Ethics Commission
City and County of San Francisco

City Officer: Lee, Edwin – Mayor – Filed: August 7, 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

August 7, 2013


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



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