Retiree Forms & Publications

View and/or print forms and publications for retirees and benefit recipients.

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Review 2021 plan year information for the PERACare plans available to active members. DO NOT refer to this booklet if you are looking for information on PERACare in retirement.

Review 2022 plan year information for the PERACare plans available to active members. DO NOT refer to this booklet if you are looking for information on PERACare in retirement.

 

Review this comparison of PERACare health care, dental, and vision plans for the 2022 plan year.

To be completed by a benefit recipient to cancel PERACare coverage at any time. All cancellations are effective the last day of the month and require 30-days written notice.

Change the named beneficiary on a retiree account by completing this form.

To be completed by children of deceased PERA members who are receiving a benefit contingent on their enrollment in an accredited school on a full-time basis.

Review the formulary (a list of covered drugs) for SilverScript in the plan year 2021.

 

To be completed by an eligible child who must provide certification within 30 days of the ending date of the spring term, indicating his or her intention to return to school on a full-time basis for the fall term in order to receive benefits during the summer months. This form must be completed by children of deceased PERA members who are receiving a benefit contingent on their enrollment in an accredited school on a full-time basis.

All PERA benefit recipients will want to know how a PERA benefit is affected by federal and Colorado state income tax laws. This brochure has information on both federal and state tax laws and includes the Withholding Preference Form to authorize or change withholding.

If you do not provide withholding instructions, federal law requires PERA to withhold federal income tax at a rate for a married individual claiming three allowances.

Information on special tax treatment for Safety Officers.

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