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Enroll a Spouse/Domestic Partner

You can add your spouse/domestic partner to your health plan by completing a LACERS' Family Account Change Form within 30 days of their becoming your dependent.

Please return completed and dated LACERS Family Account change form with original signature(s) to:

202 W. First Street, Suite 500
Los Angeles, CA 90012-4401

The Family Account Change form cannot be filed electronically.

For more information: