LAPRA 2018/19 Benefits Guide for Active Members

1 Who Is Eligible? Employees All full-time employees working 30 or more hours per week who are: • Recruits employed by the City of Los Angeles to become sworn police officers; • Sworn police officers of the LAPD; or • Employees of the Los Angeles Police Relief Association, the Los Angeles Retired Fire and Police Association or the Los Angeles Police Protective League. Dependents The following dependents of enrolled plan members: • Legal spouse or legally registered domestic partner or City-approved domestic partner. • Children under age 26, and children of any age who are incapable of sustaining employment due to a physical or mental disability who became disabled before age 26. If you enroll an eligible dependent when you are first eligible to enroll in the program or within 31 days following an event or during each year’s Open Enrollment period, you must provide a valid Social Security number for your dependent. Also, you will have 60 days from the dependent’s effective date of coverage to submit proof of dependent status, such as a copy of a certified marriage certificate, copy of a certified birth certificate, or commemorative hospital birth certificate that lists the names of both parents. If you fail to submit the required proof within the 60-day period, your dependent’s coverage will automatically be cancelled on the first day of the month following the expiration date of the 60-day period. You will then be required to wait until the next Open Enrollment period to re-enroll your dependent and submit proof of dependent status. Any medical or dental expenses your dependent incurs after coverage is cancelled will be your responsibility. You may add a domestic partner when you are first eligible to enroll in the program or by submitting an enrollment form within 31 days of the legal and valid registration of a domestic partnership or approval of a domestic partnership application by the City of Los Angeles, whichever is applicable, or during each year’s Open Enrollment period. Written proof of the legal registration of a domestic partnership or the written approval of the domestic partnership application by the City of Los Angeles must also be submitted. Dual Coverage If your parent, spouse or domestic partner is also a sworn active or retired LAPD officer, you each must choose to enroll either as a member or as a dependent, but not both under the same plan. Contact LAPRA for more information.

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