Health coverage eligibility is determined by the Governing Board of the City College of San Francisco (CCSF).

City College of San Francisco (CCSF) Employee Benefits Eligibility

• Administrators become eligible for health coverage as outlined above and on the first day of the month following their start date.  Example: administrator starts on 09/01; health coverage commences on 10/01.

Spouse or Registered Domestic Partner
A member’s spouse or registered domestic partner may be eligible for SFHSS health coverage. Proof of legal marriage or domestic partnership is required, as well as the dependent’s Social Security number. Enrollment in SFHSS benefits must be completed within 30 days of the date of marriage or partnership certification.

Natural Children, Stepchildren, Adopted Children 
To be eligible for health coverage, a child must be under the age of 26 and one of the following:

1. Natural born child of the enrolled member, 

2. Legally adopted child of, or a child placed for adoption with the enrolled member, or

3. A stepchild, who is a natural, legally adopted or placed for adoption of the member's enrolled spouse or registered domestic partner. 

Enrollment and eligibility documentation must be submitted to SFHSS within 30 days of birth, adoption, or a Qualifying Life Event.

Coverage ends at the end of the pay-period in which the child turns 26. 
 

Legal Guardianship and Court Ordered Children 
See SFHSS Rules Section B.3.b and B.3.c for more information. 

Adult Disabled Children 
To qualify a dependent as a disabled adult child (“Adult Child”), the Adult Child must be incapable of self-support because of a mental or physical condition that existed prior to age 26, continuously live with disability after turning 26, and meet all criteria listed in the SFHSS Rules.

Medicare Enrollment Requirements for Dependents of Active Employees
SFHSS Rules require Medicare eligible registered domestic partners and dependents who have received Social Security insurance for more than 24 months, to enroll in premium-free Medicare Part A, if eligible, and enroll and pay for the premiums for Medicare Part B. 
 

Dependent Eligibility Audits and Penalties for Failing to Disenroll Ineligible Dependents
All members are required to notify SFHSS within 30 days and cancel coverage for a dependent who becomes ineligible. 

Dependent eligibility may be audited by SFHSS at any time. Audits may require submission of documentation that substantiates and confirms that the dependent’s relationship with the employee or retiree is current. Acceptable documentation may include current federal tax returns in addition to other documentation that demonstrates cohabitation or financial interdependency. Enrollment of a dependent who does not meet the plan's eligibility requirements as stated in SFHSS Rules will be treated as an intentional misrepresentation of a material fact, or fraud. If a member fails to notify SFHSS, the member may be held responsible for the costs of ineligible dependent’s health premiums and any medical service provided.

2026 Open Enrollment for Active Employees

Benefits are subject to eligibility. Please review Faculty or Classified Handbook for more information.

Note: Deadline is 10/24/2025, NOT 10/31/2025, to enroll or make changes to your medical/vision plan with SF Health Service System (SFHSS).

2026 Open Enrollment

This is your annual opportunity to make changes to your medical and vision plan, enroll/re-enroll into FSA and/or AFLAC Advantage Plans without having a qualifying event. Enrollments or changes made during Open Enrollment will be effective January 1, 2026.

2026 Health & Vision Benefits

Health and Vision Open Enrollment is from October 1 to October 24, 2025 5 p.m. PST.

Please review your current medical/vision plan and other medical plans offered to you. If you want to change your medical/vision plan or want to know more about next year’s benefits, visit SF Health Service System (SFHSS) website at https://www.sfhss.org/oe2026 or call SFHSS at 628-652-4700.

Note: If you are currently enrolled in the VSP Premier Plan, you and your dependents will automatically be re-enrolled in the VSP Premier Plan next year. If you do not wish to re-enroll in VSP Premier, you need to elect VSP Basic Plan through eBenefits or 2026 Enrollment Form.

• 2026 Benefits Guide
• 2026 Medical Rates
• eBenefits self-service
• 2026 Enrollment Form

Enroll or make medical/vision plan changes through eBenefits self-service. If you are unable to enroll online through eBenefits, you can submit your 2026 Open Enrollment Form and any required verification documentation directly to SFHSS through one of the following methods:

• Fax to SFHSS at 628-652-4701
• Mail to SFHSS 1145 Market Street, 3rd Floor, SF, CA 94103
• Drop off using the SFHSS Drop Box located at 1145 Market Street, 3rd Floor, SF, CA 94103 from 9:00 a.m. to 4:30 p.m.

Note: Keep a copy of your form and fax confirmation if faxed.

In December, SFHSS will send a 2026 enrollment confirmation letter to your address on file. Please make sure to review your Open Enrollment material. If you have any questions, please call SFHSS directly at 628-652-4700.

Flexible Spending Accounts (FSA): Health Care & Dependent Care

FSA Open Enrollment is from October 1 to November 30, 2025 5 p.m. PST.

**All current enrollees MUST re-enroll for the 2026 plan year to continue FSA Healthcare and/or FSA Dependent Care. Enrollment is for the plan year starting on January 1, 2026.

Note: Part Time Faculty and Classified employees working less than 20 hours/week and As-Needed are not eligible for FSA

Flexible Spending Accounts are voluntary plans. There are two different types of Flexible Spending Accounts (FSA): FSA Health Care and FSA Dependent Care. The FSA accounts allows you to set aside pre-tax dollars for qualified expenses incurred by you, your legal spouse, dependent(s), or relative(s) (as defined in “Internal Revenue Code Section 125, which excludes certified domestic partners).

To calculate your annual election, you need to determine the annual contribution you want to make to your FSA Health Care account (i.e. health, vision or dental care, etc.) for you and your dependents, and/or FSA Dependent Care account for daycare expenses. Children must be under the age of 13. FSA Dependent Care cannot be used for dependent medical, dental or vision expenses.

Keep in mind that you cannot transfer money between the two accounts, and you cannot transfer participation to your spouse. Only expenses incurred on or after your effective date of coverage are reimbursable.

Unused 2026 FSA Healthcare, up to the maximum carryover fund amounts, can be carried over to the following year. The carryover amount will be determined at the end of the claim filing period (March 31, 2027). 2026 Carryover funds can only be accessed for one plan year (December 31, 2027) and any remaining carryover funds will be forfeited. You do not need to enroll in 2026 FSA to have 2025 carryover in 2026 plan year.

Unused FSA Dependent Care funds are forfeited at the end of the plan year and cannot be returned to you.

In accordance to district policy, your annual election will be divided by the number of pay periods (or remaining number of pay periods) according to your classification.

Want to enroll? Self-enroll online through www.wageworks.com. If you do not have a WageWorks account, you will need to register for an account. Upon registration and logging into your account, click on “Enrollment Options” to enroll into your desired program. Please note: When enrolling, enter your annual election amount under “Election Amount”.

For additional plan features, FSA rules, or a list of eligible expenses, please visit www.wageworks.com or call 1-877-924-3967.

AFLAC

AFLAC Open Enrollment October 1 to November 30, 2025, 5 p.m. PST.

Note: Classified employees working less than 20 hours/week and As-Needed are not eligible for AFLAC Advantage plans.

CCSF offers a menu of 10 categories of AFLAC customized benefits enhancement for eligible employees (see note on eligibility above). 

Click to view AFLAC advantages and products available for City College employees

https://www.AFLACenrollment.com/CityCollegeofSanFrancisco/TD0874207386

Scan QR Code below to schedule a web or phone assisted review or enrollment services assistance.

Benefit services counseling at no cost for CCSF employees – Education “Medicare 101” Medicare planning.

For more information, contact San Francisco Bay Area AFLAC agency call 1-888-248-1748 or 415-420-7420.

CA Insurance License #0816451     

Pretax Payroll deductions for AFLAC plans: complete changes, upgrades, additions during Open Enrollment, assisted by AFLAC certified licensed benefits counselor. 

Employees and eligible dependents who are enrolled into a medical plan with San Francisco Health Service System (SFHSS), will automatically be enrolled into the VSP Basic Vision Plan. Employee and dependents enrolled in a medical plan with SFHSS may elect the Premier VSP Plan.

VSP does not issue insurance cards. If you are enrolled into the VSP plan (group# 12145878), please call VSP at 1-800-877-7195 for your member ID number.

If you have a qualifying event during the year, you can add or drop your dependents from your benefits. You have within 30 days from your qualifying event to make changes to your benefits.

SFHSS administers the medical and vision plans. For information on Health Benefit Guide, Medical/Vision Premium Rates, Health Enrollment Form, and COBRA Medical Rate. Please visit https://sfhss.org/benefits/city-college or contact SFHSS at 628-652-4700. For instructions to register and use eBenefits self-service, you can go to https://sfhss.org/how-to-enroll to enroll or change your medical/vision plan.

To enroll your dependents onto your Medical/Vision plan, you must provide a copy of your dependent's supporting documents:

• Social Security Card(s) for all dependent(s)
• Certified Marriage Certificate for Spouse or Domestic Partner Certificate for Domestic Partner
• Birth Certificate(s) for Child(ren)

2025 SFHSS Enrollment Form

2025 Benefits Guide

How to Calculate Domestic Partner (DP) Premium

• For Employee + 1 DP: Employee + 1 subtract Employee Only premium
• For Employee + 1 DP + 1 Dependent: Employee + 2 or more subtract Employee + 1 premium
• For Employee + 2 DP or more: Employee + 2 or more subtract EE only premium

*** The DP premium is generally post tax unless you are qualified for the Federal Tax Exemption for Dependents Who Meet Certain Requirements or Equitable California State Tax Treatment and complete the SFHSS Domestic Partner Declaration Form. For information and SFHSS Domestic Partner Declaration Form, go to https://sfhss.org/domestic-partner-health-coverage-and-your-taxes. Consult with your professional tax advisor before completing the form.

SFHSS Privacy Policy and Forms

You have the rights to respect your health information. For more information go to SFHSS Privacy Policy and Forms. 

If you want a family member or friend to talk to SFHSS about your health benefits, you can complete the HIPAA Authorization to Disclose Protected Health Information to Family Members Form. Submit form directly to SFHSS.

HIPAA Form: Authorization to Disclose Health Information to Family Members

Multi‐District Part‐Time Faculty Health Insurance Program

Qualifying multi‐district part‐time faculty are eligible to participate in the Multi‐District Part‐Time Faculty Health Insurance Program. Please complete the eligibility certification form each semester and submit to Human Resources by emailing Benefits@ccsf.edu.

Multi‐District Part‐Time Faculty Health Insurance Program Form

Delta Dental is a PPO plan and is offered to eligible active employees and dependents at no premium cost. Delta Dental does not issue insurance cards. If you are enrolled into the our plan (group# 15935), please call Delta Dental at 1-866-499-3001 for your member ID number or use your Social Security number. You may also register for a Delta Dental account by going to www.deltadentalins.com. By having an account, you can:

• Receive your Explanation of Benefits (EOB) or Pre-Estimate of dental services electronically
• Review Plan Details
• Verify who is covered under your dental plan (i.e. dependents)
• View or print an ID card

Delta Dental is administered by City College of San Francisco.

• Dental Enrollment Form
• Dental Summary and Information

AB528 & COBRA Rates

Effective: July 1, 2021 - June 30, 2025

COBRA Dental Monthly Rates Group #: 15935-0008

AB 528 Dental Monthly Rates Group #: 15935-0011

Commuter Benefits is a pre-tax saving program to pay for public transportation to and from work and parking fee associated with work.  

Self-enroll anytime online through www.wageworks.com. You can change or cease the amount throughout the year. Go to your WageWorks account to maintain or update your enrollment. If you do not have an account you will need to register for an account. 

Health Equity and WageWorks have joined together to help working families connect health and wealth. Commuter Benefits is administered by WageWorks. For more information, please call WageWorks at 1-877-924-3967 or visit www.wageworks.com.

• WageWorks Registration
• Commuter Support & FAQ
• Commuter & Parking Benefits
• Commuter Benefits QuickStart Guide
• Commuter Claim Form
• SEIU ONLY - SEIU Local 1021 Transit Cost Reimbursement Form

Basic Life and Accidental Death and Dismemberment (AD&D) is offered to eligible employees at no premium cost. Coverage amount is $50,000 (under age 70) and coverage will reduce on the 70th and 75th birthday.

Beneficiar(ies) can be updated at any time by completing a Life Insurance Enrollment form. It is important to name beneficiaries to ensure that any benefits payable at your death are left to survivors you intended.

• Life Enrollment/Beneficiary Form and Information

EAP provides confidential, voluntary, free counseling services to employees. Get one-on-one counseling for personal and work-related concerns from a licensed EAP therapist. Active and eligible employees have access to 6 counseling sessions for each issue in a 12-month period.

• EAP & Wellness Information Personal Counseling, Well-Being Seminars and more

CCSF offers a menu of 10 categories of plan options for customized benefit enhancements for eligible employees* thru AFLAC.

*CCSF CLASSIFIED employees working less than 20 hrs./week and As Needed are not eligible for AFLAC.

Preferred rates for qualified CCSF employees are offered with payroll deduction and pretax savings for qualified plan options.

Eligible *New hires receive a personal AFLAC orientation and guided enrollment services support within 60-day eligibility period after hire date.

Schedule your orientation within 15 days of your hire date. SCAN the QR CODE below and look for a welcome to AFLAC email reminder.

Eligible existing employees* may add new coverage, make changes, upgrades, and policyholders encouraged to review during the extended period for AFLAC open enrollment.   

Click to view Aflac advantages videos, materials and assisted enrollment services available for City College employees

https://www.aflacenrollment.com/CityCollegeofSanFrancisco/TD0874207386

Scan QR Code below to schedule a web or phone assisted review or enrollment services assistance.

Eligible NEW HIRES Please set your welcome AFLAC orientations session for assisted enrollment within 60 days to be eligible for pretax savings advantages.

CLICK on http://georgiannastout.cardtapp.me to download Aflac mobile services toolkit OR

SCAN QR Code to schedule service consultation

CA Insurance License #0816451 | San Francisco Bay Area Aflac agency 1-888-248-1748 or contact AFLAC WWHQ 1-800-992-3522

Aflac plans with payroll advantaged rates are portable beyond CCSF employment.

Effective July 1, 2025- June 30, 2026, SEIU Classified Employees working 20 or more hours per week and enrolled with CCSF's provided Health Service System health plan may receive drug co-pay reimbursement.

All receipts must be submitted to CCSF Benefits Unit no later than June 30, 2026.

• SEIU Classified Prescription Drug Co-payment Reimbursement Form

The SFHSS Well-Being Team helps members to feel, live, and be Better Every Day. They support members in focusing on healthy behaviors, emotional well-being, and condition and prevention management. They offer activities and workshops.

To find out more, contact SFHSS Well-Being today. Phone: (628)652-4650 | Email: well-being@sfgov.org

• Wellness Information Better Every Day | San Francisco Health Service System (sfhss.org)
• Monthly Wellness Resources
• Health & Wellness Discounts

Bay Area Cancer Connections (BACC) offers support to anyone affected by breast or ovarian cancer. They have one-on-one support, social activities and variety of support group that are facilitated by licensed therapist and offered free of charge. For more information:

• Call the Helpline: (650) 326-6686 | Email: info@bayareacancer.org
• Bay Area Cancer Website

Contact the CCSF Payroll Department at payroll-intake@ccsf.edu for the relevant information regarding:

• Deferred Compensation: 403(b) /457(b)
• Express Benefit Report Form   
• Inquires regarding accrued leave balances (i.e. accrued sick leave, vacation, etc.)