Plan Documents

 
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2025 Blue Shield Trio HMO - Summary of Benefits & Coverage - Actives and Early Retirees
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, Trio HMO, 2025
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2025 Blue Shield Trio HMO - Summary of Benefits - (Actives and Non-Medicare Retirees)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, Trio HMO, 2025
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2026 - Blue Shield Access+ HMO - Evidence of Coverage - Actives and Non-Medicare Retirees
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, Access+ HMO, 2026
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2026 - Blue Shield Access+ HMO - Summary of Benefits & Coverage - Actives and Non-Medicare Retirees
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Access+ HMO, 2026
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2026 - Blue Shield Access+ HMO - Summary of Benefits - Actives and Non-Medicare Retirees
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, Access+ HMO, 2026
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2025 UnitedHealthcare Dental DHMO Active Evidence of Coverage
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2025
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2025 P&A Flexible Spending Account Booklet/Brochure with Forms
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2025
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PDF FILE Medical Plan
City & County of SF Employees, Health Net CanopyCare HMO, 2024
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