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  • Calpers Health Benefit Enrollment Form

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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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The California Public Employees' Retirement System (CalPERS) administers health insurance coverage for state employees. Employees can choose from a broad range of health insurance plans. The state pays a portion of the premium.

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.

You can obtain the above publications and other information about your CalPERS health benefits through myCalPERS at my.calpers.ca.gov or by calling CalPERS at 888 CalPERS (or 888–225–7377).

The minimum retirement age for service retirement for most members is 50 years with five years of service credit. The more service credit you have, the higher your retirement benefits will be.

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.

Medicare (Hospital Insurance) coverage was extended to all those employees covered by a Section 218 Agreement on July 1, 1966. As of April 1, 1986, Medicare coverage became mandatory for state and local government employees hired (or rehired) after March 31, 1986.

We're also available by phone Monday through Friday from 8:00 a.m. to 5:00 p.m. at 888 CalPERS (or 888-225-7377).

To be eligible for the CalPERS Health Program, you must: Be appointed to a job that will last at least six months and one day. Work at least half time. Work for an employer who has contracted with CalPERS to administer their health benefits program.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232