Ethics Commission
City and County of San Francisco

City Officer: Board of Supervisors – Filed: August 2, 2013 – 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 30, 2013

Amount

Amount
of contract estimated for CY 2014: $57,266,493.00*

Delta
Dental PPO – Policy #1673 – Retirees $11,215,907.00

Delta
Dental PPO – Policy #9502 – Actives: (Self-funded Claims + Admin.)
$45,032,742.00

DeltaCare
USA – DHMO Policy #01797 – DeltaCare: $1,017,844.00

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