Public employees retirement pcretm 2025

1. Click ‘Get Form’ to open the public employees retirement pcretm in the editor.
2. Begin by entering your personal information in the 'Your Information' section. Fill in your name, birthdate, daytime phone number, and email address. Indicate if you wish to sign up for electronic delivery of PERA information.
3. In the 'Certification' section, read the statements carefully and provide your signature along with the date to confirm your eligibility and agreement.
4. Specify your desired effective date for enrollment or changes in coverage. Ensure this aligns with your retirement effective date if applicable.
5. If adding dependents, complete the 'Dependent Enrollment Information' section by providing details for each dependent including their names, birthdates, and Social Security numbers.
6. Proceed to select your health plan in the 'Health Plan Selection' section. Choose one option from the provided list and indicate any necessary Primary Care Physician IDs if applicable.
7. Repeat similar steps for dental and vision plan selections as outlined in their respective sections, ensuring all required fields are completed accurately.

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