Health Benefits

Retiree Health Benefits

Overview

Keep apprised of your benefits. Review this section for carrier information, services, and Medicare requirements. 

Overview

Medical, Dental, Vision Benefits and Plans

You are eligible to enroll in LACERS health plans if you are a retired City employee who receives a monthly retirement allowance from LACERS. LACERS provides eligible members with a subsidy that may or may not cover the total cost of the health plan or dental plan premium.

Overview

Health Plan Enrollment

Your LACERS Health Plan coverage is separate from your Active Employee Benefits coverage, and you will need to transition to LACERS Medical, Dental, and Vision coverage during the retirement process. 

Overview

Open Enrollment

Open Enrollment

Retirees have the opportunity to enroll or change Health Plans during LACERS’ annual Open Enrollment period. The 2021 period took place from October 15, 2020 to March 31, 2021. Due to different City-sponsored programs competing for LACERS health staff’s availability, the typical Open Enrollment period was extended to allow Members and staff more time to process health plan enrollments and changes.

Overview

Medical Premium Reimbursement Program (MPRP)

If you live outside of a LACERS California HMO service area, or outside California but within the United States and its territories, MPRP could help you pay the premium of your chosen plan with your LACERS medical subsidy. You can participate in this program if you are an eligible Retiree or an eligible survivor.

Members enrolled in MPRP purchase their own insurance direct from an authorized federally-qualified HMO or state-regulated non-LACERS, and are reimbursed quarterly up to the amount of their maximum monthly Medical Subsidy.

Overview

Health Benefits Guide

Use the 2021 Health Benefits Guide as your resource to:

  • Familiarize yourself with your eligibility for benefits
  • Compare medical and dental plans
  • Help you with your enrollment in LACERS-sponsored health plans

The 2021 Health Benefits Guide Supplement is for retirees whose medical subsidy was “capped” due to changes made to the Administrative Code in 2011. Members who retired on or after July 1, 2011 through 2018, and did not make additional retirement contributions toward retiree health care receive the 2011 subsidy rate. 

Overview

Free Gym Membership

Anthem, SCAN, UnitedHealthcare Enrollees

SilverSneakers is a health and fitness program designed for older adults and includes access to gyms and fun exercise classes for all fitness levels.

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Kaiser Senior Advantage Enrollees

With easy access to fitness centers that meet your needs and classes tailored for older adults, the Silver&Fit program is an excellent way for you to stay active while aging. 

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Overview

Evidence of Coverage

Evidence of Coverage (EOC) is a document that describes the coverage offered in  LACERS-sponsored medical and dental plans. Click the applicable plan below to view the document.

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