Plan Documents

 
Title Date Sort ascending
Domestic Partner Declaration Form (Fillable)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, Superior Court of SF Employees, 2023
Download
2023_SFHSS Rules FINAL
2023
Download
LTD Union 021, 022, 023 Etc. - 90 day Non-Contributory
City & County of SF Employees, 2023, 2022
Download
Group Life Insurance Superior Ct SEIU 1021 and Superior Ct Interpreters
Superior Court of SF Employees, 2024
Download
2022 Kaiser Medicare Chiropractic - Acupuncture and Silver&Fit EOC
Retirees, Retirees without Medicare, Kaiser Permanente Senior Advantage HMO - California, 2021
Download
2022 UHC Companion MENE Med_RX Choice Plus SOB
Retirees, UHC PPO - Companion Plan, 2021
Download
2022 UHC Companion Plan MENE_Choice Plus SBC
Retirees, UHC PPO - Companion Plan, 2021
Download
2022 UHC Companion MENE Med RX SOB Select Plus
Retirees, UHC PPO - Companion Plan, 2021
Download