Caltech Retiree Important Forms and Notices

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

Caltech 2026 Legal Notices

HIPAA and General Authorization form

HIPAA Q&A

Beneficiary Designation Form

WEX Automatic Premium Reimbursement Request Form

More Information

• 2025 DDC Amounts
• Guide: How to Log in to Your Account (Benefits)
• Guide to your Online Account (Benefits)
• Filing Claims Handout
• WEX Benefits Mobile App Handout
• Getting started with the WEX benefits mobile app
• How to file a claim in the WEX Benefits Mobile App
• Out-of-pocket reimbursement form