Plan Documents

 
Title Date Sort ascending
VSP Freedom to Choose Flyer
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, VSP Vision, 2022
June 1, 2022 Download
LTD Union Codes 001, Etc. 180 day Non-Contributory
City & County of SF Employees, 2022
April 29, 2022 Download
LTD 90 Union 351, 356, 196 Etc - 90 day Contributory
City & County of SF Employees, 2022
April 29, 2022 Download
Group Life Insurance Transit Workers
City & County of SF Employees, 2022
April 29, 2022 Download
Group Life Insurance Superior Court Attorneys
Superior Court of SF Employees, 2022
April 29, 2022 Download
2022 Blue Shield of CA Trio HMO SOB
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, Blue Shield of California HMO, Trio HMO, 2022
February 11, 2022 Download
2022 Blue Shield of CA Access+ HMO SOB
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, Blue Shield of California HMO, Access+ HMO, 2022
February 11, 2022 Download
2022 Retiree with Medicare Enrollment Form (Fillable)
Retirees with Medicare, 2022
January 27, 2022 Download