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SECTION HISTORY
Added by Ord. No. 173,028, Eff. 1-17-00.
Amended by: Sec. Number, Ord. No. 173,136, Eff. 3-24-00; Subsec. (a), Ord. No. 176,731, Eff. 6-21-05; Subsec. (e) added, Ord. No. 177,900, Eff. 9-28-06.
Renumbered as Sec. 4.2206 by Ord. No. 179,538, Eff. 3-2-08.
(a) Effective January 1, 2000, a qualified surviving spouse or qualified surviving domestic partner of a deceased member of the Fire and Police Pension Plans shall be entitled to a health insurance subsidy if, at the time of the member’s death, the member was retired and receiving a health subsidy. Effective January 1, 2000, if a member dies after retirement, but prior to receiving a health subsidy, or if the member dies prior to retirement, then the qualified surviving spouse or qualified surviving domestic partner shall be eligible to receive a health insurance subsidy upon the date when the member would have attained age 55, or on January 1, 2000, whichever occurs later, provided the member had a minimum of 10 years of service in the retirement system. Notwithstanding the foregoing, a qualified surviving spouse or qualified surviving domestic partner of a deceased Tier 6 Plan Member retired under the provisions of 1706(a) with less than ten (10) years of service shall not be eligible for a health insurance subsidy.
(b) The maximum health subsidy payment available for a qualified surviving spouse or qualified surviving domestic partner shall not exceed the Los Angeles City Employees’ Retirement System (LACERS) Kaiser single-party premium for retired members without Part A and B of Medicare nor may such subsidy payment be in excess of any amounts allowed active members of the Fire and Police Pension Plans.
(c) The health subsidy provided to a qualified surviving spouse or qualified surviving domestic partner who does not qualify for Part A of Medicare shall be 4% of the maximum survivor subsidy for each year of the retired member’s service, up to 100% of the maximum survivor subsidy.
(d) The health subsidy provided to a qualified surviving spouse or qualified surviving domestic partner with both Parts A and B of Medicare shall be as follows:
(1) For ten (10) to fourteen (14) years of service by the member, 75% of the qualifying monthly premium.
(2) For fifteen (15) to nineteen (19) years of service by the member, 90% of the qualifying monthly premium.
(3) For twenty (20) or more years of service by the member, 100% of the qualifying monthly premium.
(e) The qualifying monthly premium for qualified surviving spouses and qualified surviving domestic partners, as used in Subsection (d), shall mean the single party monthly premium of the qualified surviving spouse or qualified surviving domestic partner’s approved plan. However, if the monthly premium exceeds the highest single party monthly premium of Medicare A & B plans available to retired members of LACERS, then the premium for the latter shall be the qualifying monthly premium.
(f) A qualified surviving spouse or qualified surviving domestic partner who receives a health subsidy pursuant to Subsection (d) above shall also receive a subsidy for reimbursement of the Medicare Part B basic premium on the terms set forth in Section 4.1162 of this chapter.
(g) As a prerequisite to receiving the health subsidy, a qualified surviving spouse or qualified surviving domestic partner must enroll in Medicare to the full extent of their entitlement at the earliest date of eligibility.
(h) A qualified surviving spouse or qualified surviving domestic partner who is also entitled to a health subsidy pursuant to the provisions for active death health benefits from any Memorandum of Understanding (MOU) shall not be entitled to the health subsidy provided herein for as long as they shall receive that other health subsidy.
(i) The health subsidy provided in this section shall only be used to pay the single party premium cost for approved health insurance plans. Any unused subsidy amount can not be received as cash compensation.
(j) This health insurance subsidy will also be provided to current qualified surviving spouses of deceased members who are receiving monthly survivorship benefits on the effective date of this section.
(k) For purposes of this section, the term “qualified surviving spouse” shall also include an eligible widow as defined in the Charter provisions dealing with the Fire and Police Pension Plans.
SECTION HISTORY
Added by Ord. No. 173,028, Eff. 1-17-00.
Amended by: Sec. Number, Ord. No. 173,136, Eff. 3-24-00; Subsec. (f), Ord. No. 179,538, Eff. 3-2-08; Last Sentence of Subsec. (a) added, Ord. No. 181,770, Eff. 7-8-11.
In addition to any other subsidies to which a beneficiary may be entitled under this chapter, a subsidy may be paid to reimburse eligible beneficiaries for the Medicare Part B basic/standard premium, provided that no reimbursement shall be paid for any premium in excess of the basic/standard amount due to charges for income-related monthly adjustment amounts or for any other reason, such as delays in applying for coverage or late fees.
In order to be eligible for Medicare Part B reimbursement, a retired member, a qualified surviving spouse, or a qualified surviving domestic partner, must be:
(1) enrolled in Medicare Parts A and B; and
(2) eligible to receive either a health insurance subsidy or a health insurance premium reimbursement from the Fire and Police Pension Plan.
The Medicare Part B reimbursement subsidy and administrative costs will be provided solely by the Fire and Police Pension Plan, as provided in Sections 1320, 1416, 1510, 1610 and 1710 of the Charter and Section 4.2010 of the Administrative Code. Reimbursement shall not be paid until sufficient proof of the eligible beneficiary’s enrollment, coverage and premium payment has been made as required by the Board.
SECTION HISTORY
Added by Ord. No. 173,275, Eff. 6-25-00, Oper. 7-1-00; new Sec. and Title, Ord. No. 179,538, Eff. 3-2-08.
Former Sec. 4.1162 renumbered as Sec. 4.2210 by Ord. No. 179,538, Eff. 3-2-08.
Amended by: Last Para., Ord. No. 181,770, Eff. 7-8-11; Ord. No. 184,853, Eff. 4-6-17.
(a) Effective January 1, 2001, upon written application and verification as required by the Department of Fire and Police Pensions and subject to the rules and regulations promulgated by the Board of Fire and Police Pension Commissioners, retired members, their qualified surviving spouses or qualified domestic partners are eligible to receive a health insurance premium reimbursement if all of the following conditions are met:
(1) the eligible member or the member’s qualified surviving spouse or qualified domestic partner is enrolled to the extent of the member’s entitlement in Medicare;
(2) the eligible member or the member’s qualified surviving spouse or qualified domestic partner is receiving an allowance pursuant to any benefit tier of the Fire and Police Pension System;
(3) the eligible member is the primary subscriber or a dependent on the medical plan;
(4) the qualified surviving spouse or qualified domestic partner is the primary subscriber;
(5) the eligible member or the member’s qualified surviving spouse or qualified domestic partner is eligible to receive a Fire and Police Pension Plan health subsidy pursuant to the provisions of this Code; and
(6) the eligible member or the member’s qualified surviving spouse or qualified domestic partner is not enrolled in a Department of Fire and Police Pensions approved medical plan.
(b) The maximum reimbursement available to eligible retired members cannot exceed the lower of:
(1) Any subsidy available to eligible retired members pursuant to this Administrative Code or any applicable Memorandum of Understanding; or
(2) The cost of the health plan the eligible retired members are enrolled in and for which they are seeking reimbursement.
(c) The maximum reimbursement available to qualified surviving spouses or qualified surviving domestic partners cannot exceed the lower of:
(1) Any subsidy available to qualified surviving spouses or qualified surviving domestic partners pursuant to this Administrative Code or any applicable Memorandum of Understanding, or
(2) The single-party cost of the health plan that the qualified surviving spouses or qualified domestic partners are enrolled in and for which they are seeking reimbursement.
(d) In no event shall the health insurance reimbursement provided in this section, when added to any health insurance subsidy paid from the funds of the Department of Water and Power and/or the Los Angeles City Employees’ Retirement System (LACERS) exceed the maximum subsidy available pursuant to the provisions of this Administrative Code.
SECTION HISTORY
Added by Ord. No. 174,369, Eff. 12-19-01.
Amended by: Subsecs. (b) and (c) amended and Subsec. (d) added, Ord. No. 176,731, Eff. 6-21-05; Ord. No. 184,853, Eff. 4-6-17.
(a) Those members who were retired pursuant to Charter Sections 1304, 1310, 1312, 1408, 1412(a), 1412(b), 1504, 1506(a), 1506(b), 1604, 1606(a), 1606(b), 1704, 1706(a) or 1706(b), or Administrative Code Sections 4.2004, 4.2006(a) or 4.2006(b), and who have at least ten (10) Years of Service, including those years for which they acquired additional retirement service credits from said Plan, and who are age fifty-five (55) years or older, shall have paid to their approved dental insurance carrier on their behalf a monthly subsidy consisting of 4% of the maximum monthly dental subsidy for each whole year of service as defined in their applicable Tier. In no case shall a retired member have paid to the retired member’s dental insurance carrier an amount exceeding the maximum monthly amount established pursuant to paragraph (b) of this Section.
(b) The maximum monthly subsidy shall be the lower of the Los Angeles City Employees’ Retirement System (LACERS) maximum subsidy or any amount allowed active members of any Fire and Police Plan Tier.
(c) In no event shall the subsidy provided in this section, when added to any other dental subsidy paid from the funds of the Department of Water & Power and/or LACERS exceed the maximum subsidy available pursuant to the provisions of this Administrative Code.
(e) Entitlement for the subsidy provided herein shall commence with the premiums due for the month of January 2002. There shall be no retroactive entitlement to the dental insurance premium subsidies provided in this section prior to this commencement date.
SECTION HISTORY
Added by Ord. No. 174,368, Eff. 12-19-01.
Amended by: Subsec. (b), Ord. No. 176,731, Eff. 6-21-05; Subsecs. (a) and (d), Ord. No. 181,770, Eff. 7-8-11; Subsec. (d), Ord. No. 184,853, Eff. 4-6-17.
SECTION HISTORY
Added by Ord. No. 174,612, Eff. 6-6-02.
Renumbered as Sec. 4.2208 by Ord. No. 179,538, Eff. 3-2-08.
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