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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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What is calpers health benefit enrollment?
CalPERS health benefit enrollment is a process through which eligible employees enroll in health benefit plans offered by the California Public Employees' Retirement System (CalPERS).
Who is required to file calpers health benefit enrollment?
All eligible employees, retirees, and their eligible dependents are required to file CalPERS health benefit enrollment.
How to fill out calpers health benefit enrollment?
CalPERS health benefit enrollment can be filled out online through the CalPERS website or through the submission of paper forms.
What is the purpose of calpers health benefit enrollment?
The purpose of CalPERS health benefit enrollment is to provide eligible employees and retirees with access to health benefit plans offered by CalPERS.
What information must be reported on calpers health benefit enrollment?
The information that must be reported on CalPERS health benefit enrollment includes personal information, dependent information, plan selection, and any required supporting documentation.
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