LACERS - Enrolling in a Health Plan

Enrolling in a Health Plan

If you are not currently enrolled in a LACERS health plan or need to change your plan, you must complete a LACERS Medical and Dental Plan Enrollment form.

When to Enroll

Generally, you may enroll in a LACERS-sponsored medical/dental plan or the Medical Premium Reimbursement Program (MPRP) within:

60 days of your effective retirement date
LACERS' annual Open Enrollment period (October 15 – November 15)

If you are enrolled in a LACERS health plan and do not submit a LACERS Medical and Dental Plan Enrollment form, your current LACERS health plan choices will remain in effect.

How to Enroll

To enroll in a LACERS health plan:

Determine the medical/dental plans best for you by reading the Health Benefits Guide
Complete all applicable sections of the LACERS Medical and Dental Plan Enrollment form in the back of the Guide
Mail or deliver your completed form(s) to:

LACERS
360 E. Second Street , 2nd Fl.
Los Angeles , CA 90012-4207

When Your Medical and Dental Coverage Begins

Your medical and dental coverage begins:

The first of the month following your retirement effective date – OR –
January 1 of the year following your enrollment during LACERS' annual Open Enrollment period

You may also enroll within:

60 days after turning age 55 as a City Retiree who is eligible for a subsidy
60 days after turning age 65 as a City Retiree who enrolls in Medicare
30 days of moving into or out of the zip code service area of a LACERS HMO plan not previously available
30 days of being involuntarily terminated from a non-LACERS medical plan (LACERS requires proof of termination)
30 days of a family status change, such as a marriage, a newly formed domestic partnership, a birth or an adoption

Making Health Plan Changes

If you have a family status change, such as a marriage, domestic partnership or the birth/adoption of a child, you may make changes to your health plan or enroll in another plan without having to wait until Open Enrollment (October 15 – November 15) to do so.

Adding a New Dependent

You have 30 days to add a new dependent. Complete a LACERS Family Account Change Form to add new dependents to your health plans. Otherwise, you must wait until the next annual Open Enrollment period.

If your dependent has Medicare, complete the back of the Family Account Change Form as well.

Deleting a Dependent

You Have 60 days to delete a dependent. Complete LACERS Family Account Change Form within 60 days of your enrolled dependent becoming ineligible for coverage in a LACERS health plan (e.g., due to divorce).

If You Do Not Notify LACERS within 60 Days to Delete a Dependent

Your deleted dependent may not be offered an opportunity to continue their coverage under Consolidated Omnibus Budget Reconciliation Act (COBRA)
You will not be refunded for retroactive coverage

For more information:

Health Benefit Forms