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On june 13, 2023, the department of health care services (dhcs) announced a freeze on processing paper electronic health care claim payment/advice receiver agreement forms. Request to correct or dispute tax forms. (pdf, 644 kb) download pdf (spanish) 1. Log in to employer connection to enroll a new or existing employee.
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You can call monday to friday, 8 a.m. (c12914) employees should complete this application to enroll in a group medical plan, group vision plan, or group term life policy. California public employees' retirement system (calpers); Web appeal and complaint forms.