Los Angeles Municipal Code § 4.1129 Dental Plan Subsidy

In order for a dental plan premium subsidy to be provided for a retiree, the retiree must be enrolled in a dental plan administered by the Board as part of the Dental Plan Program. The dental plan premium subsidy will be provided upon the conditions set forth below in order to lessen or defray part or all of the cost of such dental plan to such eligible retiree, as hereinafter defined.

(a) Maximum Dental Plan Premium Subsidy. The maximum subsidy shall be the amount provided by the Council for active

employees. The Board, in its discretion, may, by resolution, increase or decrease the monthly amount of dental subsidy to reflect changes in the subsidy provided by the City Personnel Department for active employees, or to offset any increases or decreases in the level of benefits or the cost thereof, as the result of changes in existing benefits or the addition of newly created benefits by federal or state funded programs.

(b) Eligibility for Dental Plan Premium Subsidy. Those retirees who are receiving a service retirement allowance or a disability

retirement allowance, have at least ten (10) years of Service as members, and are age fifty-five (55) years or older, shall have paid to their approved dental plan carrier on their behalf the following amount:

(1) Basic Monthly Subsidy. For one (1) to ten (10) whole years of Service Credit, forty percent (40%) of the maximum

monthly dental plan premium subsidy amount established pursuant to the provisions of Subsection (a).

(2) Additional Monthly Subsidy. For each additional whole year of Service Credit in excess of ten (10) whole years, add

four percent (4%) of the maximum monthly dental plan premium subsidy to the Basic Monthly Subsidy.

(3) Maximum Monthly Subsidy. No retiree shall have paid to the retiree’s dental plan carrier an amount exceeding the

maximum monthly amount established pursuant to Subsection (a) or receive an amount in excess of the premium of the plan in

which they are enrolled.

(4) Dependent Monthly Subsidy. There is no dental plan premium subsidy for dependents.

(c) Payment Limitation. In no event shall the subsidy provided in this section, when added to any other dental plan subsidy

provided by the Water and Power Employees’ Retirement Plan or the Fire and Police Pension Plan, exceed the maximum subsidy established in Subsection (a).

SECTION HISTORY

Added by Ord. No. 184,134, Eff. 1-22-16.

The survivor medical plan premium subsidy authorized in this section shall be provided, on the terms set forth herein, to Eligible Survivors of members or retirees, as defined below, who are enrolled in medical plans administered by the Board as part of the Medical Plan Program.

(a) Eligible Survivors. The following persons shall be Eligible Survivors for purposes of this section:

(1) A person who is receiving a monthly benefit as an eligible survivor as provided in Section 4.1080.11 or 4.1080.12 of this

Code shall become eligible, as an Eligible Survivor, for the medical plan premium subsidy provided in this section either on the date of the deceased’s death, if the deceased was eligible for a medical plan premium subsidy at that time, or on the date the deceased would have become eligible for a medical plan premium subsidy had the deceased not died, based upon the deceased’s Service.

(2) A surviving spouse or domestic partner who elects to receive the monthly benefit provided in Section 4.1080.10,

subsection (a)(3) of this Code shall become eligible, as an Eligible Survivor, for the medical plan premium subsidy provided in this section either on the date of the deceased’s death, if the deceased was eligible for a medical plan premium subsidy at that time, or on the date the deceased would have become eligible for a medical plan premium subsidy had the deceased not died, based upon the deceased’s Service.

A surviving spouse or domestic partner who is receiving a monthly benefit due to a retiree’s election to provide a continuance benefit funded solely by a reduction in the retiree’s retirement allowance shall not be an Eligible Survivor for purposes of this section.

(b) Subsidy for Eligible Survivors without Medicare Part A. The survivor medical plan premium subsidy for an Eligible

Survivor who either is not eligible for Medicare or does not qualify for benefits under Part A of Medicare premium free shall be:

(1) Basic Monthly Subsidy. For one (1) to ten (10) whole years of the member’s Service Credit, forty percent (40%) of the

maximum monthly medical plan premium subsidy amount established in this subsection.

(2) Additional Monthly Subsidy. For each additional whole year of the member’s Service Credit in excess of ten (10)

whole years, add four percent (4%) of the maximum monthly medical plan premium subsidy to the Basic Monthly Subsidy.

(3) Maximum Monthly Subsidy. The maximum monthly medical plan premium subsidy shall be the single-party premium

for the lowest cost standard plan, as defined by the Board, available to participants without Medicare Parts A and B.

(c) Subsidy for Eligible Survivors Enrolled in Parts A and B of Medicare. The survivor medical plan premium subsidy for an Eligible Survivor who qualifies for benefits under Part A and Part B of Medicare shall be:

(1) Monthly Subsidy (75%). For one (1) whole year of Service Credit, but less than fifteen (15) whole years of Service Credit, seventy-five (75%) of the single-party monthly premium of the approved Medicare supplemental or coordinated plan in

which the Eligible Survivor is enrolled.

(2) Monthly Subsidy (90%). For fifteen (15) whole years or more but less than twenty (20) whole years of the member’s

Service Credit, ninety percent (90%) of the single-party monthly premium of the approved Medicare supplemental or coordinated plan in which the Eligible Survivor is enrolled.

(3) Monthly subsidy (100%). For twenty (20) or more whole years of the member’s Service Credit, one hundred percent

(100%) of the single-party monthly premium of the approved Medicare supplemental or coordinated plan in which the Eligible Survivor is enrolled.

(d) Medicare Enrollment. Eligible Survivors who are eligible to enroll in Medicare Part B must do so in order to receive the

subsidy provided in this section. An Eligible Survivor who is age sixty-five (65) or older must enroll in Medicare as required by the Board in order to receive the subsidy authorized in this Section, except that Eligible Survivors who are not entitled to premium free Part A of Medicare are not required to enroll in Part A.

SECTION HISTORY

Added by Ord. No. 184,134, Eff. 1-22-16. Amended by: Subsec. (b)(3), Ord. No. 184,853, Eff. 4-6-17.