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Instant Answers to General Questions
 
  LACERA - Health Care Home > Retiree Eligibility  
     
   RETIREE ELIGIBILITY & ENROLLMENT  
   
 

WHO IS ELIGIBLE FOR HEALTH COVERAGE?
Retired LACERA members from the County of Los Angeles.  Even if you did not have medical coverage under an employee health care program while you were an active County employee, you are still eligible to participate in LACERA-administered health care plans.

Participating districts in the County of Los Angeles, including the South Coast Air Quality Management District, Little Lake Cemetery District, Local Agency Formation Commission, and County Superintendent of Schools. 

Eligible Dependents
  • Your lawful spouse (unless legally separated)
  • Your eligible domestic partner, provided you both filed a California Declaration of Domestic Partnership
  • Your unmarried natural or legally adopted children or stepchildren, up to age 19 or 23 if they are enrolled as full-time students in an accredited institution and depend on you for financial support
  • Your unmarried dependent children over 19 who are incapable of self-support due to a physical or mental handicap and meet specific requirements. (For details, call 1-800-786-6464 and press 1.)
 
Eligible New Dependents
  • A new spouse
  • A newly registered domestic partner
  • A newborn child   
  • Newly-acquired legally adopted children and stepchildren
You must enroll these dependents within 30 days of the date they become eligible family members.  If you are married or enrolling a domestic partner, both you and your dependents must be members of the same plan.
 
Eligible Surviving Dependents
  • Your surviving spouse or eligible domestic partner who is eligible to continue to receive retirement benefits
  • Surviving Children (without a surviving spouse/domestic partner)
    Your surviving unmarried natural children, legally adopted children or stepchildren, up to age 18 or until age 22, who are enrolled as full-time students and receiving retirement benefits
  • Surviving Children (if there is also a surviving spouse/domestic partner)
    Your surviving unmarried natural children, legally adopted children or stepchildren, up to age 19 or until age 23, if they remain unmarried and enrolled as full-time students
  • Your disabled dependent children who satisfy each requirement described in the “Your Eligible Dependents” section of the Exploring your Health Care Benefits through LACERA booklet, which is available in the Retiree Health Care section of the Brochures and Forms page.

ENROLLMENT

The enrollment process involves two steps.
  1. Read your LACERA Exploring Your Health Care Benefits booklet regarding all the various medical options.  Fill out the card enclosed to request specific information and enrollment forms for the plans you have selected.
  2. Within ten working days you will receive an envelope containing the information that you had requested.  Please note that you must select a health care plan within 60 days of your retirement date.
  You must select a health care plan within 60 days of your retirement.

Late Enrollment Rules
Medical Plans: If you enroll after the initial deadline (60 days from your retirement date), a six-month waiting period applies. Coverage takes effect the first day of the seventh month following LACERA’s receipt of your Medical Form. (For example: If LACERA receives your form on January 15, your coverage begins August 1.)

Dental/Vision Plans: If you enroll after the initial deadline (60 days from your retirement date), a 12-month waiting period applies. Coverage takes effect the first day of the thirteenth month following LACERA’s receipt of your Dental/Vision Form. (For example: If LACERA receives your form on January 15, your coverage begins February 1 of the following year.) (3-9-09)

If you wish to waive coverage under a LACERA-administered plan, you must submit a signed waiver of coverage to LACERA.

3/12/09
 

Email: healthcare@lacera.com - 1-800-786-6464 - 626-564-6132 - Fax: 626-564-6155 - Business Hours M-F 8:00 AM - 5:00 PM
Office address: 300 N. Lake Ave., Pasadena, CA 91101-4199 
- Mailing address: P.O.Box 7060  Pasadena, CA  91109-7060

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