Plan Documents

 
Title Date Sort ascending
2022 City of San Francisco & Superior Court Enrollment Form (Fillable)
City & County of SF Employees, Superior Court of SF Employees, 2022
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2022 Health Net CanopyCare EOC
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, Health Net CanopyCare HMO, 2022
Download
UHC At-Home Testing Flyer
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, UHC PPO - Companion Plan, 2022
Download
UHC Home Test Reimbursement Form
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, UHC PPO - Companion Plan, 2022
Download
Kaiser At Home Covid Test Kits Flyer
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, 2022
Download
Delta Dental PPO Actives and Retiree Plan Comparison Flyer
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, 2022
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2023_HSS Section 125 Cafeteria Plan FINAL
2023
Download
December 9, 2021 HSS Member Rules and Section 125 Cafeteria Plan Summary
2021
Download