Any San Francisco County IHSS provider who data records show a minimum of 25 paid/worked authorized hours for the most current two consecutive months.

We offer Healthy Workers which is administered by San Francisco Health Plan (SFHP) and Vision benefits by Vision Services Plan (VSP) are also included when you apply for health benefits. To learn more about Healthy Worker, please visit online: www.sfhp.org/programs/healthy-workers/

Enrollment is not automatic and only newly eligible Independent Providers (IPs) will get enrollment invitation packets from San Francisco Heath Plan once you meet the eligibility criteria. If you are an existing IP, or your insurance was cancelled for any reason, or never enrolled, you can apply by requesting an application if you meet the requirements.

If you have not enrolled previously and have the qualifying hours, you can request an application by:

• Email: to benefits@sfihsspa.org with your full name and IHSS Provider ID number
• Phone: 415-593-8125 and state your full name, IHSS Provider ID, phone number and detailed message.
• Applications are available in English, Chinese, Spanish, Russian, Tagalog, and Vietnamese.

• Application received on or before the 12th of the month, insurance will be effective the first of the following month. For example, if you send the application on January 10th, benefits will be effective February 1st.
• Applications received after the 12th of the month; insurance will be effective a month after the following month. For example, if you send your application January 13th, benefits will be effective March 1st.

Once you are enrolled, please allow two weeks after your effective date has been granted to receive your ID card and welcome packet from San Francisco Health Plan. You should wait until you receive your ID card before obtaining any medical/vision services.

Refer to Provider directory or visit SFHP's "Find a Provider" website to filter doctors by location, language, and specialty: www.sfhp.org/programs/healthy-workers/find-a-provider/

No, this is an employee sponsor only coverage.

An insurance premium is the amount of money an individual pays for an insurance policy. The premium contributions will be deducted from your second paycheck of each month. The premium for Health and Vision with SFHP Healthy Worker program is $3 per month.

Your benefit insurance will continue as long as you continue providing IHSS home care services in San Francisco County. You will be at risk of losing your benefits if you do not submit your timesheets on time and/or work less than 25 hours for two or more consecutive months.

Contact SFHP at 415-547-7800 within 60 days of submitting your application.

Yes, you can change clinics anytime or ask for a replacement card by contacting San Francisco Health Plan at 415-547-7800.

If you lose your benefits, you must re-qualify and re-apply once you meet the minimum of 25 paid/worked hours per month for two consecutive months.

You must fill out the Cancellation of Benefits Request Form and email to benefits@sfihsspa.org or mail it back to 832 Folsom St, San Francisco, CA 94107.

No. For medical insurance with SFHP you can (re-)enroll at any time during the year. There is only one plan option, and you cannot add dependents.

For faster response, email us at benefits@sfihsspa.org or contact us at 415-593-8125. For questions regarding the health plan coverage or prescriptions you can contact SFHP directly at 415-547-7800 and VSP (Vision Service Plan) at 800-877-7195

Any San Francisco IHSS provider who data records must show that you were authorized and were paid to work with a minimum of 25 hours or more for the most current six consecutive months

The San Francisco IHSS Public Authority offers Liberty Dental Plan. For more information about dental plans and coverage please visit online: www.libertydentalplan.com

Dental enrollment is not automatic. Newly eligible Independent Providers (IPs) will get enrollment invitation packets from Liberty Dental once you meet eligibility criteria. If you are an existing IP or you never enrolled, you can apply by requesting an application if you meet the requirements. If at some point you voluntarily cancelled your dental benefits, you can only re-enrolled during Open Enrollment which happens November 1st to December 12th of each year.

Once you are enrolled, allow two weeks after your effective date has been granted to receive your ID card and welcome packet from Liberty Dental Plan. You should wait until you receive your ID card before obtaining any dental services.

• Application received on or before the 12th of the month, insurance will be effective the first of the following month. For example, if you send the application on January 10th, benefits will be effective February 1st.
• Applications received after the 12th of the month; insurance will be effective a month after the following month. For example, if you send your application January 13th, benefits will be effective March 1st.

• If you choose LDP100, you can select a dentist from the provider network provided in the enrollment packet. If you do not select a dentist, it will be selected for you based on your home zip code and language preference if you do not select. If you wish to change to another contracted dentist, you may do so by the 20th day of any month for the change to be effective the first day of the following month.
• If you choose the EPO plan, check with the provider to see if they accept Liberty Dental Plan or by visiting www.firstdentalhealth.com. Be aware that out-of-network doctor, you may have a higher out-of-pocket expense.
• If you need assistance with choosing a provider for either the LDP100 plan or EPO plan please contact LIBERTY Dental Plan at 888-703-6999.

The Public Authority offers two options for dental benefits:

You are required to pay a monthly premium contribution. The amount you contribute is dependent on the plan you enroll in:

In addition to your monthly fees, you may be required to pay a share of the cost for some of the services you receive. See the attached Comparison of Benefits for any additional co-payments that might be required.

If you elect to have dental coverage, the premium contribution will be deducted from your 2nd paycheck each month.

It is important you choose the right dental plan that meets your needs in your application. Plan changes are strictly made during the annual open enrollment period only, which takes place from November 1st to December 12th of each year and is effective January 1st of the following year.

You must fill out the Cancellation of Benefits Request form and email to benefits@sfihsspa.org or mail it back to 832 Folsom St, San Francisco, CA 94107.

If you lose your benefits, you must re-qualify by working a minimum of 25 hours per month for six consecutive months. Once you meet these criteria, you can re-apply.

• Once your dental insurance effective day is active, you can sign up and view your insurance coverage by login into Liberty Dental Plan patient portal,
• Your user member will be your social security number.
• If you have trouble accessing the website or any inquiry or concern, please contact Liberty Dental Plan at 888-703-6999
• For any enrollment questions, please email us at benefits@sfihsspa.org or call us at 415-593-8125.

Open enrollment season is a period when IP may elect or change the benefit options for their Dental plan only and it starts from November 1st to December 12th of each year.

• Change the plan you are enrolled in.
• Add a dependent
• Re-enroll for Voluntary termination.

No. You do not have to wait until Open Enrollment, but you must re-enroll by filing out the application(s) again.

The benefit plans you select will continue as long as you are providing IHSS services in San Francisco. If you work less than 25 hours for two or more consecutive months, you are at risk of losing eligibility for all benefits.

You received a warning letter because records show that you have not submitted your worked hour timesheet on time, and/or you do not have authorized/paid hours for two consecutive months. This letter will give you 45 days notification with a date when your insurance will be terminated. If you think this is a mistake, please email us with the correct information.

• Yes, click on the form below, fill out and return the Cancellation of Benefits Request form to benefits@sfihsspa.org.
• Cancellation requests received by the 12th of the month, dental coverage and premium withholding will end the first of the following month.
• Cancellation requests received after the 12th of the month, dental coverage and premium withholding will end the next month of the following month.
• If you voluntarily decide to terminate your dental coverage, you will not be allowed to re-enroll for dental benefits until the next Open Enrollment period. To re-enroll, you must also meet eligibility requirements, that is, have worked a minimum of 25 hours per month for the six previous months.

If you worked and received payment for a minimum of 25 hours before insurance terminates, you must contact the number 415-593-8125 or email us at benefits@sfihsspa.org within 30 days from termination date to be re-instated.

Yes, if you no longer work in San Francisco, you will lose your insurance and you will need to apply with the county you are currently working. A warning letter will be sent to you 45 days before termination date.

Yes, once your insurance terminates, you will be offered to purchase COBRA insurance through Health Equity. Federal law requires that all workers have the right to purchase their group coverage for a specific period after employment ends. This law is called COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985). You will be responsible for paying the full amount of premium to continue under this coverage. Once your eligibility ends, you will have 60 days to elect coverage with no lapse in coverage.

Any changes to your demographic information must be made only through Independent Provider Assistance Center (IPAC). Visit IPAC at 2 Gough Street, SF, CA 94103 or contact them at 415-557-6200. You will need to provide documentation for the changes.

The San Francisco IHSS Public Authority Benefits department will fill the L564 request by:

1. Drop off form at 832 Folsom street, 9TH floor, SF, CA 94107 and must provide ID for verification. We will mail it to your home address once it gets completed.
2. Send us an email to benefits@sfihsspa.org, you must provide your IHSS Provider number, full name and use the same email used when submitting timesheets. The L564 completed form will be mailed to the address on file after 2 business days of the received request.

Your insurance company San Francisco Health Plan will mail out the 1095B form around January of each year.