New for plan year 2026!

2026 Health Plan Information:

Click here to view 2026 CCSF PPO & EPO plan changes
Click here to view 2026 CCSF PPO & EPO plan rates

Forms: **All forms will be available October 1, 2025**

• Enrollment Form
• Change Form
• COB Form
• Guarantor Affidavit Form

TASC *Annual Enrollment Required* click here to enroll:

FSA Medical Max $3,300
Dependent Care Max $7,500 ($3,750 for married individuals)
FSA carryover $660

Voluntary Benefits:

• Sun Life Enrollment/Change Form

• Guardian & Trustmark – click here to schedule a phone appointment with a CBA enrollment counselor or meet with an enrollment counselor in person at one of the Clark County buildings on these days and times.

Click here to view Clark County Open Enrollment In-Person Informational Meeting Schedule