You are eligible to enroll in LACERS health plans if you are a
retired City employee who receives a monthly retirement allowance
from LACERS. Your LACERS Health Plan coverage is separate from
your Active Employee Benefits coverage. If you are a new retiree,
you will need to transition to LACERS Medical, Dental, and Vision
coverage during the retirement process.
LACERS provides eligible members with a medical and dental
subsidy. This subsidy may or may not cover the total cost of
the health plan or dental plan premium. Please refer to the
current Health Benefits
Guide for more information.
Note for retired Members subject to the medical subsidy
cap: If you retired between July 1,
2011-2018, and did not make the additional
4% Retirement Health Defrayal contribution while still an active
employee, see the Health
Benefits Guide Supplement for your medical subsidy and
medical plan premium deductions.
Enrollment Video
Enrolling in LACERS Retiree Health Benefits Video
LACERS has prepared a video for new retirees to provide them
information regarding their health plan options, subsidies, and
detailing the enrollment process. This video provides
examples of the forms and documentation required to enroll in
each of the LACERS medical and dental plans.
Click to
watch ”Enrolling in LACERS Retiree Health Benefits”.
Available Plans
Available Medical/Dental/Vision Plans
You may find more information about each individual plan in
the Health Benefits
Guide as well as refer to each plan’s Evidence of Coverage.
For Retirees under age 65:
- Anthem Blue Cross HMO (CA only)
- Anthem Blue Cross PPO (US and its territories)
- Kaiser Permanente HMO (CA only)
For Retirees age 65 or older with Medicare Part B
only
- Anthem Blue Cross HMO (CA only)
- Anthem Blue Cross PPO (US and its territories)
- Kaiser Permanente Senior Advantage (CA only)
For Retirees age 65 or older with Medicare Parts A and
B
- Anthem Blue Cross Medicare Preferred (PPO) (US and its
territories)
- Kaiser Permanente Senior Advantage (CA only)
- SCAN Health Plan (CA only)
- UnitedHealthcare Medicare Advantage HMO (CA, AZ, & NV)
Dual Care Households (at least one subscriber
age 65 or older with Medicare Parts A & B and one subscriber
under age 65, or age 65 or older with Medicare Part B only):
- Anthem Blue Cross PPO + Anthem Blue Cross Medicare Preferred
(PPO)
- Kaiser Permanente HMO + Kaiser Permanente Senior Advantage
(CA only)
- Anthem Blue Cross HMO + SCAN Health Plan (CA only)
- Anthem Blue Cross HMO + UnitedHealthcare Medicare Advantage
HMO (CA only)
For Retirees living outside the U.S. and its
territories
Anthem Blue Cross PPO Out-of-Country Plan
For Retirees residing outside LACERS HMO plan zip code
service area, or outside of California
Medical
Premium Reimbursement Program (MPRP)
Qualifying Events
Qualifying Events for Enrollment Changes
Read more about qualifying events that allow plan enrollment
changes outside the annual Open Enrollment period in the
Health Benefits Guide.
- 60 days of the Retiree turning age 55
- 90 days of the Retiree turning age 65 (based on Medicare
eligibility)
- 30 days of relocation into or out of a LACERS HMO plan zip
code service area
- 30 days of a LACERS HMO plan zip code service area becoming
available or unavailable
- 30 days of being involuntarily terminated from a non-LACERS
medical plan (proof of termination required)
- 30 days from the date of family status change (such as
marriage and birth or adoption of a child)
Resources
Health Plan Information and Resources
Each health insurance carrier has provided more resources to help
you determine which plan might be best for you.
Health Benefits
Guide – Annual guide that summarizes: eligibility
for benefits; enrollment period; available
medical, dental, and vision plans; Medicare and your LACERS
health benefits; and contains premium, subsidy, and deduction
charts.
Evidence of
Coverage (EOC) - Documents that
describe the coverage offered in LACERS-sponsored
medical and dental plans.
Carrier
Resources - Connect with your medical plan
provider and access discounts, information, and programs to
support your wellness journey.
SilverSneakers /
Silver&Fit – Fitness programs offered by
LACERS-sponsored medical plans for your wellness.
Medicare – Webpage
discussing LACERS’ Medicare enrollment requirement for
individuals age 65 and over
