Plan Documents
| Title | Date Sort ascending | |
|---|---|---|
| 2020 Domestic Partner Declaration Form City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, 2020 |
May 6, 2020 | Download |
| HIPAA Complaint of Violation City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2020 |
May 6, 2020 | Download |
| UHC Medicare Advantage PPO (MAPD) Prescription Claim Form Retirees, Retirees with Medicare, UnitedHealthcare PPO, UHC City Plan PPO, 2020 |
January 23, 2020 | Download |
| 2020 Evidence of Coverage (EOC) Kaiser Permanente Senior Advantage HMO Washington (Medicare) Kaiser Permanente Senior Advantage HMO - Multi-Region, 2020 |
December 27, 2019 | Download |
| 2020 Evidence of Coverage (EOC) Kaiser Washington (Non-Medicare) Kaiser Permanente HMO, Kaiser Permanente HMO - Multi-Region, 2020 |
December 27, 2019 | Download |
| 2020 Evidence of Coverage (EOC) Senior Advantage HMO Kaiser Northwest (Medicare) Retirees, Retirees with Medicare, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2020 |
December 27, 2019 | Download |
| 2020 Retirees Without Medicare Premium Rates Retirees, Getting Ready to Retiree, Retirees without Medicare, Access+ HMO, Trio HMO, Kaiser Permanente HMO - California, Kaiser Permanente HMO - Multi-Region, UnitedHealthcare PPO, UHC City Plan PPO, VSP Vision, 2020 |
December 26, 2019 | Download |
| 2020 SFHSS Section 125 Cafeteria Plan City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2020 |
December 26, 2019 | Download |