Ethics Commission
City and County of San Francisco

City Officer: Board of Supervisors – Filed: August 3, 2012 – Contractor: Delta Dental of California (Delta Dental PPO Active Self Insured and Retiree PPO fully insured, and DeltaCare DHMO)

Nature of Contract

Dental Benefits

Date Contract Approved

July 31, 2012



Delta Dental PPO – Policy Number 1673 – Retirees $10,766,513.00

Delta Dental PPO – Policy 9502 – Actives: (Self-funded Claims + Admin.) $41,675,275.00

DeltaCare USA – DHMO Policy #01797 – DeltaCare: $962,106.00


Download Form Download Yyyymmdd_20120803_126_Board_of_Supervisors_Delta_Dental_of_California_Delta_Dental_PPO_Redacted

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