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This document outlines the benefits, coverage details, limitations, and important information regarding the PERS Gold Basic PPO Health Plan for the year 2025. It includes information on eligibility, benefits, member responsibilities, and instructions for accessing care.
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How to fill out pers gold basic ppo

01
Obtain the PERS Gold Basic PPO enrollment form from your employer or the PERS website.
02
Begin by filling out your personal information, including your full name, date of birth, and Social Security number.
03
Indicate your employment information, such as your job title and employer's name.
04
Review the plan options available to you and select the appropriate coverage level for your needs.
05
Provide information for any dependents you wish to enroll on the plan, including their names and dates of birth.
06
Complete the health questionnaire if required, detailing any pre-existing conditions or medical history.
07
Review your completed form for accuracy and ensure all required signatures are present.
08
Submit the form according to the instructions provided, either online, via mail, or in person.

Who needs pers gold basic ppo?

01
Individuals who are employed by the California Public Employees' Retirement System (PERS) and are eligible for health benefits.
02
Employees looking for comprehensive PPO health coverage options.
03
Retirees who want to maintain their health insurance benefits after leaving employment.
04
Dependents of PERS members who want to be added to the health insurance plan.
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The PERS Gold Basic PPO is a type of health insurance plan offered under the Public Employees Retirement System (PERS) that provides comprehensive coverage including medical, surgical, and hospital services for eligible retired public employees.
Individuals who are enrolled in the PERS Gold Basic PPO and are receiving retirement benefits must file the necessary documentation to maintain their health coverage.
To fill out the PERS Gold Basic PPO form, you need to provide personal details such as your name, retirement date, social security number, and any other required information specific to your coverage needs.
The purpose of the PERS Gold Basic PPO is to provide retired public employees with access to affordable healthcare services, ensuring they receive necessary medical attention post-retirement.
The information that must be reported includes personal identification details, coverage preferences, dependent information, and any changes in health status that may affect eligibility.
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