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Get CA SFHSS Open Enrollment Application - San Francisco 2018

By 5:00 pm, October 31, 2017, if any of the following apply: - You are adding or dropping dependents effective January to December 2018. - You are enrolling or re-enrolling in a Flexible Spending Account (FSA) effective from January to December 2018. MF CCSF Application Do not complete this form if all of the following apply: - You are NOT adding or dropping any dependents January to December 2018. - You are NOT enrolling or re-enrolling in a Flexible Spending Account (FSA) effective from Janu.

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