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Open Enrollment Events
No appointment is necessary. Members are served in the order of their arrival. |
Change Your Benefit ElectionsOpen Enrollment is your annual opportunity to make changes to your HSS administered health benefit elections without any qualifying event requirements. This means you may elect a different medical and/or dental plan. You may also add or drop dependents from your coverage. And active City of San Francisco employees have the option of enrolling (or re-enrolling) in Healthcare and/or Dependent Care Flexible Spending Accounts (FSAs). Any changes you make to your health benefits during Open Enrollment will take effect July 1, 2011. Application Deadline: April 29, 2011To make changes to your health benefit choices HSS must receive your completed Open Enrollment application and required eligibility documentation no later than 5:30pm on April 29, 2011. (See the Open Enrollment application form for a checklist of required eligibility documentation.) You may mail, fax or drop off your application to HSS. If you choose to fax, please do not fax the same application multiple times. Municipal Executives EBS EnrollmentEligible participants in the Municipal Executives (MEA) plan have the option of allocating flexible credits and enrolling (or re-enrolling) in an FSA by telephone/fax. A limited number of in-person EBS appointments are also available at the HSS office, City Hall and the Airport. Call EBS at (800) 229-7683 for more information. See MEA flexible credit options. |
2011-2012 Benefits GuidesThese guides include plan updates and premium contribution rate changes. Please read carefully before making your Open Enrollment decisions.2011-2012 Active City Employees Guidepdf 2011-2012 Municipal Executives Guidepdf 2011-2012 SFUSD Employees Guidepdf 2011-2012 SFCCD Employees Guidepdf 2011-2012 Retired Employees Guidepdf 2011-2012 Open Enrollment FormsPlease use these forms for Open Enrollment only.Active City Employeespdf Municipal Executivespdf SFUSD Employeespdf SFCCD Employeespdf Retired Employeespdf Important NoticesTransit Operators TWU 250-A, Class 9163 Rates UpdatepdfActive City Employees: Delta Dental Premiumspdf Active City Employees: Bi-Weekly Coveragepdf Active City Employees: Flexible Spending Accountspdf 2011-2012 Evidence of CoverageBlue Shield HMOActive City Employees EOCpdf 65 Plus Retirees EOCpdf Access+ Retirees EOCpdf Kaiser HMO Active City Employees EOCpdf Retirees with Medicare EOCpdf Retires without Medicare EOCpdf City Health Plan PPO Active City Employees EOCpdf Retirees with Medicare EOCpdf Retirees without Medicare EOCpdf Delta Dental PPO Active Employees EOCpdf Retirees EOCpdf |
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