Plan Documents

 
Title Sort descending Date
2022 UHC PPO Companion Plan (CA) SBC
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, UHC PPO - Companion Plan, 2022
Download
2022 UHC PPO Companion Plan OOA MedRx 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, UHC PPO - Companion Plan, 2022
Download
2022 UHC PPO Companion Plan OOA SBC
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, UHC PPO - Companion Plan, 2022
Download
2022 UHC PPO Companion Plan Outside of CA MedRx 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 CA PPO - Out of Area, 2022
Download
2022 USD Enrollment Form (Fillable)
SF Unified School District Employees, 2022
Download
2022 VSP EOC Active
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, VSP Vision, 2022
Download
2022 VSP EOC Retirees
Retirees, Retirees with Medicare, Retirees without Medicare, VSP Vision, 2022
Download
2022 VSP SOB Active
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, VSP Vision, 2022
Download