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Circular Letter 600-173-04 Form 700 - calpers ca

Circular Letter 600-173-04 Form 700 - calpers ca 2026

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The document is a Circular Letter from CalPERS detailing the 2004 Open Enrollment Period for health benefits, which runs from September 15 to October 15, 2004. It outlines key topics including the renewal of health plan contracts, regional pricing adjustments, benefit changes for 2005, and procedures for enrollment. The letter provides information on health plan premiums, eligibility based on ZIP codes, and resources available to members such as the Health Plan Chooser tool and Open Enrollment Packets. It emphasizes the importance of timely submissions for enrollment changes and includes contact information for further assistance.

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Click ‘Get Form’ to open the Circular Letter 600-173-04 Form 700 in the editor.
Begin by entering the 'Date' and 'Reference No.' at the top of the form. Ensure these fields are accurate as they are essential for processing.
In the 'Distribution' section, specify the recipients of this letter. This is crucial for ensuring that all relevant parties receive necessary information.
Proceed to fill out each part of the form, starting with Part I, which includes details about the Open Enrollment Period and health plan changes. Make sure to read through each point carefully.
For any sections requiring specific codes or dates, refer to the guidelines provided in the document. Input these accurately in their respective fields.
Once all sections are completed, review your entries for accuracy before saving or submitting your form through our platform.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do I get a tax form from CalPERS?

The average annual CalPERS pension for all retirees who retired with a service retirement is $42,516, which breaks down to more than $3,500 per month. Overall, 61.6% of all CalPERS service retirees receive $3,500 a month or less, while only 6.4% receive more than $9,000 per month.

How to get CalPERS statement?

There are basic requirements that you must meet to be eligible to enroll in a CalPERS health benefits: Work for an employer who has contracted with CalPERS to administer their health benefits program. Have a permanent or limited term appointment that will last more than six months and one day.

How do I get my retirement statement?

The 1099-R tax forms are mailed by the end of January each year and available to access and download online by logging in to myCalPERS.

Does CalPERS cover health insurance after retirement?

Log in to your myCalPERS account to access, view, download, and print your Health Plan Statement. Your Health Plan Statement provides customized health enrollment information. Use this guide to help you in understanding the information provided on your Health Plan Statement.