Form CALHR695 Retiree Vision Plan Enrollment - California

Form CALHR695 Retiree Vision Plan Enrollment - California

What Is Form CALHR695?

This is a legal form that was released by the California Department of Human Resources - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is CALHR695?
A: CALHR695 is the form for enrolling in the Retiree Vision Plan in California.

Q: Who is eligible to enroll in the Retiree Vision Plan?
A: Retirees in California who meet the eligibility criteria can enroll in the Retiree Vision Plan.

Q: What is the purpose of the Retiree Vision Plan?
A: The Retiree Vision Plan provides vision benefits to retired individuals in California.

Q: How can I obtain CALHR695?
A: You can obtain the CALHR695 form for enrolling in the Retiree Vision Plan from the California Human Resources (CALHR) department.

Q: What information is required on CALHR695?
A: CALHR695 requires personal information, retiree status details, and choice of vision plan options.

Q: Are there any deadlines for submitting CALHR695?
A: It is advisable to submit CALHR695 within the specified timeframe mentioned on the form or as instructed by CALHR.

Q: Can I make changes to my Retiree Vision Plan after enrollment?
A: You may have limited options to make changes to your Retiree Vision Plan after enrollment. However, it is best to contact CALHR for specific details.

Q: Is there a cost associated with the Retiree Vision Plan?
A: There may be a monthly premium or cost associated with the Retiree Vision Plan. The exact amount depends on the chosen vision plan and the retiree's eligibility.

Q: What if I have more questions about CALHR695 or the Retiree Vision Plan?
A: For any additional questions or clarifications, it is recommended to contact the California Human Resources (CALHR) department.

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Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the California Department of Human Resources;
  • 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 CALHR695 by clicking the link below or browse more documents and templates provided by the California Department of Human Resources.

Download Form CALHR695 Retiree Vision Plan Enrollment - California

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