Get the free CalPERS Zip Code Election Form

Benefits Officer. If I am a working retiree I need to mail this Election to CalPERS at the address listed below CalPERS My Name Please print Signature Date Signed HBD-109 10/23/01. Open Enrollment - Effective Date January 1 C Health Benefit Services Division P. O. Box 942714 Sacramento CA 94229-2714 Telecommunications Device for the Deaf - 916 326-3240 Toll Free 800 237-3345 Fax 916 326-3935 EMPLOYER ZIP CODE ELECTION I am employed by Name of Employer My employer s address is Street Address...

How to fill out calpers zip code election

How to fill out calpers zip code election

1. Begin by obtaining the necessary forms for the CALPERS zip code election. These forms can typically be found on the CALPERS website or by contacting their customer service.
2. Fill in your personal information such as your name, address, and member ID on the designated sections of the form.
3. Locate the section on the form that is specifically for the zip code election. This section may require you to provide your current zip code and the zip code you wish to change it to.
4. Follow the instructions on the form to properly complete the zip code election section. This may include signing and dating the form.
5. Once you have filled out all the required sections of the form, review it carefully to ensure all information is accurate and complete.
6. Submit the completed form to CALPERS as instructed. This may involve mailing the form to a specific address or submitting it electronically through their online portal.
7. Wait for confirmation from CALPERS regarding the status of your zip code election. They will typically notify you of any changes or updates through mail or email.
8. Keep a copy of the completed form for your records in case there are any discrepancies or issues in the future.

Who needs calpers zip code election?

1. Any member of CALPERS who wishes to change their zip code on record needs to go through the CALPERS zip code election process.
2. This may be necessary if you have moved to a new address and want to update your zip code for accurate correspondence and communication.
3. Additionally, individuals who relocate to a different county or state may need to update their zip code with CALPERS to ensure they receive the appropriate benefits and services based on their new location.
4. It is important to note that not all members may need to go through the zip code election process. If you are unsure whether this applies to you, it is recommended to reach out to CALPERS directly for guidance and support.

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What is calpers zip code election?

CalPERS zip code election is the process by which members who relocate to a new zip code within California may elect to maintain the same benefit formula they had at their former residence.

Who is required to file calpers zip code election?

Members of CalPERS who have relocated to a new zip code within California are required to file a zip code election.

How to fill out calpers zip code election?

Members can fill out the CalPERS zip code election form online through their member account or by contacting CalPERS directly for assistance.

What is the purpose of calpers zip code election?

The purpose of the CalPERS zip code election is to ensure that members maintain the same benefit formula they had at their former residence when they relocate to a new zip code within California.

What information must be reported on calpers zip code election?

Members must report their new zip code and confirm their desire to maintain the same benefit formula they had at their former residence.