Form HBD-12 Health Benefits Plan Enrollment for Active Employees - California

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Instructions for Form HBD-12 Health Benefits Plan Enrollment for Active Employees - California

What Is Form HBD-12?

This is a legal form that was released by the California Public Employees' Retirement System - a government authority operating within California. Check the official instructions before completing and submitting the form.

Form Details:

• Released on June 1, 2020;
• The latest edition provided by the California Public Employees' Retirement System;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form HBD-12 by clicking the link below or browse more documents and templates provided by the California Public Employees' Retirement System.