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 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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  • Instructions for Form HBD-30 Health Benefits Plan Enrollment for Retirees and Survivors - California, Page 1
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