Los Angeles, CA Municipal Government Forms

Form Title	Agency	Topics
2014 Blue Shield Evidence of Coverage (EOC) Access+ HMO (Full)	Personnel Department
2014 Blue Shield Evidence of Coverage (EOC) Access+ HMO SaveNet (Narrow)	Personnel Department
2014 Blue Shield Evidence of Coverage (EOC) Shield Spectrum PPO	Personnel Department
2014 DeltaCare USA DHMO Evidence of Coverage (EOC)	Personnel Department
2014 Delta Preferred Option (PPO) Evidence of Coverage (EOC)	Personnel Department
2014 Delta Preventive Evidence of Coverage (EOC)	Personnel Department
2014 Kaiser Permanente Evidence of Coverage (EOC) for Civilian Employees	Personnel Department
2015 ANNUAL REPORT	Board of City Tourism Commissioners
2015 Kaiser Permanente Evidence of Coverage (EOC) for Civilian Employees	Personnel Department
2016 Cash-in-lieu Affidavit for Civilian Employees	Personnel Department
2016 Flex Benefits FAQs	Personnel Department
2016 Flex Open Enrollment Guide	Personnel Department
2016 Flex Open Enrollment Highlights	Personnel Department
2016 Group AD&D Insurance Certificate & Policy	Personnel Department
2016 Group Life Insurance Certificate & Policy	Personnel Department
2016 Group Long Term Disability Certificate & Policy	Personnel Department
2016 Group Short Term Disability Certificate & Policy	Personnel Department
2017 Anthem Full Network (CACare HMO) Evidence of Coverage (EOC)	Personnel Department
2017 Anthem Full Network (CACare HMO) Summary of Benefits and Coverage (SBC)	Personnel Department
2017 Anthem Narrow Network (Select HMO) Evidence of Coverage (EOC)	Personnel Department