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Percale Enrollment/Change Form Combination Premedicate and Medicare Coverage Colorado Public Employees Retirement Association PO Box 5800 Denver, Colorado 80217-5800 303-832-9550 or 1-800-759-7372
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What is peracare colorado form?
The peracare colorado form is a form used to report certain information about health care coverage offered by public employers in Colorado.
Who is required to file peracare colorado form?
Public employers in Colorado who offer health care coverage are required to file the peracare colorado form.
How to fill out peracare colorado form?
To fill out the peracare colorado form, you need to provide information regarding the health care coverage offered, including the number of covered employees, the type of coverage, and the premiums.
What is the purpose of peracare colorado form?
The purpose of the peracare colorado form is to collect data on public employer-sponsored health care coverage in Colorado.
What information must be reported on peracare colorado form?
The peracare colorado form requires information such as the number of covered employees, the type of coverage offered, the premiums charged, and the amount of employer contributions.
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