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888 CalPERS (or 8882257377) TTY: (877) 2497442 Fax: (800) 9596545 www.calpers.ca.govCalifornia Public Employees Retirement System P.O. Box 942715, Sacramento, CA 942292715California Public Employees Retirement System[Month DD, YYYY]First Name and Last Name Address City, State Zip CodeCalPERS ID: xxxxxxxxxx Dear [Recipient], Were contacting you because were missing a Social Security Number for your health dependent, [First, Last]. The Affordable Care Act requires a Social

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