Plan Documents
| Title | Date Sort ascending | |
|---|---|---|
| 2019 Summary of Benefits (SOB) Kaiser Permanente HMO - Active Employees City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, Kaiser Permanente HMO - Multi-Region, 2019 |
Download | |
| 2020 Summary of Benefits and Coverage (SBC) UHC City Plan PPO Medicare-Eligible but Not Enrolled in Medicare (California) Retirees, UnitedHealthcare, UHC PPO (pre 2022), 2020 |
Download | |
| 2020 Summary of Benefits and Coverage (SBC) UHC City Plan PPO Medicare-Eligible but Not Enrolled in Medicare (non-California) Retirees, Kaiser Permanente HMO, UHC PPO (pre 2022), 2020 |
Download | |
| 2019 Summary of Benefits (SOB) UnitedHealthcare Dental DHMO - Actively-employed City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019 |
Download | |
| 2020 Summary of Benefits and Coverage (SBC) - 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, Superior Court of SF Employees, UnitedHealthcare, UHC PPO (pre 2022), 2020 |
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| 2020 Summary of Benefits and Coverage (SBC) - UHC PPO (City Plan) for Actively-enrolled (non-California) City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, UnitedHealthcare, UHC PPO (pre 2022), 2020 |
Download | |
| 2019 Summary of Benefits (SOB) UnitedHealthcare Dental DHMO - Retirees Retirees, 2019 |
Download | |
| 2019 Evidence of Coverage (EOC) UnitedHealthcare Dental DHMO - Actively-employed City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019 |
Download |