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The Personnel Department shall also approve plans for such benefits to which the City is not a party if the same meets the following requirements.
(a) The plan is contracted for or operated by an organization whose membership is exclusively or largely employees of the City, and whose purpose includes the provision of benefits to City Employees.
(b) The plan is one which was available through the employee organization to employee members on July 1, 1960, or it is clearly a successor to such a plan.
(c) Premiums are payable by payroll deduction and were payable to the plan or the predecessor plan by payroll deduction on July 1,1960;
(d) The plan offers a reasonable value of medical and hospital benefits for the premiums schedule;
(e) No profit accrues to the sponsoring organization through the operation of the plan.
SECTION HISTORY
Based on Ord. No. 131,678.
Amended by: Ord. No. 135,227.
From funds appropriated for the purpose, the Personnel Department is hereby authorized to expend toward a portion or all of the costs of any benefit program which the Personnel Department is authorized to contract for or accept on behalf of the City of Los Angeles or approve pursuant to the authority of Sections 4.303, 4.304, and 4.305 of this article the sum specified in Section 4.307 or the cost to the officer or employee for the officer’s or employee’s self and dependents, if any, whichever is less for each officer or employee of the City of Los Angeles, as specified in Sections 4.303, 4.304 and 4.305 hereof, except as provided in Section 4.306.1 of this article for sworn members of the Fire Department and Section 4.306.2 of this article for sworn members of the Police Department. Payment may be made by the Department of Personnel directly to the persons, firms, associations or corporations furnishing such benefits, or at the discretion of the Personnel Department to sponsoring groups, associations, organizations, or corporations who have contracted for or provide such benefits. Such payment may be made by the Controller as part of any salary payroll deduction when so authorized by the Personnel Department.
SECTION HISTORY
Based on Ord. No. 131,678.
Amended by: Ord. No. 137,466; Ord. No. 138,673, Eff. 5-21-69; Ord. No. 140,308, Eff. 4-24-70; Ord. No. 142,735, Eff. 12-22-71, Oper. 4-1-72; Ord. No. 145,054, Eff. 8-31-73; Ord. No. 146,382, Eff. 8-29-74, Oper. 7-7-74, Ord. No. 146,398, Eff. 8-31-74; Ord. No. 146,659, Eff. 10-24-74, Oper. 7-7-74; Ord. No. 147,604, Eff. 8-20-75; Ord. No. 148,590, Eff. 7-16-76.
Notwithstanding any other provision of this article, the Personnel Department is authorized to expend funds on behalf of any member of the Fire Department as defined in Section 4.181, toward a portion of all of the cost of a health insurance program for the member and the member’s dependent or dependents, if any. Such expenditures are authorized for any health insurance program the Personnel Department is authorized to contract for or accept on behalf of the City of Los Angeles or approve pursuant to the authority of Sections 4.303, 4.304 and 4.305 of this article. The Personnel Department is authorized to expend the sum specified in Section 4.307 or the cost to the member for the member’s self and dependents, if any, whichever is less. Payments may be made as provided by Section 4.306.
SECTION HISTORY
Added by Ord. No. 146,398, Eff. 7-29-74.
Amended by: Ord. No. 147,605, Eff. 8-20-75; Ord. No. 148,590, Eff. 7-16-76.
Notwithstanding any other provision of this article, the Personnel Department is authorized to expend funds on behalf of any member of the Police Department as defined in Section 4.181, toward a portion or all of the cost of health insurance program for the member and the member’s dependent or dependents, if any. Such expenditures are authorized for any health insurance program the Personnel Department is authorized to contract for or accept on behalf of the City of Los Angeles or approve pursuant to the authority of Sections 4.303, 4.304 and 4.305 of this article. The Personnel Department is authorized to expend the sum specified in Section 4.307 or the cost to the member for the member’s self and dependents, if any, whichever is less. Payments may be made as provided by Section 4.306.
SECTION HISTORY
Added by Ord. No. 146,397, Eff 7-31-74.
Amended by: Ord. No. 147,606, Eff. 8-20-75; Ord. No. 148,590, Eff. 7-16-76.
(a) The Personnel Department is hereby authorized to expend the monthly sum necessary to cover the cost of a dental benefit program for each full-time unrepresented officer or employee of the City of Los Angeles including unrepresented sworn members of the Police and Fire Departments; provided, however, that non-represented sworn members of the Los Angeles Police Department may elect, in lieu of the City-sponsored dental plan, to have contributed by the City on their behalf the monthly sum necessary to cover the cost of the dental plan sponsored by the Los Angeles Police Protective League or the Los Angeles Police Relief Association Dental Plan in an amount not to exceed that provided for the City-sponsored plan.
(b) The Personnel Department is authorized to expend for each half-time employee following the effective date of this subsection, a monthly sum equivalent to one half of the employee only coverage of the most expensive plan under the City-sponsored Dental Program.
A half-time employee, who prior to the effective date of this subsection, was receiving the full employee only subsidy shall continue to receive the full employee only subsidy as long as such employee does not have a break in service.
SECTION HISTORY
Added by Ord. No. 148,193, Eff. 4-1-76, Oper. 4-1-76.
Amended by: Ord. No. 150,272, Eff. 11-3-77, Oper. 10-1-77; Title and entire section, Ord. No. 154,343, Eff. 7-1-80, Oper. 7-1-80; In Entirety, Ord. No. 165,482, Eff. 2-1-90.
For non-represented employees on a Family or Medical Leave pursuant to the provisions of Section 4.129 of this Code, the Personnel Department is hereby authorized to expend the monthly premium subsidy necessary to cover the cost of continuing the dental plan benefit for non-represented employees of the City who are enrolled in a City dental plan prior to the beginning of the leave. Employees shall be eligible for the continuation of the monthly premium subsidy while on a Family or Medical Leave in accordance with Section 4.129; however, for any unpaid portion of a Family or Medical Leave, the dental plan subsidy shall be continued for a maximum of four months (nine pay periods.)
SECTION HISTORY
Added by Ord. No. 165,312, Eff. 1-6-90, Oper. 12-4-89.
Amended by: In Entirety, Ord. No. 170,101, Eff. 11-17-94, Oper. 7-1-94; Ord. No. 171,780, Eff. 11-17-97, Oper. 11-23-97; Section Title and Section In Entirety, Ord. No. 179,999, Eff. 7-11-08, Oper. 7-1-07.
(a) Represented Employees. The amount of City contribution to health plan costs for employees in representation units shall be in accordance with the various Memoranda of Understanding approved and implemented by the City Council.
(b) Non-Represented Full-Time Employees. The City shall contribute for each full-time employee who is a member of the Los Angeles City Employees’ Retirement System (LACERS) a monthly subsidy equal to the cost of the employee’s City-sponsored medical plan, as determined by the Personnel Department in accordance with Section 4.303, not to exceed the Kaiser family rate (“maximum monthly healthcare subsidy”). Adjustments in this monthly subsidy shall be effective the beginning of the pay period in which the Kaiser yearly premium rate change is implemented. The amount of the adjusted subsidy shall be certified by the General Manager Personnel Department to the Controller.
Effective January 1, 2013, non-represented, full-time employees shall pay five percent (5%) of their monthly medical plan premium on a biweekly basis when the amount of their monthly premium for the City-sponsored medical plan in which they are enrolled is equal to or less than the amount of the City’s maximum monthly healthcare subsidy. Effective January 1, 2015, this amount shall increase to ten percent (10%) and terminate effective January 1, 2020.
Effective January 1, 2013, in the event that non- represented, full-time employees are enrolled in a City- sponsored medical plan that has a monthly premium that exceeds the City’s maximum monthly subsidy, then such employees shall pay on a biweekly basis the total of the difference between the cost of their monthly medical plan premium and the City’s maximum monthly healthcare subsidy, plus five percent (5%) of the City’s maximum monthly healthcare subsidy. Effective January 1, 2015, this amount shall increase to ten percent (10%) and terminate effective January 1, 2020.
The amount of the City’s contribution which is applied toward the coverage of the dependents of an employee enrolled in both Part A and Part B of Medicare shall not exceed that amount which may be applied toward the coverage of the dependents of an employee not enrolled in both Part A and Part B of Medicare and covered by the same health, medical or hospital benefit program.
The amounts provided for the City’s health insurance contribution shall be applied first to the employee’s health insurance coverage with any balance applied toward the coverage of the employee’s dependents under the same plan.
(c) Non-Represented Half-Time Employees. The City shall contribute for each half-time employee (as defined by Section 4.110 of this Code) a monthly subsidy not to exceed the Kaiser employee-only rate, toward the cost of the employee’s City-sponsored medical plan. Adjustments in this monthly subsidy shall be effective at the beginning of the pay period in which the Kaiser Permanente yearly premium rate change is implemented.
Effective January 1, 2013, half-time employees who are members of LACERS and are enrolled in a City- sponsored medical plan shall pay five percent (5%) of the monthly Kaiser employee-only rate on a biweekly basis, when the cost of their medical plan is at or below the amount of the Kaiser employee-only rate. Effective January 1, 2015, this amount shall increase to ten percent (10%) and terminate effective January 1, 2020. When the cost of their medical plan is greater than the Kaiser employee-only rate, then such employees shall pay on a biweekly basis the total of the difference between the cost of their monthly medical plan premium and the Kaiser employee-only rate, plus five percent (5%) of the Kaiser employee-only rate. Effective January 1, 2015, this amount shall increase to ten percent (10%) and terminate effective January 1, 2020.
A half-time employee who, prior to January 23, 1990, was receiving the same subsidy as full-time employees, shall continue to receive that subsidy and shall be eligible to receive any adjustments provided in Subsection (b), as long as such employee does not have a break in service. In addition, such employees shall contribute five percent (5%) toward the cost of their healthcare premium as described above for full-time employees, increasing to ten percent (10%) effective January 1, 2015, and terminating effective January 1, 2020.
The City will apply the subsidy first to the employee’s coverage. Any remaining balance will be applied toward the coverage of the employee's dependents under the plan.
Employees who transfer from full-time to half-time under the provisions of Section 4.129, Family and Medical Leave, shall continue to receive the same subsidy as full- time employees and be subject to the required employee contribution toward the cost of their healthcare premium as described in this section.
(d) Non-Kaiser Full-Network HMO Option. Notwithstanding subsections (b) and (c) above, which pertain to monthly medical plan subsidies and employee premium costs for non-represented full-time and half-time employees, respectively, each employee who chooses the non-Kaiser Full-Network HMO option shall be required to pay the difference between the monthly subsidy paid by the City for the non-Kaiser Narrow-Network HMO and the non-Kaiser Full-Network premium for the coverage level selected, as calculated by the Personnel Department.
The employee premium costs provided under this subsection shall be in addition to any percentage of the healthcare premium paid by the employee in accordance with subsections (b) and (c) above.
(e) Non-Represented Employees Eligible for Affordable Care Act Coverage. Effective January 1, 2015 (or a subsequent date if revised by federal regulations), pursuant to the federal Affordable Care Act (ACA), employees who do not receive a healthcare subsidy under subsection (b) or (c) above, but meet the ACA eligibility requirements as determined by the Personnel Department shall be referred to as “ACA Qualified Employees.” For each ACA Qualified Employee, the City shall contribute a monthly healthcare subsidy equivalent to the Kaiser single- party (employee only) premium rate, toward the cost of the employee’s City-sponsored medical plan, less the required employee contribution amount described in subsections (b), (c), and (d) above. Adjustments in the monthly healthcare subsidy for ACA Qualified Employees shall be effective at the beginning of the pay period in which the Kaiser Permanente yearly premium rate change is implemented. The amount of the adjusted subsidy shall be certified by the General Manager Personnel Department to the Controller.
SECTION HISTORY
Based on Ord. No. 13,678.
Amended by: Ord. No. 137,446; Ord. No. 138,673, Eff. 5-21-69; Ord. No. 140,308, Eff. 4-24-70; Ord. No. 142,735, Eff. 12-22-72, Oper. 4-1-72; Ord. No. 145,054, Eff. 8-31-73; Ord. No. 146,274, Eff. 7-10-74, Oper. 7-7-74; Ord. No. 146,396, Eff. 7-31-74, Oper. 7-7-74 except for Police and Fire Depts. which are Oper 7-21-74; Ord. No. 147,603, Eff. 8-20-75; Ord. No. 147,672, Eff. 9-8-75; Ord. No. 148,785, Eff. 9-6-76, Oper. 8-14-76; Ord. No. 148,588, Eff. 7-16-76, Oper. 8-14-76; Ord. No. 148,785, Eff. 9-6-76, Oper. 8-28-76; Ord. No. 148,785, Eff. 9-6-76, Oper. 8-28-76; Ord. No. 150,272, Eff. 11-3-77, Oper. 10-22-77; Ord. No. 150,272, Eff. 11-3-77, Oper. 11-4-78; Ord. No. 150,764, Eff. 5-26-78, Oper. 10-8-78; Ord. No. 152,543, Eff. 7-3-79, Oper. 7-15-79; Ord. No. 154,343, Eff. 7-1-80, Oper. 7-1-80; Ord. No. 155,667, Eff. 7-31-81, Oper. 7-1-81; In Entirety, Ord. No. 158,643, Eff. 2-24-84, Oper. 1-1-84; In Entirety, Ord. No. 165,482, Eff. 2-1-90; In Entirely, Ord. No. 170,101, Eff. 11-17-94, Oper. 7-1-94; Subsecs. (b) and (c), Ord. No. 171,780, Eff. 11-17-97, Oper. 11-23-97; Subsecs. (b) and (c), Ord. No. 175,048, Eff. 1-23-03; In Entirety, Ord. No. 182,211, Eff. 8-10-12; Subsec. (d) added, Ord. No. 182,320, Eff. 11-29-12; Subsecs. (b), (c) and (d) amended and Subsec. (e) added, Ord. No. 182,974, Eff. 4-18-14; Subsecs. (b) and (c), Ord. No. 186,343, Eff. 11-3-19..
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