Retiree Forms & Publications

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

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This booklet provides details about how PERACare works with Medicare for benefit recipients (and eligible dependents) who are turning age 65 and enrolling in Medicare for the 2021 plan year. This booklet includes the PERACare Enrollment/Change Form-Medicare Coverage and Medicare Card Submission Form.  

 

This booklet provides details about how PERACare works with Medicare for benefit recipients (and eligible dependents) who are turning age 65 and enrolling in Medicare for the 2022 plan year. This booklet includes the PERACare Enrollment/Change Form-Medicare Coverage and Medicare Card Submission Form.  

Read an explanation on the information that may be printed on a 1099-R for a benefit recipient under the PERA and DPS benefit structures.

Review this brochure to learn about the provisions for working after retirement and how they may affect your monthly PERA benefit. This booklet includes the necessary forms to be completed by the retiree.

Review this worksheet to learn how to electronically submit information on time worked after retirement for a PERA employer.

Learn about the provisions of working after retirement that affect retirees who work as an independent contractor or through an affiliated party.

Learn about the consequences of working for a PERA employer during the effective month of retirement.

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