Plan Documents

 
Title Date Sort descending
CSF & Superior Court Benefits Booklet
City & County of SF Employees, Superior Court of SF Employees, 2021
Download
2021 Summary of Material Modification to 2021 Kaiser Permanente HMO -EOC (California)
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, Kaiser Permanente HMO, 2021
Download
SFUSD Open Enrollment Form
SF Unified School District Employees, 2021
Download
CSF & Superior Court Open Enrollment Application Form
City & County of SF Employees, Superior Court of SF Employees, 2021
Download
City College of San Francisco Open Enrollment Application Form
City College of SF Employees, 2021
Download
Retiree without Medicare Open Enrollment Application Form
Retirees, Retirees without Medicare, 2022
Download
Retiree with Medicare Open Enrollment Application Form
Retirees, Retirees with Medicare, 2022
Download
2022 DeltaCare EOC Actives
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2022
Download