SFHSS OPEN ENROLLMENT APPLICATION : CITY & COUNTY OF SAN FRANCISCO 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out your personal information in Section 1. Include your last name, first name, address, social security number, birth date, gender, email address, and telephone numbers.
  3. In Section 2, select your medical plan from the options provided. Ensure you understand the coverage details associated with each plan.
  4. Proceed to Section 3 to choose your dental plan. Similar to the medical plan selection, ensure you are aware of the coverage specifics.
  5. If applicable, list any dependents you wish to add or drop in Section 4. Be mindful of eligibility requirements for dependents.
  6. In Section 5, indicate if you want to enroll in a Flexible Spending Account (FSA) and specify your contribution amounts.
  7. Finally, complete Section 6 by signing and dating the form. Review all entries for accuracy before submission.

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Contact our Enrollment Team by calling 1(888) 558-5858 Monday Friday, 8:30am to 5:30pm. Asking a member of our Enrollment Team is the best way to know for sure if you qualify for one of our health care coverage programs.
Generally open enrollment lasts between two to six weeks. Employers must ensure that employees have enough time to review their options and ask questions, but the time period must be short enough to ensure employees take action and dont forget to enroll in benefits coverage.
Open enrollment is a period during the year, generally two to four weeks long, when companies allow their employees to make changes or additions to their elected fringe benefits such as health insurance, unemployment benefits, or retirement plans.
During open enrollment, you can enroll in or make changes to health insurance, life insurance, dental insurance, and other employee benefits offered through your workplace or the government marketplace. These are some common adjustments you can make to your benefits during open enrollment: Enroll in new benefits.

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People also ask

When Is Open Enrollment for 2024-2025? The 2025 Open Enrollment Period (OEP) begins November 1, 2025, and ends usually January 15, 2025, in most states. The chart below shows the 2025 OEP dates for the states that use the federal Health Insurance Marketplace. Coverage begins January 1.
Open enrollment is not required to be a certain length of time. Most employers have an open enrollment period of at least two to four weeks. Need help defining health benefit terms to employees?
An open enrollment period is a window of time that happens once a year typically in the fall when you can sign up for health insurance, adjust your current plan or cancel your plan.

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