b'HEALTH AND DENTAL INSURANCEPREMIUM SUBSIDIES19. Health Subsidy Member Qualified Surviving Spouse (QSS)/Qualified Surviving Domestic Partner (QSDP)a. Age If the retirement date is:Member (retired sworn officer) must be at least age 1. On or after 7/1/1998at least age 5555, if he/she was still alive 2. Prior to 7/1/1998at least age 60If the member died in the line of duty, medical benefits are provided by the Personnel Departmentb. Years of Service At least 10 years of service (YOS), except forMember (retired sworn officer) must have had at a Tier 6 member who retires on a Service-least 10 years of service (YOS)Connected Disability Pensionc. Pension Type Service or Disability Pension QSS/QSDP Pensiond. Eligible Plans Health subsidies may be applied to one of theHealth subsidies may be applied to one of the following:following: 1. A Board-approved plan:1. A Board-approved plan:United Firefighters of Los Angeles City United Firefighters of Los Angeles CityLos Angeles Firemens Relief Association Los Angeles Firemens Relief AssociationLos Angeles Police Relief Association Los Angeles Police Relief AssociationLACERS plans offered to a closed group of LACERS plans offered to a closed group of pensionerspensioners 2. Any state-regulated, comprehensive2. Any state-regulated, comprehensive major major medical insurance plan with proof ofmedical insurance plan with proof of premium and premium and payment approved through thepayment approved through the Health Insurance Health Insurance Premium ReimbursementPremium Reimbursement Program Programe. MedicareMost retirees and their covered dependentsMost QSS/QSDPs qualify for Medicare at age 65 Enrollmentqualify for Medicare at age 65May qualify for Medicare prior to age 65 due to Requirements May qualify for Medicare prior to age 65 duedisability to disabilityEnrollment in: Enrollment in: Medicare Part A: Required only if the QSS/Medicare Part A: Required only if theQSDP is eligible for Part A free of charge retiree or covered dependent is eligible for Medicare Part B: RequiredPart A free of chargeMedicare Part B: Requiredf. Non-Medicare, 4% per YOS, up to a maximum of 25 YOS 4% per YOS, up to a maximum of 25 YOSMedicare Part B Subsidy payment may not exceed the healthSubsidy payment may not exceed the single-partyOnly Subsidyinsurance plan premium health insurance plan premium FormulaNote: Members in Tiers 2-5 who Note: QSS/QSDPs of members in Tiers 2-5 who(1) enter DROP or retire after July 14, 2011 (1) enter DROP or retire after July 14, 2011and (2) chose not to opt-in during theand (2) chose not to opt-in during thedesignated period, are subject to the designated period, are subject to themaximum subsidy in effect on July 1, 2011 maximum subsidy in effect on July 1, 2011SECTION 8 Summary of Plan Provisions 161'