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Anthem Blue Cross Callers Persuade Basic Plan Summary of Benefits and Coverage: What this Plan Covers & What it CostsCoverage Period: 01/01/2017 12/31/2017 Coverage for: Individual/Family Plan Type:
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How to fill out calpers perscare basic plan
How to fill out calpers perscare basic plan
01
Step 1: Obtain the CalPERS PersCare Basic Plan form from the CalPERS website or your employer's HR department.
02
Step 2: Fill out personal information such as your name, address, social security number, and contact details.
03
Step 3: Provide information about your dependents if applicable, including their names and social security numbers.
04
Step 4: Review the coverage options and choose the plan that best fits your needs.
05
Step 5: Indicate any additional coverage options you require, such as dental or vision coverage.
06
Step 6: Sign and date the form to certify the accuracy of the information provided.
07
Step 7: Submit the completed form to CalPERS or your employer's HR department for processing.
Who needs calpers perscare basic plan?
01
Employees of California public agencies who are eligible for CalPERS benefits.
02
Retirees of California public agencies who want to continue receiving healthcare coverage.
03
Dependents of eligible employees or retirees who require healthcare coverage.
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