Plan Documents

 
Title Sort ascending Date
2021 UHC Dental DHMO for Actives - Evidence of Coverage (EOC)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2021
Download
2021 UHC City Plan Active and Early Retirees (Outside of U.S.) - 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, UHC PPO (pre 2022), 2021
Download
2021 UHC City Plan Active and Early Retiree Outside of CA - 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, UHC PPO (pre 2022), 2021
Download
2021 UHC City Plan Active and Early Retiree Outside of CA - 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, UHC PPO (pre 2022), 2021
Download
2021 UHC City Plan Active and Early Retiree Outside of CA - 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, UHC PPO (pre 2022), 2021
Download
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 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
Download