Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with CalPERS Long-Term Care Program before sending sensitive documents. FaxFlow is not affiliated with this organization.
CalPERS Long-Term Care Program fax number
(866) 294-6967
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.
Review official form instructionsSources and verification
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