Plan Documents

 
Title Sort ascending Date
CSF & Superior Court Open Enrollment Application Form
City & County of SF Employees, Superior Court of SF Employees, 2021
Download
CSF & Superior Court Benefits Booklet
City & County of SF Employees, Superior Court of SF Employees, 2021
Download
City Plan's 2017 Claim's Experience
2018
Download
City College of San Francisco Open Enrollment Application Form
City College of SF Employees, 2021
Download
CCSF Allstate Identity Protection Overview
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2021
Download
BSC RX Claim Form US and International
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, Blue Shield of California PPO, Blue Shield of California PPO 20, Blue Shield of CA PPO - Out of Area, 2024, 2023, 2022, 2021
Download
BSC International Medical Claim 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, Blue Shield of California HMO, Blue Shield of California PPO, Blue Shield of California PPO 20, Blue Shield of CA PPO - Out of Area, 2024, 2023, 2022, 2021
Download
Blue Shield Trio HMO Report
2018
Download