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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 spouse or domestic partner is also a sworn active or retired LAPD officer or has medical and/or

dental coverage through another employer-sponsored plan, contact LAPRA for information regarding dual

coverage options and limitations.