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1

Who Is Eligible?

Retirees

• All sworn retired employees of the Los Angeles Police

Department who are receiving a pension from the City

of Los Angeles Department of Fire & Police Pensions.

• All retired employees of the Los Angeles Police Relief

Association and the Los Angeles Retired Fire and Police

Association who are eligible to participate as an employee

in a LAPRA medical and dental plan at the time of

retirement and who are eligible to receive an employer

pension as of the date of retirement.

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 Pension

Department, 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 Pension Department 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.