Active Health Summary Plan Description
As of September 1, 2017
En Español (PDF)
- Under HIPAA you have the right to enroll in the Retiree Health Plan subsequent to the commencement of your pension benefit so long as your initial declination to enroll in the Retiree Health Plan when first eligible to do so is due to your having other health coverage in force at that time, and the following conditions are met.
- The Administrative Office must receive your signed declination prior to the expiration of the normal 30-day initial enrollment deadline for enrolling in the Retiree Health Plan.
- You will lose your HIPAA Special Enrollment rights if a properly completed and signed declination is not received within 30 days prior to expiration of your initial enrollment deadline under the Retiree Health Plan.
- If the Administrative Office receives your initial and properly completed declination in a timely manner, your subsequent enrollment in the Retiree Health Plan must occur within 30 days of the loss of your other health coverage which was the basis of your declination.
If you have properly and timely declined initial enrollment in the Retiree Health Plan, you may still lose your HIPAA Special Enrollment rights if you fail to enroll in the Retiree Health Plan within 30 days of the loss of your other health coverage. You must submit proof of your period of coverage under your other health coverage when you apply for enrollment in the Retiree Health Plan.
You are not required to fully exhaust COBRA coverage prior to enrolling in the Retiree Health Plan. You are entitled to enroll in the Retiree Health Plan upon timely application at the beginning of any month during the COBRA continuation coverage period.
If you have questions, please contact the Administrative Office at (323) 221-5861, Monday through Friday or toll free at (800) 824-6935 from 8:30am – 5:30pm.