Plan Documents

 
Title Date Sort ascending
2025 • Kaiser California - Traditional Plan HMO Combined Summary of Benefits and Disclosure Form (Active- NorCal & SoCal Region)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, Kaiser Permanente HMO - California, 2025
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2025 Kaiser California - Traditional Plan HMO Combined Summary of Benefits and Disclosure Form (Non-Medicare Retiree-NorCal Region)
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2025
Download
2025 The Hartford Group Employer Life Insurance Enrollment and Beneficiary Designation Form
2025
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2025 The Hartford Employer-Paid Long-Term Disability Flyer
2025
Download
2025 The Hartford Employer-Paid Long-Term Disability Insurance Flyer
2025
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2025 The Hartford Life Insurance Beneficiary Designation Form
2025
Download
2025 UnitedHealthcare Dental DHMO Retiree Summary of Benefits
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2025
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2024/2025 SFHSS Life Insurance Beneficiary Election/Designation Form
2025
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