California Public Employees' Retirement System P.O. Box 942714 Sacramento, CA 94229-2714 HEALTH BENEFIT PLAN ENROLLMENT FORM DO NOT SEND MEDICAL CLAIMS TO THIS ADDRESS PERS-HBD-12 (Rev.8/10) PLEASE.

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How many hours do you need to be eligible for CalPERS?

To become eligible, you must receive credit for a minimum of 480 paid hours at the end of a control period. To continue your eligibility, you must either: Be credited with at least 480 paid hours at the end of each control period. Have at least 960 hours in two consecutive control periods (current and prior)

To become eligible, you must receive credit for a minimum of 480 paid hours at the end of a control period. To continue your eligibility, you must either: Be credited with at least 480 paid hours at the end of each control period. Have at least 960 hours in two consecutive control periods (current and prior)

Permanent-intermittent employees are eligible for health benefits after being credited with a minimum of 480 paid hours at the end of a six-month control period. The State pays a portion of your premium, referred to as the employer contribution.

Once you retire, CalPERS becomes your health benefits officer. You can change your health plan and add/delete dependents during Open Enrollment in the fall (or within 60 days of a qualifying status change). Your health premiums are deducted from your retirement pay.

Permanent-intermittent employees are eligible for health benefits after being credited with a minimum of 480 paid hours at the end of a six-month control period. The State pays a portion of your premium, referred to as the employer contribution.

Health insurance in California While health insurance isn't required by state law, federal law requires employers with 50 or more full-time equivalent employees (FTEs) to provide insurance with minimum essential coverage (MEC). Offering health benefits to your employees is a great way to attract and retain top talent.

Eligibility Requirements: Conditions that must be met in order for an individual or group to be considered eligible for insurance coverage.

1 The eligibility ZIP code is used to determine the health plans in which you are eligible to enroll. If you are an active employee, you may choose either your residential or current work address ZIP code to establish eligibility.

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