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This document provides the Evidence of Coverage for the PERSCare Basic Plan, detailing the benefits, copayments, coinsurance, and various provisions effective from January 1, 2014, to December 31,
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How to fill out PERSCare Basic Plan

01
Obtain a copy of the PERSCare Basic Plan application form.
02
Ensure you have your personal information ready, including your Social Security number.
03
Fill out the sections for personal details like name, address, and contact information.
04
Provide your employment information, including your employer's name and address.
05
Select your coverage options as specified in the plan details.
06
Review the eligibility requirements and ensure you meet them.
07
Sign and date the application form.
08
Submit the completed form to the appropriate PERSCare office by the specified deadline.

Who needs PERSCare Basic Plan?

01
Public employees who are members of the Public Employees' Retirement System (PERS).
02
Employees looking for affordable health care coverage.
03
Individuals seeking comprehensive medical and prescription drugs coverage.
04
Retirees of public employment considering health benefits.
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PERSCare Basic Plan is a health insurance plan provided by the Public Employees' Retirement System (PERS) designed for eligible public employees and retirees, offering a range of medical benefits.
Employees who are eligible public employees participating in the PERS system and those who wish to enroll or maintain their coverage must file the PERSCare Basic Plan.
To fill out the PERSCare Basic Plan, eligible individuals must complete the application forms provided by the PERS, ensuring all personal and eligibility information is accurately entered.
The purpose of the PERSCare Basic Plan is to provide comprehensive health benefits to public employees and their families, ensuring access to necessary medical care and supporting overall health.
The information that must be reported on the PERSCare Basic Plan includes personal identification details, employment status, eligibility criteria, selected coverage options, and any dependents to be included in the plan.
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