For enrollments effective in 2022. This form allows you to enroll in or change your PERACare coverage if you are Pre-Medicare. You may also complete the PERACare Pre-Medicare Enrollment/Change Form online in our secure area. (Requires a PERA PIN/User ID and password.)
For enrollments effective in 2022. This booklet provides details about PERACare, PERA's health benefits program, for benefit recipients (and eligible dependents) in Medicare. To enroll or change coverage, you will need to complete the PERACare Medicare Enrollment/Change Form.
For enrollments effective in 2022. This booklet provides details about PERACare, PERA's health benefits program, for benefit recipients (and eligible dependents) who are under age 65 and not in Medicare. To enroll or change coverage, you will need to complete the PERACare Pre-Medicare Enrollment/Change Form. (Unless you specify otherwise, this booklet will be included in your Retirement Kit.)
To be completed by benefit recipients enrolled in PERACare to request PERA to automatically withdraw PERACare premiums from your checking or savings account.
