Plan Documents

 
Title Date Sort ascending
2019 Form United Healthcare City Plan Mail-In Prescription
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 PPO, UHC City Plan PPO, 2019, 2018
December 5, 2018 Download
2019 Form - UHC Medicare Advantage PPO Prescription Claims
Retirees, UnitedHealthcare PPO, UHC City Plan PPO, 2019, 2018
December 5, 2018 Download
2019 Form - UHC PPO (City Plan) - Foreign Claims
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 PPO, UHC City Plan PPO, 2019, 2018
December 5, 2018 Download
2019 Flyer Aetna Long-Term Disability Insurance Summary
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019
December 5, 2018 Download
2019 City & County of San Francisco Premium Rates
City & County of SF Employees, Blue Shield of California HMO, Kaiser Permanente HMO - Multi-Region, UHC City Plan PPO, 2019
December 4, 2018 Download
2019 Summary SFHSS Adoption Surrogacy Plan
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2022, 2021, 2020, 2019, 2018, 2017
December 3, 2018 Download
2019 City & County of San Francisco Benefits Guide
City & County of SF Employees, 2019
November 20, 2018 Download
2018 Form SFHSS Live or Work Rule Enrollment
City & County of SF Employees, Municipal Executive Employees, 2019, 2018
November 11, 2018 Download