Plan Documents

 
Title Date Sort ascending
UHC At-Home Testing Flyer
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, UnitedHealthcare PPO - Companion Plan, 2022
January 20, 2022 Download
UHC Home Test Reimbursement Form
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, UnitedHealthcare PPO - Companion Plan, 2022
January 20, 2022 Download
Kaiser At Home Covid Test Kits Flyer
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, 2022
January 20, 2022 Download
Delta Dental PPO Actives and Retiree Plan Comparison 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, 2022
January 18, 2022 Download
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, 2022
December 21, 2021 Download
LTD Union Codes 001, Etc. 180 day Non-Contributory
City & County of SF Employees, 2021
November 16, 2021 Download
LTD Union 021, 022, 023 Etc. - 90 day Non-Contributory
City & County of SF Employees, 2021
November 16, 2021 Download
LTD 90 Union 351, 356, 196 Etc - 90 day Contributory
City & County of SF Employees, 2021
November 16, 2021 Download