Benefits Forms & Resources
Employee Health Benefits
2025 Decline Coverage Acknowledgment Form
2025 Active Employee Benefit Guide
2025 CalPERS Health Benefit Summary
2025 CalPERS Health Program Guide
CalPERS Medical Plan Enrollment Form (HBD12)
Instructions for CalPERS Medical Plan Enrollment Form (HBD12)
Affidavit of Parent-Child Relationship HBD-40
Medical Report for the CalPERS Disabled Dependent Benefit (HBD-34)