Plan Documents

 
Title Date Sort ascending
2024 UHC Select Plus/Choice Plus Non-Medicare PPO Summary of Plan Description (SPD)
Retirees without Medicare, 2024
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2024 UHC Select Network EPO Summary of Plan Description (SPD)
Retirees with Medicare, UHC Select Network EPO, 2024
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2024 UHC Doctors Plan EPO Summary of Plan Description (SPD)
Retirees with Medicare, UHC Doctors Plan EPO, 2024
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2024 KPMR Flyer (CA, HI, NW, and WA) Plan Comparison (RMED & RNMED)
Retirees, Retirees with Medicare, Retirees without Medicare, Kaiser Permanente Senior Advantage HMO - California, Kaiser Permanente Senior Advantage HMO - Multi-Region, 2024
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2023 SFHSS Trio HMO EOC_w_Endorsement
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Retirees without Medicare, Superior Court of SF Employees, Blue Shield of California HMO, Trio HMO, 2023
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2023 SFHSS Access+ HMO EOC_w_Endorsement
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, Retirees without Medicare, Superior Court of SF Employees, Blue Shield of California HMO, Access+ HMO, 2023
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2024 UHC MAPD PPO Provider Access Information
Retirees, Retirees with Medicare, 2024
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2024 Certification of Federal Tax Dependent Status Declaration Form (Domestic Partner or Child)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Retirees, 2024, 2023
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