Plan Documents

 
Title Sort ascending Date
2024 Retiree Rate Sheets
Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Health Net CanopyCare HMO, Blue Shield of California HMO, Access+ HMO, Trio HMO, Blue Shield of California PPO, Blue Shield of California PPO 20, Blue Shield of CA PPO - Out of Area, Kaiser Permanente HMO, Kaiser Permanente HMO - California, Kaiser Permanente HMO - Multi-Region, Kaiser Permanente Senior Advantage HMO - California, Kaiser Permanente Senior Advantage HMO - Multi-Region, UnitedHealthcare, UHC Medicare Advantage PPO, UHC PPO - Companion Plan, UHC Doctors Plan EPO, UHC Select Network EPO, VSP Vision, 2024
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2024 KPMR Flyer (CA, HI, NW, and WA) Plan Comparison (RMED & RNMED)
Retirees, Retirees with Medicare, Retirees without Medicare, Kaiser Permanente Senior Advantage HMO - California, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2024
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2024 City College of San Francisco Rate Sheets
City College of SF Employees, Health Net CanopyCare HMO, Blue Shield of California HMO, Access+ HMO, Trio HMO, Blue Shield of California PPO, Kaiser Permanente HMO, Kaiser Permanente HMO - California, VSP Vision, 2024
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2024 City and County of San Francisco, Superior Court of SF & MEA Rate Sheets
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, Health Net CanopyCare HMO, Blue Shield of California HMO, Access+ HMO, Trio HMO, Blue Shield of California PPO, Blue Shield of CA PPO - Out of Area, Kaiser Permanente HMO, Kaiser Permanente HMO - California, Kaiser Permanente HMO - Multi-Region, VSP Vision, 2024
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2024 Certification of Federal Tax Dependent Status Declaration Form (Domestic Partner or Child)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, 2024, 2023
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2023_SFHSS Rules FINAL
2023, 2020
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2023_SFHSS Rules FINAL
2023
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2023_HSS Section 125 Cafeteria Plan FINAL
2023
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