Plan Documents

 
Title Date Sort descending
2019 Evidence of Coverage (EOC) Kaiser Washington (Non-Medicare)
Retirees, Getting Ready to Retiree, Retirees without Medicare, Kaiser Permanente HMO, Kaiser Permanente HMO - Multi-Region, 2019
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2019 Evidence of Coverage (EOC) Kaiser Permanente Senior Advantage HMO Washington (Medicare)
Retirees, Getting Ready to Retiree, Retirees with Medicare, Kaiser Permanente HMO, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2019
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2019 Delta Dental PPO SmileWay Flyer for Active Employees
City & County of SF Employees, Municipal Executive Employees, Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, 2019
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2019 Delta Dental PPO SmileWay Flyer for Retirees
City & County of SF Employees, Municipal Executive Employees, Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, 2019
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2019 Rates for Retirees with Medicare
Retirees, Getting Ready to Retiree, Retirees with Medicare, 2019
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2019 Rates for Retirees without Medicare
Retirees, Getting Ready to Retiree, Retirees without Medicare, 2019
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Surrogacy and Adoption Reimbursement Form
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2022, 2021, 2020, 2019
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2020 Evidence of Coverage (EOC) - UHC PPO (City Plan) (Outside of Continental United States)
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, UHC PPO (pre 2022), 2020
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