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Health Benefits Plan Enrollment for Active Employees (HBD-12) Instructions. Page 1. State of California. California Public Employees Retirement System. .calpers.ca.gov.
Mar 10, 2003 Load the dumper: 1. Use only properly sizes waste containers: HBDs are designed to dump open-top containers. Container width should be at least
Health Benefits Plan Enrollment for Active Employees (
To enroll or decline enrollment in the CalPERS Health Program or to make changes to your health plan, you must submit an HBD-12 form to your Health. Benefits
Health Benefits Plan Enrollment Form for Active Employees
I ELECT TO ENROLL in (or MAKE CHANGES TO) a health benefits plan as indicated above and agree to authorize deductions from (1) my salary to cover my share.
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