Plan Documents
Title | Date Sort ascending | |
---|---|---|
2019 Summary of Benefits (SOB) Kaiser Hawaii (Non-Medicare) City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Getting Ready to Retiree, Retirees without Medicare, Superior Court of SF Employees, Kaiser Permanente HMO, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2019 |
Download | |
2020 Evidence of Coverage (EOC) - UHC PPO (City Plan) (Outside of Continental United States) 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, UnitedHealthcare, UHC PPO (pre 2022), 2020 |
Download | |
Surrogacy and Adoption Reimbursement Form City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2022, 2021, 2020, 2019 |
Download | |
2019 Rates for Retirees without Medicare Retirees, Getting Ready to Retiree, Retirees without Medicare, 2019 |
Download | |
2019 Rates for Retirees with Medicare Retirees, Getting Ready to Retiree, Retirees with Medicare, 2019 |
Download | |
2019 Delta Dental PPO SmileWay Flyer for Retirees City & County of SF Employees, Municipal Executive Employees, Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, 2019 |
Download | |
2019 Delta Dental PPO SmileWay Flyer for Active Employees City & County of SF Employees, Municipal Executive Employees, Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, 2019 |
Download | |
2019 Evidence of Coverage (EOC) Kaiser Permanente Senior Advantage HMO Washington (Medicare) Retirees, Getting Ready to Retiree, Retirees with Medicare, Kaiser Permanente HMO, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2019 |
Download |