Plan Documents

 
Title Date Sort ascending
2019 Summary of Benefits (SOB) - UHC Medicare Advantage PPO Part B Only
Retirees, UnitedHealthcare, UHC Medicare Advantage PPO, 2019
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2020 Evidence of Coverage (EOC) UHC City Plan PPO Medicare-Eligible but Not Enrolled in Medicare (non-California)
Retirees, UHC PPO (pre 2022), 2020
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2020 Evidence of Coverage (EOC) - UHC City Plan PPO for Medicare-Eligible but Not Enrolled in Medicare (California)
Retirees, UnitedHealthcare, UHC PPO (pre 2022), 2020
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2020 Evidence of Coverage (EOC) - UHC PPO (City Plan)
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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2020 Evidence of Coverage (EOC) - UHC PPO (City Plan) for Actively-employed (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 Evidence of Coverage (EOC) Trio HMO (Blue Shield of California)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, Blue Shield of California HMO, Trio HMO, 2019
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2019 Evidence of Coverage (EOC) Access+ HMO (Blue Shield of California)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Superior Court of SF Employees, Blue Shield of California HMO, Access+ HMO, 2019
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2019 Evidence of Coverage (EOC) - Delta Dental PPO for Retirees
Retirees, 2019
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