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Call Center 619.515.6800 Toll Free: 1.888.4.SDCERA

These materials are available in alternative formats upon request. Please contact 619.515.6800.
 

Forms
Select a form below to view/print or order a copy. Note: for your convenience, portions of these forms may be completed electronically prior to printing. However, SDCERA requires that a signed original form be submitted. For more information, please call 619.515.6800.

2014 Health Insurance
Reimbursement Request
view/print order
2014 Medical & Dental Plan Enrollment/Disenrollment view/print order
Beneficiary Designation view/print order
Change of Address
(for retired and deferred members)
view/print order
Direct Deposit Authorization
(for retired members)
view/print order
Name Change Request
(for retired and deferred members)
view/print order
Power of Attorney view/print order
Request for Costs to
Purchase Service Credit
view/print order
Request for County Employees
Charitable Organization (CECO)
view/print order
Request for Reciprocity view/print order
Request for Retirement Estimate/Application view/print order
Request for Retirement Income or Member Contributions Verification Letter view/print order
Return to Active Membership Application for Retired Members view/print order
Tax Election for Monthly
Retirement Benefit
view/print order


Booklets
Select a booklet below to view/print or order a copy.

2014 Health Insurance Plans view/print order
Disability Retirement view/print order
Dividing Community Property view/print order
Retirement Plan—Tier A view/print order
Retirement Plan—Tier B view/print order
Retirement Plan—Tier C view/print order
Survivor and Beneficiary Information view/print order


Fact Sheets
Select a fact sheet below to view/print or order a copy.

2014 Health Insurance Plans view/print order
2014 Medicare Information for
SDCERA-sponsored Health Plans
view/print order
Considerations After Termination view/print order
Considerations Before Purchasing Service Credit view/print order
Deferred Membership view/print order
Disability Retirement view/print order
Earning Service Credit view/print order
Health Insurance Allowance view/print order
Health Insurance Reimbursement Program view/print order
Hearing De Novo Process view/print order
Power of Attorney view/print order
Purchasing Service Credit view/print order
Reciprocity view/print order
Refunds view/print order
Retirement Benefit Options view/print order
Retirement Plan Summary for Tier A view/print order
Retirement Plan Summary for Tier B view/print order
Retirement Plan Summary for Tier C view/print order
Rollover/Transfer for
Purchasing Service Credit
view/print order
Supplemental Benefit Allowance view/print order
Taxation of Retirement Benefit Payments view/print order
Termination Due to Layoff view/print order
Working After Retirement view/print order