Get the free PERACare Program Cancellation Form - copera

This form allows members of the Colorado Public Employees' Retirement Association (PERA) to cancel their PERACare health coverage, dental coverage, and vision coverage. Members must submit the form

How to fill out peracare program cancellation form

How to fill out PERACare Program Cancellation Form

1. Download the PERACare Program Cancellation Form from the official website.
2. Fill in your personal information, including your name, address, and contact details.
3. Provide your PERACare Program membership number.
4. Indicate the reason for cancellation by checking the appropriate box or writing a brief explanation.
5. Sign and date the form to confirm that the information is accurate.
6. Submit the completed form via email or postal mail to the designated PERACare customer service address.

Who needs PERACare Program Cancellation Form?

1. Individuals currently enrolled in the PERACare Program who wish to terminate their membership.
2. Members who have experienced changes in their health care needs or financial situation.
3. Anyone who is relocating or no longer requires the services provided by the PERACare Program.

People Also Ask about

Is PERACare good?

PERACare plans offer generous benefits and broad networks of providers across the United States. The plans also cover only retirees, who tend to have more medical needs and use more services than the general population, resulting in higher plan costs.

How many years can you buy from PERA?

The total number of years you may purchase is limited to 10 years. When planning for retirement, active PERA members have the option to purchase service credit so that they may be able to do one or more of the following: » Receive a higher benefit amount. » Retire earlier.

Is PERACare a medicare advantage plan?

PERACare offers three Medicare Advantage plans that combine all of the benefits of Medicare Parts A and B with Part D prescription coverage into one comprehensive plan with easy to understand out-of-pocket costs.

Can you opt out of Pera retirement?

No. PERA is a defined benefit plan subject to both state and federal restrictions on participant access to the account until termination of public service.

Is PERACare good?

PERACare plans offer generous benefits and broad networks of providers across the United States. The plans also cover only retirees, who tend to have more medical needs and use more services than the general population, resulting in higher plan costs.

How does PERACare work?

PERACare is PERA's health benefits program that includes health care, dental, and vision insurance plans. Eligible participants may enroll in any or all three types of coverage, and will pay a monthly premium based on the plan(s) selected.

How does PERA care work?

PERACare is PERA's health benefits program that includes health care, dental, and vision insurance plans. Eligible participants may enroll in any or all three types of coverage, and will pay a monthly premium based on the plan(s) selected.

How much does PERA reduce social security?

If you've earned a Social Security benefit from other employment, you'll receive benefit payments from both PERA and Social Security in retirement. These are separate benefits and neither affects the other. Most PERA members do not contribute to Social Security while they are working for PERA employers.

Can I opt out of my retirement plan?

If you are no longer working for a PERA employer you can either leave your member account at PERA and qualify for a monthly lifetime benefit when you are retirement eligible, or you can refund/rollover your member account with a potential match.

For pdfFiller’s FAQs

What is PERACare Program Cancellation Form?

The PERACare Program Cancellation Form is a document used to formally request the cancellation of health insurance coverage provided under the PERACare program.

Who is required to file PERACare Program Cancellation Form?

Individuals who wish to terminate their enrollment in the PERACare health program are required to file the cancellation form.

How to fill out PERACare Program Cancellation Form?

To fill out the PERACare Program Cancellation Form, individuals should provide their personal information, details regarding their current enrollment, and the effective date of cancellation, and then sign and date the form.

What is the purpose of PERACare Program Cancellation Form?

The purpose of the PERACare Program Cancellation Form is to provide a formal process for individuals to end their health insurance coverage, ensuring proper documentation and processing.

What information must be reported on PERACare Program Cancellation Form?

The form must include personal identifiers such as the enroller's name, address, contact information, policy number, and the requested cancellation effective date.