Plan Documents

 
Title Sort ascending Date
HIPAA Request Restrictions
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2020
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HIPAA Request for Amendment to Health Information
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2020
Download
HIPAA Request Accounting of Disclosures
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2020
Download
HIPAA Complaint of Violation
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2020
Download
HIPAA Authorization to Disclosure Protected Health Information to Family Members
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2020
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HIPAA Authorization for Use and Disclosure of Protected Health Information
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, 2020
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Healthcare Delivery System Consolidation Pricing Impacts
2018
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Group Life Insurance Transit Workers
City & County of SF Employees, 2022
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