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Eligible Surviving Spouse/Domestic Partner

In the event of your death, your Surviving Spouse/Domestic Partner may continue his/her health coverage if:
  • He/she is covered as a dependent at the time of your death
  • He/she is eligible to receive a monthly continuance allowance from LACERS
  • His/her monthly continuance allowance is enough to pay his/her monthly medical premiums

Your Eligible Surviving Spouse/Domestic Partner must re-enroll in your medical and/or dental plan within 60 days of your death.

If he/she was not covered in a health plan at the time of your death, he/she may enroll during Open Enrollment if he is receiving a continuance allowance from LACERS.

Eligible Surviving Spouse/Domestic Partner Subsidy
Your Eligible Surviving Spouse/Domestic Partner is entitled to a medical subsidy if, at the time of your death, you were receiving or were eligible to receive a medical subsidy.

If you die prior to receiving your medical subsidy (e.g., while working for the City), your Eligible Surviving Spouse/Domestic Partner would be eligible to receive a medical subsidy on the date when you would have become eligible to receive your subsidy.

Your Eligible Surviving Spouse's/Domestic Partner's Subsidy Is Based On:
  • Your years of Service (minimum of 10 years)
  • When you would have been age 55
  • Your Surviving Spouse/Domestic Partner's eligibility for Medicare
If Your Eligible Surviving Spouse/Domestic Partner is under Age 65 or 65+ and has Medicare Part B-Only
The maximum monthly subsidy amount that your Eligible Surviving Spouse/Domestic Partner may receive is the Kaiser One-Party Non-Medicare monthly premium. To receive this amount, you must have at least 25 years of Service. Otherwise, your Eligible Surviving Spouse/Domestic Partner may receive 4% of the maximum subsidy for each year of your Service (a minimum of 10 years of Service):

Years of Service

% of Maximum Subsidy

10

40%

11

44%

12

48%

13

52%

14

56%

15

60%

16

64%

17

68%

18

72%

19

76%

20

80%

21

84%

22

88%

23

92%

24

96%

25

100%


If Your Eligible Surviving Spouse/Domestic Partner is over Age 65 and has Medicare Parts A & B
The maximum monthly subsidy amount that your Eligible Surviving Spouse/Domestic Partner may receive is equal to the monthly premium of his/her LACERS senior plan for One-Party with Medicare Parts A & B. To receive this amount, you must have had 20 years of Service. Otherwise, the calculation is as follows, based on your years of service:

Years of Service

% of Their Senior Plan's
1-Party Monthly Premium

10-14

75%

15-19

90%

20+

100%


The medical subsidy may only apply if he/she is participating in a LACERS-sponsored medical plan or the Medical Premium Reimbursement Program (MPRP).

Any unused subsidy cannot be received as cash compensation.

Note:

Eligible Surviving Spouses/Domestic Partners do not receive Medicare Part B premium reimbursements, nor do they receive dental subsidies.