Plan Documents
| Title | Date Sort ascending | |
|---|---|---|
| 2021 Delta Dental PPO EOC 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, 2021 |
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| 2021 UHC Medicare Advantage MAPD EOC (B only) Retirees, Retirees with Medicare, UHC Medicare Advantage PPO, 2021 |
Download | |
| 2021 UHC Medicare Advantage MAPD EOC (A&B) Retirees with Medicare, UHC Medicare Advantage PPO, 2021 |
Download | |
| 2021 Trio HMO - Evidence of Coverage (EOC) 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, Trio HMO, 2021 |
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| 2021 Trio HMO - Summary of Benefits and Coverage (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, Trio HMO, 2021 |
Download | |
| 2021 Trio HMO - Summary of Benefits (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, Trio HMO, 2021 |
Download | |
| 2021 BSC Access+ HMO - Summary of Benefits & Coverage (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, Access+ HMO, 2021 |
Download | |
| 2021 BSC Access+ HMO - Evidence of Coverage (EOC) 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, Access+ HMO, 2021 |
Download |