Hbd 40 calpers 2025

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The document is an Affidavit of Parent-Child Relationship under California Code of Regulations section 599.500(o), which allows employees and annuitants to enroll children in a CalPERS-sponsored health plan if they assume a parental role. It outlines the requirements for establishing this relationship, including responsibilities for care and support, and mandates annual certification until the child turns 26. The affidavit must be signed by the employee or annuitant, certifying the truthfulness of the information provided.

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Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (495 Votes)
2010	4.3 Satisfied (46 Votes)

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