The Health Service System of the City & County of San Francisco administers health benefits for employees and retirees of the City & County of San Francisco, Unified School District, City College and Superior Court. It oversees medical, dental, vision, flexible spending accounts, long term disability and group life insurance benefits. Open enrollment takes place each October for the following year's health plan benefits. The document provides contact information for the Health Service System and describes wellness programs and services available to employees.