Plan Documents

 
Title Date Sort ascending
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
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2019 Summary of Benefits (SOB) UnitedHealthcare Dental DHMO - Retirees
Retirees, 2019
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2019 Evidence of Coverage (EOC) UnitedHealthcare Dental DHMO - Actively-employed
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2019
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2019 Evidence of Coverage (EOC) UnitedHealthcare Dental DHMO - Retirees
Retirees, 2019
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2019 Summary of Benefits (SOB) Kaiser Permanente Senior Advantage HMO Washington (Medicare)
Retirees, Kaiser Permanente HMO, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2019
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2019 Summary of Benefits (SOB) - UHC Medicare Advantage PPO Part A&B
Retirees, UnitedHealthcare, UHC Medicare Advantage PPO, 2019
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2019 Summary of Benefits (SOB) Kaiser Washington (Non-Medicare)
Retirees, Kaiser Permanente HMO, Kaiser Permanente HMO - Multi-Region, 2019
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2019 Summary of Benefits and Coverage Kaiser Traditional Washington
Retirees, Kaiser Permanente HMO, Kaiser Permanente HMO - Multi-Region, 2019
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