Vital Information - Survivor'S Benefit Checklist Page 3
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12IMPORTANT PHONE NUMBERS
• CDF Firefighters Headquarters: (916) 609-8700
• Harry J. Wilson Insurancenter: (800) 549-4242
• National Public Safety Officers Death Benefit: (202) 307-0635
Public Employees Retirement System (PERS) 1-888 CalPERS (or 1-888-225-7377)
Mailing Address or
Mailing Addresses
Lincoln Plaza North
400 Q Street
Sacramento, CA 95811
CalPERS Benefit
- Centralized Fax
1-(800) 959-6545
Services Division
Retired Members
P.O. Box 942716
1-888-225-7377
Sacramento, CA
94229-27161-888
CalPERS
Active Members
P.O. Box 942711
1-888-225-7377
Sacramento, CA 94229-2711
Death Benefits
P.O. Box 1652
1-888-225-7377
Sacramento, CA 95812-1652
Disability Retirement P.O. Box 2796
1-888-225-7377
Sacramento, CA 95812-2796
Actuarial & Employer
P.O. Box 942709
1-888-225-7377
Services
Sacramento, CA 94229-2709
Health Account
P.O. Box 942715
1-888-225-7377
Services
Sacramento, CA 94229-2715
CalPERS Supplemental
P.O. Box 5166
1-888-225-7377
Income 457 Plan
Boston, MA 02206-5166
CalPERS Long-Term
P.O. Box 942719
1-(800) 982-1775
Care Program
Sacramento, CA 94229-2719
I State Dental Plans -
Delta Dental Preferred Provider Option (PPO) - Group #9946
•
The State-sponsored Delta Dental Preferred Provider Option (PPO) plan provides services through its network of
participating dentists and allows you to see any dentist of your choice world-wide and still be covered.
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Your present dentist may be a PPO member of Delta Dental; however, not all Delta Dentists are members of
the PPO network - If you receive services outside of the PPO network, your share of the dentist's fees will be
substantially higher - You may contact Delta Dental to ensure there's a PPO provider available in your service area.
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Your cost for services .is based on a fee-for-service agreement between Delta and the PPO provider - The
plan limits paid coverage for each specific type of dental treatment - Members pay any remaining balance due based
on the type of dental treatment they receive.
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The amount of your monthly premium copayment is deducted from your monthly pay warrant according to the
number of enrolled dependents.
For more information, contact:
Delta Dental
•
1-800-225-3368
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Form Ee-2 - Survivor's Claim For Benefits Under The Energy Employees Occupational Illness Compensation Program Act - United States Department Of Labor, Office Of Workers' Compensation Programs
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Parent category: Legal