Sfhss open enrollment application 2026

1. Click ‘Get Form’ to open the sfhss open enrollment application in the editor.
2. 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.
3. 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.
4. 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.
5. For Flexible Spending Accounts (FSA), indicate your desired contributions in Section 6. Remember to check the minimum and maximum contribution limits.
6. 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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