Health Service System - City & County of San Francisco

Can you continue healthcare coverage if you go on an approved leave of absence? The answer is yes, but you must make contribution payments directly to HSS during your leave.

Read this information to learn more about your options for maintaining healthcare coverage during:

• - Family and Medical Leave
• - Workers' Compensation Leave
• - Family Care Medical Leave
• - Personal Leave Following Family Care Leave
• - Educational Leave
• - Personal Leave
• - Leave for Employment as an Employee Organization Officer or Representative

For other types of leave please contact HSS for information about your eligibility to continue your health care coverage.

Stay informed. Failure to follow the requirements outlined here could result in the loss of healthcare coverage for you and your dependents.

If you are continuing healthcare coverage while on leave, please sign-up for HSS AUTO-PAY. Having your monthly contributions charged to your VISA or Mastercard will ensure your benefits are not at risk of termination due to a late or forgotten payment.

If you wish to discontinue your healthcare coverage during an approved leave of absence, you must notify HSS in writing prior to the start of your leave.

Note: Some aspects of this information do not apply to SF Unified School District or SF Community College District employees or covered dependents. Please contact HSS for details.

Type of Leave	Eligibility	Your Responsibilies
Family and Medical Leave Workers' Compensation Leave Family Care Leave	You may be eligible to continue your healthcare coverage for the duration of your approved leave of absence. You may have additional rights under an approved FMLA leave. Contact your departmental personnel representative for details.	1. Notify your department's personnel office. They will provide HSS with important information about your leave. 2. Contact HSS to arrange for the payment of any required contributions while you are on leave.
Personal Leave Following Family Care Leave	If you have been on an approved Family Care Leave and elect to extend your leave period as a Personal Leave, you may be eligible to continue your healthcare coverage for the duration of your approved Personal Leave, if: - The reason for the Personal Leave is the same as the reason for the prior Family Care Leave. - Your required health care contribution payments, if any, are current.	1. Notify your department's personnel office. They will provide HSS with important information about your leave. 2. Contact HSS to arrange for the payment of any required contributions while you are on leave.
Educational Leave Personal Leave Leave for Employment as an Employee Organization Officer or Representative	You may be eligible to continue your healthcare coverage for the duration of your approved leave of absence.	1. Notify your department's personnel office. They will provide HSS with important information about your leave. 2. Contact HSS to arrange for the payment of any required contributions while you are on leave. 3. If your leave lasts beyond 12 weeks, you are responsible for paying the total cost of medical and dental coverage for yourself and any covered dependents. This includes any contribution amount that was being deducted from your paycheck plus the City and County of San Francisco's contribution. Contact HSS for details.