Plan Documents

 
Title Date Sort ascending
Retiree with Medicare Open Enrollment Application Form
Retirees, Retirees with Medicare, 2022
September 9, 2021 Download
Retiree without Medicare Open Enrollment Application Form
Retirees, Retirees without Medicare, 2022
September 9, 2021 Download
City College of San Francisco Open Enrollment Application Form
City College of SF Employees, 2021
September 9, 2021 Download
CSF & Superior Court Open Enrollment Application Form
City & County of SF Employees, Superior Court of SF Employees, 2021
September 9, 2021 Download
SFUSD Open Enrollment Form
SF Unified School District Employees, 2021
September 9, 2021 Download
2021 Summary of Material Modification to 2021 Kaiser Permanente HMO -EOC (California)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees without Medicare, Superior Court of SF Employees, Kaiser Permanente HMO, 2021
September 1, 2021 Download
CSF & Superior Court Benefits Booklet
City & County of SF Employees, Superior Court of SF Employees, 2021
August 30, 2021 Download
TruHearing Hearing Aid Discount Offer
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, VSP Vision, 2022, 2021
August 17, 2021 Download