Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by CalPERS Long-Term Care Program. Before sending anything sensitive, confirm the number and receiving department directly with CalPERS Long-Term Care Program, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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CalPERS Long-Term Care Program fax number
(866) 294-6967
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CalPERS Long-Term Care Program
Used for: Long-Term Care claim submission and related documentation by fax or mail to CalPERS Long-Term Care Program; processing of claims includes time sheets, eligibility assessments, benefit packets, direct deposit forms, and assignment of benefits.
Fax destination details
- Department
- CalPERS Long-Term Care Program
- Purpose
- Long-Term Care claim submission and related documentation by fax or mail to CalPERS Long-Term Care Program; processing of claims includes time sheets, eligibility assessments, benefit packets, direct deposit forms, and assignment of benefits.
- Form
- CLM-001 Online Claim Form LTCG — Long-Term Care Claim Form
- Address
- CalPERS Long-Term Care Program, P.O. Box 64902, St. Paul, MN 55164-0902
- Voice phone
- 1-800-982-1775
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit the Long-Term Care Claim Form (CLM-001) and any supporting documents by mail or fax to CalPERS Long-Term Care Program. The packet may include a Direct Deposit Form and an Assignment of Benefits form.
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