The reference and health guides are designed to help you in your business and health transactions with CalPERS. We encourage you to make the applicable guides available to all staff who process enrollments or convey retirement and/or health benefit information.

Reference Guides

Health Benefits Guides

These guides provide simplified explanations for often complex laws. Should there be a conflict between the language in either the reference or health guides, and the California Public Employees' Retirement Law (PERL) or Public Employees’ Medical & Hospital Care Act (PEMHCA), the PERL and PEMHCA will prevail. If you have comments or suggestions for future editions of these guides, contact us.

*For questions regarding account codes, or requests for account code corrections, adjustments, and/or verifications contact the State Controller's Office retirement liaison at (916) 324-1471.

Revision History

You can view a summary of the revisions made to our guides by selecting the desired link below. For content that received substantive changes, a PDF link is also available in the summary. To stay informed about changes to CalPERS policies and procedures, review our Circular Letters or subscribe to the Employer Bulletin.

Topic/Summary Revision Date

Contact Information
Updated Health Plan Contact Information

Feb 2017

Health Enrollment Reason Codes
Corrected effective date method for COBRA

Sep 2016 (PDF)

The Public Agency & Schools Health Benefits Guide has been reorganized to align with the flow of the State Health Benefits Guide.

Health Benefits Officer - Roles and Responsibilities
Added responsibilities of the Health Benefits Officer

Health Plan Options
Updated Health Plan Availability

Health Eligibility Requirements
Updates for Employees, Retirees, Family Members/Dependents/Spouses, Domestic Partner, and Parent-Child Relationship

Health Enrollment
Updates to Active Employees – Electing or declining coverage and Retirees & Survivors - Electing, changing, or cancelling coverage

Direct Payment Authorization
Updates to Cancellation process and a new example for Resuming Coverage

Health Benefits into Retirement
Update to Eligibility and Health into Retirement Non-CalPERS

Medicare
Update to Medicare Enrollment after turning age 65

Aug 2016 (PDF)
Chapter/Summary Revision Date

Introduction
Added directions to the reference and health guide revision histories

Oct 2015 (PDF)

Contract Coverage Procedures
Updates to Public Agency Contract information with corresponding government codes

Feb 2016 (PDF)

Membership
Substantial update to the Service Credit Purchase Options topic

Oct 2016 (PDF)

Membership
Update to Election of Optional Membership section

Aug 2016 (PDF)

Compensation Review
Updated Compensation Limit and New Member Contribution Caps for 2017

Jan 2017 (PDF)

Compensation Review
Update to Requirements for a Publicly Available Pay Schedule

Aug 2016 (PDF)

Payroll Reporting Procedures
Updates to Transaction Types, Retired Annuitants, Earned Period Reports, and Payroll Reporting Extensions and Waivers

Aug 2016 (PDF)

Benefits Procedures
Updates to Death of an Active Member, Retirement - General, Disability Retirement or Industrial Disability Retirement, Reinstatement from Retirement, Death of a Retiree, and Forfeiture of Benefits topics

Nov 2016 (PDF)

Benefits Procedures
The Employment of a Retiree topic was extensively revised and updated.

Nov 2016 (PDF)

Web Services & Publications
Updated web links

Oct 2015

Education & Other Resources
Updates to the CalPERS Supplemental Income 457 Plan & California Employers' Retiree Benefit Trust (CERBT) Fund topics

Oct 2016 (PDF)

Appendix
Added examples of new Employer Resolutions No. 4 and No. 5

Oct 2016 (PDF)
Topic/Summary Revision Date

Contact Information
Updated Pharmacy Contact Information

Jan 2017

Health Plan Options
Update to Health Plan Availability

Health Eligibility Requirements
Update to active versus retired health eligibility in regards to Medicare and an update to Ineligible Family Members

Health Enrollment
Updates to events that qualify for special enrollment

Medicare
Update to Medicare Enrollment after turning age 65

Post-Retirement Health Vesting
Updated bargaining units that have a 25-year health vesting schedule

Survivor Benefits
Update to survivor health enrollment

Aug 2016 (PDF)

Summary of Benefits and Coverage & Uniform Glossary
Added new topic: Summary of Benefits and Coverage & Uniform Glossary

May 2016 (PDF)

Health Eligibility Requirements
Updated document requirements for newborns

Apr 2016 (PDF)
Chapter/Summary Revision Date

Introduction
Updated master Table of Contents

Jul 2013

General Membership Information
Update to Service Credit Purchase Options topic

Nov 2016 (PDF)

General Membership Information
Update to Election of Optional Membership section

Aug 2016 (PDF)

CSU-Only Membership
Added examples of PEPRA retirement formulas and eligibility rules for Temporary Faculty

Nov 2015 (PDF)

Pay Rate & Service Credit
Updated Compensation Limit and New Member Contribution Caps for 2017

Jan 2017 (PDF)

Pay Rate & Service Credit
Update to the Publicly Available Pay Schedule requirement and clarifying language how earnings divided by pay rate equal service credit

Jun 2016 (PDF)

Benefits Procedures
The Employment of a Retiree topic was extensively revised and updated.

Nov 2016 (PDF)

Benefits Procedures
Updates to Death of an Active Member, Retirement - General, Disability Retirement or Industrial Disability Retirement, Reinstatement from Retirement, Death of a Retiree, and Forfeiture of Benefits

Nov 2016 (PDF)

Web Services & Publications
Added System Access Administration information

Nov 2015 (PDF)

Education & Other Resources
Complete revision to California Employers' Retiree Benefit Trust (CERBT) Fund topic

Nov 2016 (PDF)

Appendix
Removed outdated forms

Sep 2013



Resources

Forms & Publications

Frequently Asked Questions