OPEN ENROLLMENT

 

OPEN ENROLLMENT

enrollment INSTRUCTIONS for active members

To enroll in or change medical and/or dental coverage or add or drop coverage for dependents, follow the instructions below.

STEP 1: use the online forms retrieval tool

You can access the forms you need to enroll or make changes to your coverage or to add or drop coverage for dependents using the online forms retrieval tool. You will be asked a few questions to determine the type of enrollment or change you would like to make. Based on your answers, you will be presented with one or more forms that will need to be completed, signed and returned to LAPRA on or before May 31, 2018. You can complete the forms online, then print them out for your signature. You can also print out blank forms and complete each form by hand.

IMPORTANT NOTE: You must have Adobe Acrobat, Adobe Reader or a third party PDF reader installed on your computer to access the online enrollment forms. You can download Adobe Reader at no cost by clicking on the link below.

 

Are You Using Firefox as Your Web Browser?

There is a known issue with Firefox in that it will not allow you to complete PDF forms in the browser window unless you configure Firefox to use Adobe Reader or Adobe Acrobat as the pdf viewer instead of the Firefox built-in viewer. Click here for instructions on how to change the Firefox default PDF viewer.

STEP 2: SUBMIT YOUR FORMS TO LAPRA BY MAY 31, 2018

You have the following options to submit your forms on or before May 31, 2018:

• Email: benefits@lapra.org
• Fax: 213-674-3715
• Drop the form(s) off in person at LAPRA's office at 600 N. Grand Avenue, Los Angeles, CA 90012
• Mail the form(s) to the address above. The envelope must be postmarked on or before
  May 31, 2018.

have questions?

Contact a LAPRA Benefits Representative by calling 213-674-3701 or 888-252-7721 or email benefits@lapra.org.