LAPRA 2018/19 Benefits Guide for Active Members

2 If You Get Divorced or Dissolve a Domestic Partnership LAPRA does not provide coverage for ineligible dependents, including former spouses, former domestic partners or children who do not qualify as dependents under the plans. You must complete the appropriate forms and notify LAPRA within 31 days of the date of divorce or the date your domestic partnership dissolution is final. You may not cover a divorced spouse, even if the divorce decree states that coverage must be provided. If the court orders you to provide coverage for your divorced spouse, you must arrange for coverage on your own. In the case of divorce, COBRA continuation will not be offered to your former spouse and any stepchildren who cease to be your dependents, if LAPRA does not receive notification within 60 days following the date your divorce is final. If you miss the 31-day deadline noted above: 1. Coverage for your ineligible dependents will be retroactively terminated to the first of the month following the date your divorce or domestic partnership dissolution is final, up to a maximum of 6 months. 2. You may be financially and legally responsible for the cost of medical, dental and vision services provided to your former spouse, former domestic partner and any stepchildren who cease to be your dependents during the period of ineligibility. 3. You may be financially and legally responsible for the cost of any subsidy paid to LAPRA, on your behalf, by either the City of Los Angeles or LAFPP. If you are currently covering dependents who do not meet the eligibility requirements of the plans, you must notify LAPRA within the time frames listed above. Failure to do so will result in the penalties listed above. Send an email to benefits@lapra.org or call LAPRA at 213-674-3701 or 888-252-7721 for more information. Legally Required Notices Each year there are legally required notices and disclosures that LAPRA is required to make available to participants in LAPRA’s benefit plans which are available on the LAPRA website. Y ou can also send an email to benefits@lapra.org o r call LAPRA at 213-674-3791 or 888-252-7721 to request a printed copy of any legal notices or disclosures be mailed to you at no charge.

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