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The Los Angeles City Council (City Council) and the Los Angeles Fire and Police Pensions Board of Commissioners (Board) have approved changes to the Health Insurance Premium Reimbursement (HIPR) program which may impact your eligibility for participation, and subsidy reimbursement for expenses incurred, as of April 1, 2017.&nbsp;



Participation Requirement Updates:&nbsp;&nbsp;If you are a California resident, you may now be eligible to participate in the HIPR program and receive reimbursements for their health insurance coverage costs. &nbsp;HIPR participants are no longer required to reside more than three months outside of a LAFPP-approved HMO authorized service area.&nbsp;



Additionally, if you are the eligible dependent enrolled in another subscriber’s health plan, you may be eligible for reimbursements through the HIPR program.&nbsp; Members are no longer required to be the primary subscriber of their health insurance plan.&nbsp;



Subsidy Eligibility Update:&nbsp; Retired members who are participating in the HIPR program and are enrolled in Medicare Parts A &amp; B are now eligible to receive additional subsidies for their eligible dependents (spouse or domestic partner and/or children under the age of 26).&nbsp; Reimbursement for dependent coverage may be requested if the eligible dependent is&nbsp;&nbsp; enrolled in:



<ul>
<li>The retiree’s own Medicare health plan, or</li>



<li>A health insurance plan that is issued by the same provider as the member’s plan (e.g., Anthem Blue Cross, Kaiser, AARP, etc.).</li>
</ul>



Members who are currently enrolled in a non-Medicare health insurance plan or a health plan sponsored by Los Angeles Police Relief Association (LAPRA), Los Angeles Firemen’s Relief Association (LAFRA), United Firefighters of Los Angeles City (UFLAC), or LAFPP, are already eligible for subsidy benefits towards their eligible dependent coverage and are not affected by this change.



LAFPP continues to seek opportunities to enhance the health plan options available to you as an LAFPP member. If you have any questions, please contact the Medical &amp; Dental Benefits Section at (844) 88-LAFPP (52377), or (213) 279-3115.

Health Insurance Premium Reimbursement Program (HIPR) Changes

May 2024

April 2024

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