Plan Documents

 
Title Date Sort ascending
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
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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
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LTD Union 021, 022, 023 Etc. - 90 day Non-Contributory
City & County of SF Employees, 2023, 2022
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Group Life Insurance Superior Ct SEIU 1021 and Superior Ct Interpreters
Superior Court of SF Employees, 2022
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2022 Kaiser Medicare Chiropractic - Acupuncture and Silver&Fit EOC
Retirees, Retirees without Medicare, Kaiser Permanente Senior Advantage HMO - California, 2021
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