Plan Documents
| Title Sort ascending | Date | |
|---|---|---|
| VSP Freedom to Choose Flyer 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, VSP Vision, 2022 |
Download | |
| Voya Critical Illness Insurance Flyer.pdf City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019 |
Download | |
| Voya Accident Insurance Flyer.pdf City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019 |
Download | |
| UHC’s Medicare Advantage fully-insured retiree rates and premium contributions for 2019 plan year 2018 |
Download | |
| UHC PPO (City Plan) - United States Claims Form 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 | |
| UHC PPO (City Plan) - Prescription Drug Plan Claims Form 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 | |
| UHC PPO (City Plan) - Prescription Claims Form 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 | |
| UHC PPO (City Plan) - Foreign Claims Form 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 |