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 |
Download | |
| 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 |
Download | |
| 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 |
Download | |
| 2024 P&A Group Flexible Spending Account Claim Form City & County of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, 2024 |
Download | |
| 2024 Vision Service Plan (VSP) Retiree Evidence of Coverage Retirees, VSP Vision, 2024 |
Download | |
| 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 |
Download | |
| 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 |
Download | |
| 2024 Delta Dental PPO Retiree Summary of Dental Benefits and Coverage Disclosure Retirees, 2024 |
Download |