Plan Documents

 
Title Sort descending Date
2022 Blue Shield of CA Trio HMO SOB
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, Blue Shield of California HMO, Trio HMO, 2022
Download
2022 City & County of San Francisco Premium Rates
City & County of SF Employees, 2022
Download
2022 City College Enrollment Form (Fillable)
City College of SF Employees, 2022
Download
2022 City College of San Francisco Enrollment Form - Fillable
City College of SF Employees, 2022
Download
2022 City of San Francisco & Superior Court Enrollment Form (Fillable)
City & County of SF Employees, Superior Court of SF Employees, 2022
Download
2022 COBRA Rates
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, 2022
Download
2022 Combined SFHSS Voluntary Group Term-Life and Rates
2022
Download
2022 Commissioner Enrollment Form (Fillable)
2022
Download