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Life Event? Update these forms

Certain "life events" can impact your coverage or benefits in CalPERS programs. Please refer to the following list for more details. 

Family Changes

Personal Information Changes

Employment Changes


Please fill out the appropriate forms below and return to HR

Employee Emergency Information Sheet

Health Enrollment:

Dental Enrollment:

Vision Enrollment:

(SRFA employees not eligible)

Life Insurance:

(for regular employees, greater than 75% FTE)

457 Deferred Comp Beneficiary Designation Forms:

Marin County Employees' Retirement Association (pension for regular employees, 75% or greater FTE):

PARS (for part-time & fixed-term employees, less than 75% FTE):

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