Visit the CalPERS Forms and Publications Center to order forms and publications.
Active members
Retired members
To enroll for Kaiser Permanente health coverage, order and complete the CalPERS HBD-12 form. If you choose to use your work address as the ZIP code when you enroll, you must also complete the "CalPERS Employer ZIP Election Form."
For more information contact your agency Health Benefits Officer, or, if you are retired, the CalPERS Office of Employer and Member Health Services.
