LACERS Opt-Out Form for Open Enrollment Materials only
Each October, LACERS sends you an Open Enrollment packet to assist you in making health plan decisions for the coming plan year. This packet consists of a Health Plan Statement, Open Enrollment Overview, and Health Benefits Guide.
As a convenience to Retired Members and in an effort to reduce the use of resources, you can now opt-out of receiving a printed copy of some of your Open Enrollment materials (Health Benefits Guide and Open Enrollment Overview).
If you choose to opt-out of receiving these paper Open Enrollment materials, please complete the fields below and click the Submit button.
Beginning this coming Open Enrollment period: (Select one of the two options below):