Instructions for Form HBD-30 Health Benefits Plan Enrollment for Retirees and Survivors - California

Instructions for Form HBD-30 Health Benefits Plan Enrollment for Retirees and Survivors - California

This document contains official instructions for Form HBD-30 , Health Benefits Plan Enrollment for Retirees and Survivors - a form released and collected by the California Public Employees' Retirement System. An up-to-date fillable Form HBD-30 is available for download through this link.

FAQ

Q: What is Form HBD-30?A: Form HBD-30 is the Health Benefits Plan Enrollment form for retirees and survivors in California.

Q: Who can use Form HBD-30?A: Retirees and survivors in California can use Form HBD-30.

Q: What is the purpose of Form HBD-30?A: Form HBD-30 is used to enroll in a health benefits plan for retirees and survivors in California.

Q: Can I use Form HBD-30 to enroll in a health benefits plan if I am not a retiree or survivor?A: No, Form HBD-30 is specifically for retirees and survivors.

Q: Are there any fees for using Form HBD-30?A: No, there are no fees for using Form HBD-30.

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Instruction Details:

  • This 1-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below{class="scroll_to"} or browse hundreds of other forms in our library of forms released by the California Public Employees' Retirement System.

Download Instructions for Form HBD-30 Health Benefits Plan Enrollment for Retirees and Survivors - California

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