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Who is Eligible for a LACERS Health Plan?

You are eligible to enroll in LACERS’ health plans if you are a retired City employee who receives a monthly retirement allowance from LACERS.

An eligible survivor (i.e., surviving spouse/domestic partner) who receives a Continuance or a Survivorship allowance from LACERS is also eligible to enroll in LACERS’ health plans. Former spouses and domestic partners (whether state-registered or registered through LACERS) who are being paid their community property interest in a Retired Member’s benefits are not eligible.


Eligible Dependents1
Your dependents may receive coverage under a LACERS health plan. Eligible dependents include your:


  1. Spouse
  2. Domestic Partner (your partnership must be registered with LACERS or your state)
  3. Dependent unmarried children under age 26, except in circumstances where an adult child is eligible to enroll in an employer-sponsored plan
  4. Disabled dependent children unable to engage in any gainful employment because of their mental or physical disability (the disability must occur prior to age 26)
  5. Grandchildren - If you or your spouse/domestic partner are the legal guardians or have legal custody of your grandchild; of if your grandchild is the child of a dependent child as defined in (c) or (d) above.

Dependent children include:

  1. A child born to you
  2. Your legally-adopted child
  3. Your step-child living with you in a parent-child relationship
  4. A child of whom you have legal custody or are the legal guardian, and you provide principal financial support for that child
  5. Your domestic partner's child

 

Eligibility Verification
To verify your dependent’s enrollment eligibility at the time of enrollment, you will be required to provide LACERS with supporting documents, such as:
  • Copy of your certified marriage certificate
  • Your child’s birth certificate
  • If applicable, proof of your child’s disability
  • Proof of Domestic Partnership

Domestic Partnership Eligibility

In order for your domestic partner and the children of your domestic partner to be eligible for a LACERS health plan, you must have one of the following: 1) an Affidavit of Domestic Partnership Form on file with LACERS or 2) proof of your legally registered domestic partnership in the State of California or 3) proof of a legal union of two persons of the same sex validly formed in another jurisdiction that is substantially equivalent to a domestic partnership, regardless of whether it bears the name domestic partnership.

 

1These definitions of dependency are relevant to eligibility of coverage. However, they may differ from dependency determinations for taxation purposes. If you have further questions, please contact the IRS and/or consult a tax professional.