Plan Documents

 
Title Date Sort ascending
2022 USD Enrollment Form (Fillable)
SF Unified School District Employees, 2022
Download
2022 Commissioner Enrollment Form (Fillable)
2022
Download
2022 MEA Enrollment Form (Fillable)
Municipal Executive Employees, 2022
Download
2022 City of San Francisco & Superior Court Enrollment Form (Fillable)
City & County of SF Employees, Superior Court of SF Employees, 2022
Download
2022 Health Net CanopyCare EOC
City & County of SF Employees, SF Unified School District Employees, City College of SF Employees, Municipal Executive Employees, Superior Court of SF Employees, Health Net CanopyCare HMO, 2022
Download
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