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CERTIFICATED / CONFIDENTIAL / MANAGEMENT RETIREES

CLASSIFIED RETIREES

COBRA FORMS

COBRA RATES

COBRA Rates Oct. 2019-Sept. 2020.pdf 75.12 KB (Last Modified on November 26, 2019)

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COBRA DENTAL ENROLLMENT FORM

Delta Dental Enrollment Form COBRA.pdf 180.83 KB (Last Modified on August 25, 2017)

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COBRA VISION ENROLLMENT FORM

VSP ENROLLMENT FORM COBRA 2016 2017.pdf 44.85 KB (Last Modified on August 25, 2017)

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Retirement information:

CalSTRS members can contact CalSTRS at 800-228-5453 or visit them at http://www.calstrs.com/

CalPERS members can contact CalPERS at 800-225-7377 or visit them at http://www.calpers.ca.gov/

Erip Payments

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