C Office of Employer and Member Health Services - calpers ca 2026

Get Form
C Office of Employer and Member Health Services - calpers ca Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out C Office of Employer and Member Health Services - calpers ca

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out your personal information in the designated fields, including your name, address, city, state, and zip code. Ensure accuracy as this information is crucial for processing.
  3. Review the sections regarding COBRA continuation coverage carefully. Pay special attention to the eligibility criteria outlined in Attachment A.
  4. If you wish to elect COBRA coverage, complete Attachment B by providing all required details and submit it to your former employer within 60 days.
  5. To qualify for the premium reduction, fill out Attachment C accurately and ensure it is submitted alongside Attachment B.
  6. Once completed, utilize our platform’s features to save or print your forms before mailing them to your former employer.

Start using our platform today for free to streamline your form completion process!

be ready to get more

Complete this form in 5 minutes or less

Get form

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.
Contact us
To be eligible for service retirement, you must have at least five years of CalPERS-credited service and be at least age 50 or 52, depending on your retirement formula . If you have a combination of classic and PEPRA service, you may be eligible to retire at age 50 .
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.
five years Retirement Eligibility To be eligible for service retirement, you must have at least five years of CalPERS-credited service and be at least age 50, 52, or 55 depending on your retirement formula . If you have a combination of classic and PEPRA service, you may be eligible to retire at age 50 . Welcome to CalPERS: A Benefits Guide for State Members (PUB 4) CalPERS - CA.gov documents download CalPERS - CA.gov documents download
Or call us during business hours at 888 CalPERS (or 888-225-7377). Our business hours are Monday through Friday from 8:00 a.m. to 5:00 p.m. All CalPERS offices are closed on state holidays.