Open Enrollment 2018

The 2019 Open Enrollment Benefits Period Runs from October 1 - 31, 2018

Benefit plans change every year. This is your one chance to make changes affecting your 2018 benefits by reviewing the latest plans to see what’s new and different, add or drop eligible family members, review your premium contributions and make your selections before the window closes on October 31st.

Fax completed applications and documentation to (415) 554-1721. Mail or drop off to 1145 Market Street, 3rd Floor San Francisco 94103. The Open Enrollment deadline is October 31, 2018. Changes made to benefit elections during Open Enrollment will take effect on January 1, 2018.

Click "Open Enrollment and Flu Events" below to see our detailed Special Events Calendar for dates, times and places where you can attend an Open Enrollment event, Health Fair and Flu Clinic during the Open Enrollment period from October 1-31, 2018.


News and Updates for 2019

Blue Shield of California’s Trio HMO Plan Offers Concierge Support for Members
The Trio HMO Plan, now in its second year, provides the exact same benefits and plan design as the Access+ HMO, with lower premium contributions, and access to many of the same hospitals and physicians. If you are a current Access+ HMO enrollee, but your doctors are in the Trio Network, you may choose to select a lower premium contribution for the exact same benefits. Please call the dedicated Trio HMO Concierge line at (855) 747-5800 or visit

VSP Vision Offers 100% Coverage for Standard Progressive Lenses
VSP Basic and Premier Plans are now offering 100% coverage (no co-pay) for standard progressive lenses. Additionally, if you are enrolled in the VSP Premier Plan, your co-pay for premium progressive lenses and custom progressive lenses will be $25. Basic Plan co-pays for premium and custom progressive lenses will not change. Visit or call 1-800-400-4569.

Delta Dental PPO New SmileWay Program, Adult Orthodontia Lifetime Max Increase, and Dental Accident Benefits
Retirees, San Francisco City and County Employees, and San Francisco Superior Court Employees enrolled in Delta Dental PPO who have certain chronic conditions (diabetes, heart disease, HIV/AIDS, rheumatoid arthritis and/or stroke), will be able to receive an annual periodontal scaling and root planing procedure (deep cleaning of gums) as well as more frequent annual teeth cleaning and/or periodontal maintenance services. The adult orthodontic lifetime maximum will increase from $1,500 to $2,500. Dental Accident Benefits have been added to provide additional dental service coverage for conditions caused directly or independently of all other causes by external, violent, and accidental means.

Health Flexible Spending Account Maximum Increasing to $2,650
The maximum amount of pre-tax dollars City and County of San Francisco, and San Francisco Superior Court employees can set aside for reimbursement for qualified medical and healthcare-related expenses will increase from $2,500 to $2,650 starting January 1, 2019.

eBenefits Online Open Enrollment Now Available for Employees with Employee Portal Access!
SFHSS is excited to announce that eBenefits is now available to City and County of San Francisco active employees who have access to the City’s Employee Portal through their Department. Members currently eligible to participate in eBenefits will receive special instructions in their 2019 Plan Year Open Enrollment letter. SFHSS will continue to roll out eBenefits to more members in 2019!

Active Employees

City & County of
San Francisco




San Francisco Unified
School District

City College of
San Francisco



Superior Court of
San Francisco



Remember: if you want to make Flexible Spending Account ("FSA") contributions in 2019, you must enroll in an FSA during the Open Enrollment period.
All 2018 FSAs will automatically close on December 31, 2018.
Click here to learn more


Retirees with Medicare:
You have two medical plan choices
in 2019. See the 2019 Retiree Guide
below for more details.
Retirees Not Eligible for Medicare:
You have the four medical plan options in
2019. See the 2019 Benefits Guide below
for more details.

2019 Plan Documents and Summaries of Benefits and Coverage

Questions about your benefits?
Call us at (415) 554-1750
Thank you for viewing you Benefit Guide
online. This helps support the City goal for
reduce paper to achieve zero waste.
If you would like to request a paper
Benefits Guide. Please please click
here to complete the request form.