Plan Documents

 
Title Date Sort ascending
2024 UHC Select Plus and Choice Plus Medicare-Eligible Not Enrolled Summary Plan Description
Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, UHC Medicare Advantage PPO, UHC PPO - Companion Plan, 2024
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2024 P&A Group Flexible Spending Account Claim Form
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2024
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2024 Kaiser Permanente Senior Advantage (HMO) Washington Medicare Retiree Evidence of Coverage
Retirees, Retirees with Medicare, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2024
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2024 Health Net Canopy Care HMO Summary of Benefits (SOB) (Active/Non-Medicare Retiree)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Retirees without Medicare, Superior Court of SF Employees, Health Net CanopyCare HMO, 2024
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2025 Blue Shield of CA PPO - Evidence of Coverage/Summary of Plan Description (EOC/SPD) (Active/Non-Medicare Retiree)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, Blue Shield of California PPO, 2025
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2024 Retiree Rate Sheets
Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Health Net CanopyCare HMO, Blue Shield of California, 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 San Francisco Unified School District Rate Sheets
SF Unified School District Employees, Health Net CanopyCare HMO, Blue Shield of California, Access+ HMO, Trio HMO, Blue Shield of California PPO, Kaiser Permanente HMO, VSP Vision, 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, Access+ HMO, Trio HMO, Blue Shield of California PPO, Kaiser Permanente HMO, Kaiser Permanente HMO - California, VSP Vision, 2024
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