Get the free PERACare Enrollment/Change Form Pre-Medicare Coverage ... - coloradomesa
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PERACare Enrollment/Change Form Pre-Medicare Coverage Colorado Public Employees Retirement Association PO Box 5800 Denver Colorado 80217-5800 303-832-9550 or 1-800-759-7372 PERA Fax 303-863-3727 www. F this date is not your retirement effective date a Certification of Previous Health Care Coverage form may be required. I See the PERACare Enrollment Eligibility Chart in the PERACare Health Benefits Program Pre-Medicare Coverage booklet. If you are...
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