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CP. O. Box 942714 Sacramento, CA 942292714 888 Callers (8882257377) TDD (916) 7953240 www.calpers.ca.govDate: Reference No.: Circular Letter No.: Distribution:Circular LetterSpecial:December 12, 200860006108PEMHCA
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Step 1: Gather all the necessary information and documents required to fill out the PEMHCA employers form.
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Step 2: Start by providing the basic details of the employer, such as their name, address, and contact information.
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Step 3: Specify the number of employees covered by the PEMHCA employer plan.
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Step 4: Fill out the enrollment information, including the effective date and any coverage changes.
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Step 5: Provide details about the employees, such as their names, Social Security numbers, and dependent coverage information.
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Step 6: Review the completed form for accuracy and make any necessary revisions.
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Step 7: Submit the filled-out PEMHCA employers form according to the specified instructions.

Who needs pemhca employers?

01
Employers who provide health coverage to their employees and qualify for the Public Employees' Medical and Hospital Care Act (PEMHCA) should fill out the PEMHCA employers form.
02
Public employers, including state agencies, cities, counties, special districts, and public schools, are typically required to offer health coverage through PEMHCA.
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PEMHCA also covers employees of certain nonprofit organizations, such as certain hospitals and clinics affiliated with public entities.
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If you are unsure whether you qualify or not, it is recommended to consult with a qualified professional or refer to the official guidelines provided by the state or relevant authority.
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PEMHCA stands for Public Employees' Medical and Hospital Care Act. PEMHCA employers are public agencies that provide health benefits to their employees.
PEMHCA employers are required to file reports with the California Public Employees' Retirement System (CalPERS).
Employers must complete and submit the required PEMHCA forms provided by CalPERS, including employee information and benefit contributions.
The purpose of PEMHCA employers is to ensure that public employees have access to medical and hospital care benefits.
Employers must report employee names, social security numbers, coverage details, and contribution amounts.
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