Plan Documents
| Title Sort descending | Date | |
|---|---|---|
| 2019 Flyer Blue Shield Trio Provider Network List City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, Blue Shield of California HMO, Trio HMO, 2019, 2018 |
Download | |
| 2019 Form Aetna Life Insurance Enrollment City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019 |
Download | |
| 2019 Form HIPAA Request for Confidential Communications City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2019, 2018 |
Download | |
| 2019 Form P&A Group Debit Card Request City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019 |
Download | |
| 2019 Form United Healthcare City Plan Mail-In Prescription City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, UnitedHealthcare, UHC PPO (pre 2022), 2019, 2018 |
Download | |
| 2019 Guide Blue Shield of California Retiree Chart Retirees, Blue Shield of California HMO, 2019 |
Download | |
| 2019 Guide Kaiser Senior Advantage Chart Retirees, Kaiser Permanente HMO, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2019 |
Download | |
| 2019 Guide Kaiser Traditional Retiree Chart Retirees, Kaiser Permanente HMO, Kaiser Permanente HMO - Multi-Region, 2019 |
Download |