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Click ‘Get Form’ to open it in the editor.
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.
Review the sections regarding COBRA continuation coverage carefully. Pay special attention to the eligibility criteria outlined in Attachment A.
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.
To qualify for the premium reduction, fill out Attachment C accurately and ensure it is submitted alongside Attachment B.
Once completed, utilize our platform’s features to save or print your forms before mailing them to your former employer.

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What is the 5 year rule for CalPERS?

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 .

What is the average CalPERS monthly pension?

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 many years do you have to work for CalPERS to retire?

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

How do I contact CalPERS health benefits?

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.

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

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What is the 5 year rule for CalPERS?

What is the average CalPERS monthly pension?

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

Here's how it works

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

Complete this form in 5 minutes or less

Got questions?

What is the 5 year rule for CalPERS?

What is the average CalPERS monthly pension?

How many years do you have to work for CalPERS to retire?

How do I contact CalPERS health benefits?

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