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Address/Contact Information Change

To update your contact information with LACERS, fill out the Change of Address Request form and

MAIL IT:
Los Angeles City Employees Retirement System (LACERS)
202 W. First Street, Suite 500
Los Angeles, CA 90012-4401
Attn: Membership Processing Unit

FAX IT:
(213) 473-7297 – Attn: Membership Processing Unit

EMAIL IT:
Scan the completed form and email it to us at LACERS.services@LACERS.org

Why it is Important to Keep Your Contact Information Up to Date

  1. LACERS requires all plan Members to have a physical address on file. Pursuant to Internal Revenue Service (IRS) Publication 575, failure to provide a physical address will result in the change of your Federal Tax Withholding to married with three withholding exemptions.

  2. Your address determines what health care providers are available to you.  Certain HMO health plans are available in authorized zip code service areas only. Moving out of your current zip code may affect your eligibility to maintain your current coverage. Contact your health plan to verify that your new zip is included as an authorized HMO service area.  For instance, if you live outside of a LACERS California HMO service area or outside California but within the United States and its territories, the Medical Premium Reimbursement Program (MPRP) could help you pay the premium of your chosen plan with your LACERS medical subsidy.