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Sfhss open enrollment application 2026
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- Click ‘Get Form’ to open the sfhss open enrollment application in the editor.
- Begin by filling out your personal information in Section 1. Include your last name, first name, address, social security number, gender, birth date, email address, and phone numbers.
- In Section 2 and Section 3, select your preferred medical and dental plans from the provided options. Ensure you understand any eligibility requirements for each plan.
- If applicable, list any dependents you wish to add or drop in Section 5. Provide their names, birth dates, gender, and social security numbers as required.
- For Flexible Spending Accounts (FSA), indicate your desired contributions in Section 6. Remember to check the minimum and maximum contribution limits.
- Finally, review all entered information for accuracy before signing and dating the form in Section 7. This step is crucial for ensuring compliance with SFHSS regulations.
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