OE Forms & HBG
OE General
Dental Plans
Health Plans
Misc
100

Where can you find information related to the 2025 Health Benefits Guide (HBG)

lacers.org -> retirees -> Health Benefits

lacers.org -> retirees -> Open Enrollment

100

When is Open Enrollment?

October 15 - November 18

100

What is the name of the HMO Dental Plan that LACERS provides?

DeltaCare USA

100

What plans are provided for Members under 65 and Part B only?

Anthem PPO, Anthem HMO, Kaiser, as well as MPRP.

100

Does reimburse the Medicare Part B for spouses?

No unless the spouse is a LACERS mbr

200

How do you request Sr Health forms to be mailed to the Member?

Use the 2025 OE Forms and HGB requests Monday.com board

200

When are OE changes effective?

January 1, 2025

200

What is the name of the PPO Dental Plan that LACERS provides?

Delta Dental PPO

200

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

200

When is the Open Enrollment documentation deadline?

November 18, 2024

300

How do you request Sr. Forms to be emailed to the Member?

Use the 2025 OE Forms and HGB requests Monday.com board

300

How long does it take for mbrs to receive their new ID cards?

7-10 business days after the affective date (January 1, 2025)

300

What page in the HBG can you find the dental subsidy information?

Page 63

300

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. 

300

What does MPRP stand for?

Medical Premium Reimbursement Program

400

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

400
Is there a waiting list for Open Enrollment events that have reached their registration capacity?

No

400

What is the maximum subsidy for dental?

25+ 100% PPO $42.93 HMO $15.70

400
Does LACERS provide a Kaiser plan for Members who live outside of California?

No - Kaiser CA is only valid in California

400

What is the eligibility for a Health subsidy?

10 years of service and age 55

500

How do you request regular Health forms to be mailed to a Member?

Create correspondence cover letter indicating "2025" forms.

500

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:

  • A copy of your certified marriage Certificate or Proof of Domestic Partnership
  • A copy of your child’s birth certificate
  • Proof of your child’s disability, if applicable
500

What dental benefits will a spouse receive after the Member passes away?

None - only health benefits

500

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%

500

When should a call be transferred to an AOD regarding Open Enrollment?

Any calls that require counseling for specific coverage related to a Members health, medication, or specific facility (zip code), etc.  MSC can assist with general questions that can be found in the HBG or website.