Plan Documents

 
Title Date Sort ascending
2025 VSP Summary of Benefits - CVC Only
City & County of SF Employees, 2025
Download
2025 VSP Lightcare Flyer
2025
Download
2025 VSP Evidence of Coverage
City & County of SF Employees, 2025
Download
2025 Delta Dental DeltaCare Summary of Benefits and Copayments
City & County of SF Employees, 2025
Download
2025 Summary of Dental Benefits and Coverage Disclosure Matrix (SDBC)
City & County of SF Employees, 2025
Download
2025 DeltaCare EOC and Disclosure Form
City & County of SF Employees, 2025
Download
2025 Blue Shield of CA PPO-20 Summary of Benefits & Coverage - Enhanced RX(Retiree-Medicare Eligible Not Enrolled)
2025
Download
2025 Blue Shield PPO - Summary of Benefits with RX
Blue Shield of California PPO 20, 2025
Download