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What is HBD 12?

Health Benefits Plan Enrollment for Active Employees (HBD-12) Instructions. Page 1. State of California. California Public Employees Retirement System. .calpers.ca.gov.

What is included in a health benefit plan?

California law says that many health insurance policies must cover essential health benefits which include services like diabetes supplies, maternity care, cancer screening, grandfathered health care, and substance abuse treatment.

Who completes the health and dental enrollment form?

All benefit-eligible employees should complete an enrollment form, whether the employee is electing or waiving the benefit.

Who is eligible for CalHR benefits?

Employees are eligible for health benefits if they have a permanent appointment or a limited-term appointment of more than six months (at least six months plus one day); and a time base of half-time or more.

What is the 6 month rule for CalPERS?

If you enter into employment with a reciprocal retirement system, the California State Teachers Retirement System (CalSTRS), the Judges Retirement System (JRS), the Judges Retirement System II (JRS II), or the Legislators Retirement System (LRS) within six months of leaving your CalPERS-covered employment, you are

What is CalPERS HBD 12?

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 Officer (HBO).

Is pers gold an hmo or ppo?

Health Plans Plan NameAdministratorOffers Medicare? PERS Gold (PPO) PERS Gold Basic Plan PERS Gold Supplement to Medicare Plan PERS Gold Medicare PDP Included Health Basic (855) 633-4436 TTY 711 Blue Shield of California Supplement to Medicare (800) 405-2127 TTY 711 Yes15 more rows Feb 13, 2025

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