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Health Plans

The Department provides retiree health benefits to eligible members.  These benefits include the ability to enroll in group health and dental plans, and a subsidy toward the cost of your health care coverage.  You must be eligible for a Formula Pension (see “The Formula Pension”) in order to receive these benefits.  You do not qualify for these benefits if you retire with a Vested Right retirement (see “Delayed or ’Vested’ Retirement Rights”).

 

If you qualify for retiree health benefits, you may generally choose to continue the health plan coverage which you had prior to retirement or a different plan.  You should carefully assess your health care coverage needs at retirement and the plans and medical facilities that will be available to you at that time.  You are also required to enroll in certain Medicare programs when you become eligible for coverage at age 65.

 

After retirement, you may change the health plan you selected only during the annual open enrollment period.  However, if you move out of your health plans  service area, you have 60 days from that date you move to select another health and/or dental plan within your service area.

 

Part or all of the cost of your health care coverage may be offset by a subsidy from the Department. The amount of the health care subsidy for retirees is based on your Department service and age at retirement.  The subsidy schedule is reviewed periodically and may change at any time.  It is posted in the “Health and Dental Plan Options Guide for Active and Retired Employees” on the Health Plans website at:
https://ebenefits.ladwp.com/appLoad.htm

 

Benefit Continuances

Surviving spouses/Domestic Partners and/or dependents who are eligible to receive a monthly allowance from the Plan and were covered by the member’s health or dental plan at the time of death may continue their health care coverage by re-enrolling in a Department health plan within 31 days of the member’s death.  If the surviving spouse/domestic partner and/or dependents do not re-enroll during this period, they will lose their eligibility to enroll at any future date.

 

A surviving spouse/Domestic Partner who receives a monthly allowance may also be eligible for a health subsidy to offset health coverage costs.  However, surviving spouses/Domestic Partners are not eligible for a dental subsidy.

 

  
Although this document discusses the Plan in some detail, if there are any conflicts, real or apparent, between this document and the City Charter or the Plan, the terms of the Charter and the Plan will at all times be the final authority. Therefore before relying on provisions described in this document or taking any action which will affect your future welfare, you and your beneficiaries are urged to consult the Retirement Plan Office for the specific terms of the Plan in any situation.