Plan Documents

 
Title Date Sort ascending
2024 UHC Choice Plus Medicare-Eligible Not Enrolled Summary of Benefits (Outside of CA)
Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, UnitedHealthcare, UHC Medicare Advantage PPO, UHC PPO - Companion Plan, 2024
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2024 UHC Select Plus and Choice Plus Medicare-Eligible Not Enrolled Summary Plan Description
Retirees, Getting Ready to Retiree, Retirees with Medicare, Retirees without Medicare, UHC Medicare Advantage PPO, UHC PPO - Companion Plan, 2024
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2025 Commissioner Health Benefits Enrollment Application Fillable Form
City & County of SF Employees, Health Net CanopyCare HMO, Blue Shield of California, Access+ HMO, Trio HMO, Blue Shield of California PPO, Kaiser Permanente HMO, VSP Vision, 2025
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2024 P&A Group Flexible Spending Account Claim Form
City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2024
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2024 Vision Service Plan (VSP) Retiree Evidence of Coverage
Retirees, VSP Vision, 2024
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2024 Vision Service Plan (VSP) Active Evidence of Coverage
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, VSP Vision, 2024
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2024 Vision Service Plan (VSP) Active CVC/VDT Summary of Benefits
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, VSP Vision, 2024
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2024 Delta Dental PPO Retiree Summary of Dental Benefits and Coverage Disclosure
Retirees, 2024
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