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SFHCSO Dental and Vision HRA Plans

The San Francisco Health Care Security Ordinance Health Reimbursement Arrangement (SFHCSO HRA) is a supplementary health plan provided by your employer at no cost to you.

Through this Ordinance, your employer provided funding on a quarterly basis from January 1, 2014 to December 31, 2015 to reimburse the cost of qualified Dental and Vision expenses after you have paid for the services.

As long as you remain eligible to participate in the plan, employer contributions remain available for two years (8 quarters) from the date that they were contributed. At the end of each quarter expired funds are removed from the Dental and Vision Plan.
Marin Benefits San Francisco Healthcare Security Ordinance Plan FAQS Do you have a question that is not answered below? Contact us for more information.
Q: How to Submit a Claim

Step 1: Complete a SFHCSO Claim Reimbursement Form
Step 2: Attach copies of your paid receipt(s) detailing name of patient, name of provider, date of service, services provided and expenses. In order to process your claim promptly we need the complete information.
Step 3: Submit your claim via fax or mail

By Mail
Marin Benefits
700 Larkspur Landing Circle, Suite 199
Larkspur, CA 94939
By Fax
(415) 454-2928

Note: Failure to provide appropriate documentation will result in delays in the processing of your claim.

Q: What is my balance?

You will receive a quarterly mailer with your available balance. You may also contact us to obtain your available balance.

Q: What services does the Dental and Vision Plan cover?

All eligible dental and vision expenses at the provider of your choice. Your doctor does not need to be located in San Francisco. The following services are not covered by the Dental and Vision Plan:

Dental Exclusions Orthodontia
Cosmetic procedures (such as teeth whitening)
Vision Exclusions Each pair of eyeglass frames will be reimbursed up to $500
Non-prescription sunglasses
Q: How long will it take for me to receive my reimbursement?

A: Please allow up 4 weeks to receive your reimbursement.

Q: Are my family members eligible to submit claims?

A: Family members are not eligible to use these funds.

Q: How do I contact Marin Benefits?

Marin Benefits and Insurance Services

700 Larkspur Landing Circle, Suite 199
Larkspur, CA 94939

Client Services

Phone (415) 526-1401
Fax (415) 454-2928

Our Client Services team is available to answer your questions Monday through Friday, from 9:00am to 5:00pm (PST).

Claim Reimbursement Form