OE Forms & HBG
Where can you find information related to the 2025 Health Benefits Guide (HBG)
lacers.org -> retirees -> Health Benefits
lacers.org -> retirees -> Open Enrollment
When is Open Enrollment?
October 15 - November 18
What is the name of the HMO Dental Plan that LACERS provides?
DeltaCare USA
What plans are provided for Members under 65 and Part B only?
Anthem PPO, Anthem HMO, Kaiser, as well as MPRP.
Does reimburse the Medicare Part B for spouses?
No unless the spouse is a LACERS mbr
How do you request Sr Health forms to be mailed to the Member?
Use the 2025 OE Forms and HGB requests Monday.com board
When are OE changes effective?
January 1, 2025
What is the name of the PPO Dental Plan that LACERS provides?
Delta Dental PPO
What plans are provided for Members who are over 65 and have Medicare Part A and Part B?
Kaiser Sr. Advantage, Anthem Medicare Preferred, Anthem Life and Health (supplemental plan), SCAN, United Healthcare, MPRP
When is the Open Enrollment documentation deadline?
November 18, 2024
How do you request Sr. Forms to be emailed to the Member?
Use the 2025 OE Forms and HGB requests Monday.com board
How long does it take for mbrs to receive their new ID cards?
7-10 business days after the affective date (January 1, 2025)
What page in the HBG can you find the dental subsidy information?
Page 63
Can a Member and spouse be on two different LACERS Health plans?
They can be on a sr and non-sr plan, but not different providers.
What does MPRP stand for?
Medical Premium Reimbursement Program
How do Members submit their OE forms, and do they have to be original?
Secure Document Upload: lacers.org/secure-document-upload
Email / Fax: LACERS.Health@lacers.org / (213) 473-7284
Mail: P.O. Box 512218, Los Angeles, CA 90051-0218
Drop off at LACERS: 977 N. Broadway, Los Angeles, CA 90012-172
No
What is the maximum subsidy for dental?
25+ 100% PPO $42.93 HMO $15.70
No - Kaiser CA is only valid in California
What is the eligibility for a Health subsidy?
10 years of service and age 55
How do you request regular Health forms to be mailed to a Member?
Create correspondence cover letter indicating "2025" forms.
What documents are needed to add dependants to a Members medical and/or dental plan?
Certification of dependent or survivor status form and the below forms:
What dental benefits will a spouse receive after the Member passes away?
None - only health benefits
Which Sr. Medicare Plan has Medicare as the primary and the LACERS health plan as secondary?
Anthem Life and Health (supplemental plan)
-Must meet Medicare deductible first
- Medicare pays 80%
- Anthem pays the remaining 20%
When should a call be transferred to an AOD regarding Open Enrollment?