Plan Documents

 
Title Sort descending Date
2021 Delta Dental PPO EOC
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, 2021
Download
2021 Delta Dental PPO for Actives - Summary of Benefits (SOB)
2021
Download
2021 Delta Dental PPO for Retirees - Summary of Benefits (SOB)
Retirees with Medicare, Retirees without Medicare, 2021
Download
2021 Delta Dental PPO Retiree EOC
Retirees, Retirees with Medicare, Retirees without Medicare, 2021
Download
2021 DeltaCare DHMO Actives and Retirees - Evidence of Coverage (EOC)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, 2021
Download
2021 DeltaCare DHMO for Actives and Retirees - Summary of Benefits (SOB)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, 2021
Download
2021 Health Service System Member Rules
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2021
Download
2021 Kaiser Hawaii Early Retiree - SBC
Retirees, Retirees without Medicare, Kaiser Permanente HMO - Multi-Region, 2021
Download