Plan Documents
| Title | Date Sort ascending | |
|---|---|---|
| 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 |
Download | |
| 2023_HSS Section 125 Cafeteria Plan FINAL 2023 |
Download | |
| December 9, 2021 HSS Member Rules and Section 125 Cafeteria Plan Summary 2021 |
Download | |
| 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 |