b'REIMBURSEMENT ELIGIBILITY RetiredmembersandQualifiedSurvivingSpouses/DomesticPartnerscanreceive reimbursement for their standard Medicare Part B premiums if they are eligible for a health subsidy and are enrolled in both Medicare Parts A and B. If you are enrolled in a Board- approved health plan, your reimbursements will automatically be included in your monthly pension payment. If you are enrolled in a state-regulated health plan (e.g., through your spouse or another employer), you may also receive a quarterly reimbursement of your Part B premiums by participating in LAFPPs Health Insurance Premium ReimbursementQuestions?(HIPR) Program. If you would like more information Important:about LAFPPs Health and Dental You must maintain your Medicare enrollment to remain eligible for subsidy benefits. LAFPPSubsidy Program, including eligi-does NOT make payments to SSA or CMS on your behalf for any Medicare premiums.bility requirements, Medicare Part LAFPP can only reimburse members for their basic Part B premium (i.e., no reimbursementBPremiumReimbursements,or for late enrollment penalties or Income-Related Monthly Adjustment Amounts (IRMAA)the HIPR Program, please contact charged by CMS). the Medical & Dental Benefits RETROACTIVE REIMBURSEMENT FOR 2025Sectionat(213)279-3115, (844)88-LAFPPext.3115, or You may be retroactively reimbursed for your Part B premiums for up to 12 months if [email protected]. have been receiving a Medicare Part B reimbursement that is lower than your basic Part BInformationisalsoavailablein premium.the Retired Members section at To claim retroactive reimbursements, you may submit a copy of your 2025 tax Form 1099lafpp.lacity.gov.from SSA, a copy of the SSA benefits statement you received at the end of 2025, or a copy of the last CMS bill you received in 2025.All documentation should be sent to the Medical & Dental Benefits Section using the Secured Messaging feature of MyLAFPP, via fax to (213) 628-7782, or emailed to [email protected]. You may also mail a copy to: Los Angeles Fire & Police Pensions, Attn: Medical & Dental Benefits, 701 E. 3rd Street, 2nd floor, Los Angeles, CA 90013. Prior to submitting any documentation, please redact any personally identifiable information such as your date of birth, Social Security Number, or address. DECEMBER 2025 5'