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 55, 1. On or after 7/1/1998at least age 55if 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 least a Tier 6 member who retires on a Service-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 CityUnited Firefighters of Los Angeles City Los Angeles Firemens Relief AssociationLos Angeles Firemens Relief Association Los Angeles Police Relief AssociationLos Angeles Police Relief Association LACERS plans offered to a closed group ofLACERS plans offered to a closed group ofpensioners pensioners2. Any state-regulated, comprehensive major medical 2. Any state-regulated, comprehensive majorinsurance plan with proof of premium and payment medical insurance plan with proof of premiumapproved through the Health Insurance Premium and payment approved through the HealthReimbursement Program Insurance Premium Reimbursement 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 due todisability disabilityEnrollment in: Enrollment in: Medicare Part A: Required only if the QSS/ QSDP isMedicare Part A: Required only if the retiree oreligible for Part A free of charge covered dependent is eligible for Part A free Medicare Part B: Requiredof 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 8SUMMARY OF PLAN PROVISIONS 161'