LAPRA 2018/19 Benefits Guide for Retired Members

3 Enrollment and Changes Transitioning from Active Status to Retiree Status During the Year Call LAPRA at 213-674-3701 or 888-252-7721 or send an email to benefits@lapra.org several months before the date you plan to retire to request an appointment to meet with a Benefits Representative who will explain your options and costs when you retire. Note: If you or your spouse is age 65 or older, you must enroll in Medicare. See page 10 for more information. Open Enrollment To enroll in or change medical or dental coverage or add or drop coverage for eligible dependents, call LAPRA at 213-674-3701 or 888-252-7721 and speak to a Benefits Representative who will mail any required forms to your home. Completed forms can be submitted to LAPRA by email to benefits@lapra.org , fax to 213-674-3715 or regular mail by May 31, 2018. Changes Limited Once you submit your benefit elections, they must remain in effect for the full plan year (July 1 through June 30) unless you experience a qualifying event under Special Enrollment Rights as provided under Section 125 of the IRS Code. Please note, however, that you may terminate medical (not dental) coverage for yourself, your spouse, or your dependents for any reason at any time. Coverage will be terminated effective the first day of the month following receipt by LAPRA of your cancellation forms. To make changes due to a qualifying event, you must contact a LAPRA Benefits Representative and complete and return the necessary forms within 31 days of the qualifying event (60 days for loss of eligibility for Medi-Cal or Healthy Families Program coverage). If more than 31 days (or 60 days, as applicable) have lapsed since the qualifying event took place, you must wait until the next Open Enrollment to make the change. The change in election will generally be effective the first day of the month following the date of the qualifying event. Proof of the qualifying event, such as birth/adoption certificate, marriage certificate, divorce decree, or letter verifying the change is required. Open Enrollment If you do not wish to make changes to your current medical or dental coverage and you have no changes to dependents, there is no need to re-enroll during Open Enrollment. • Your medical coverage will automatically continue with your current plan selection (Anthem Blue Cross PPO, Anthem Blue Cross HMO or Kaiser HMO). • Your dental coverage will automatically continue with your current plan selection (Anthem Blue Cross PPO Dental Plan or Anthem Blue Cross HMO Dental Plan). As a reminder, 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.