Benefits

CCSF offers health benefits to eligible active employees and dependents. For benefits eligibility, please reference to your employee handbook or contact Benefits Unit.

Benefits At A Glance

2025 Open Enrollment

2025 Open Enrollment for Active Employees

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

Description	Dates
Health Benefits Open Enrollment	September 30 - October 25, 2024 5 p.m. PST
Flexible Spending Accounts (FSA) Open Enrollment	October 1 - November 30, 2024 5 p.m. PST
AFLAC Open Enrollment	October 1 - November 30, 2024 5 p.m. PST

Note: Deadline is 10/25/2024, NOT 10/31/2024, to enroll or make changes to your medical/vision plan with SF Health Service System (SFHSS).

2025 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, 2025.

2025 Health & Vision Benefits

Health and Vision Open Enrollment is from September 30 to October 25, 2024 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 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 2025 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 2025 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 2025 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, 2024 5 p.m. PST.

**All current enrollees MUST re-enroll for the 2025 plan year to continue FSA Healthcare and/or FSA Dependent Care. Enrollment is for the plan year starting on January 1, 2025.

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 2025 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, 2026). 2025 Carryover funds can only be accessed for one plan year (December 31, 2026) and any remaining carryover funds will be forfeited. You do not need to enroll in 2025 FSA to have 2024 carryover in 2025 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

CCSF offers a menu of 9 categories of plan options for customized benefit enhancements for eligible employees thru AFLAC.

AFLAC Open Enrollment October 1 to November 30, 2024, 5 p.m. PST.

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

All Pretax advantaged AFLAC plan* complete changes, upgrades, additions during open enrollment, assisted by AFLAC certified benefits counselor.

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.

San Francisco Bay Area AFLAC agency call 1-888-248-1748.

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

AFLAC plans are portable beyond CCSF employment. Ask about AFLAC Always.

Medical & Vision Benefits

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.

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

Dental Benefits

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.

AB528 & COBRA Rates

Effective: July 1, 2021 - June 30, 2025

COBRA Dental Monthly Rates Group #: 15935-0008

Status	Cost
Employee Only	$88.18
Employee + 1	$165.12
Employee + 2/more	$218.55

AB 528 Dental Monthly Rates Group #: 15935-0011

Status	Cost
Employee Only	$109.10
Employee + spouse	$203.15

Flexible Spending Accounts

Flexible Spending Accounts are voluntary plans. There are two different types of Flexible Spending Accounts (FSA): Healthcare FSA and Dependent Care FSA.

You need to determine the annual contribution you want to make to a Health Care account for health, vision or dental care...etc for you and your dependents, and/or Dependent Care account for daycare 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. 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.

Healthcare FSA is a pre-tax benefit account used to pay for eligible medical, dental, and vision care expenses that aren't covered by your insurance plan. Healthcare FSA minimum annual contribution is $50 minimum and the maximum contribution is $3,300 for 2025 calendar year. Unused Flexible Spending Account Health Care dollars up to $660 can be carryover to the following year 2026.

Dependent Care FSA is a pre-tax benefit account used to pay for dependent care services, such as preschool, summer day camp or elder daycare. Dependent Care FSA minimum annual contribution is $50 minimum and the maximum contribution is $5,000 per calendar year ($2,500 if married and filing a separate tax return).

If you have a qualifying event during the year, you can elect to enroll or change your benefits. You have within 30 days from your qualifying event to make changes to your benefits.

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

Notes

Part Time Faculty, and Classified employees working less than 20hours/week and As-Needed are not eligible for FSA
During Open Enrollment current enrollees MUST re-enroll for the next plan year to continue FSA election.
It is the employee's responsibility to log into the WageWorks website to review and track the employee's own FSA account (i.e. account balance).