

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.