b'2025 NON-MEDICARE RETIREE 2025 NON-MEDICARE RETIREE HEALTH SUBSIDY INCREASE, continuedHEALTH SUBSIDY INCREASE NON-MEDICARE HEALTH SUBSIDY ELIGIBILITY REQUIREMENTS Retired members are eligible to receive the non-Medicare health subsidy provided all the following requirements are met: At least age 55 or age 65 and older who qualify for Medicare Part B only*. Receiving a monthly pension (member has exited DROP). Retired with at least 10 years of service or a Tier 6 member who retired on a service-connected disability pension**. Enrolled in a Board-approved health plan or participating in the Health Insurance Premium Reimbursement (HIPR)Program.* Retirees who qualify for both Medicare Parts A and B receive the Medicare health subsidy.** Tier 6 service-connected disability pensioners with less than 10 years of service receive 40% of the maximum Non-Medicare Health Subsidy or 40% of the single-party cost of the retirees plan, whichever is less.CALCULATING YOUR MONTHLY SUBSIDY AMOUNTMembers who retired with 25 or more years of service may qualify for the maximum monthly subsidy of $2,398.29.Those who retired with 10 to 24 years of service receive 4% of the maximum subsidy for each whole year of service as demonstrated in the chart below. How to calculate the Non-Medicare Health Subsidy NON-FROZEN HEALTH SUBSIDYfor Retired Members with 10-24 Years of ServiceRetired or enteredMaximumDROP prior toMonthly$2,398.29 July 15, 2011Subsidy* orYou will receive aCalculatingMembershealth subsidy basedChose to opt-inYourWhole MaximumMonthly on the NON-FROZENduring theMonthlyYears ofx 4% x Subsidy= Subsidy maximum amount ofdesignated periodSubsidy** Service Amount $2,398.29if you:to contribute 2% ofyour base salary* The July 1, 2011 subsidy maximum of $1,097.41 applies to ormembers with a frozen health subsidy. Retired under Tier 6** The actual Monthly Subsidy provided may not exceed the premium of the health plan in which the participant is enrolled.FROZEN HEALTH SUBSIDY Retired or enteredDROP on or afterQuestions?If you have questions You will receive aJuly 15, 2011 underregarding your health subsidy entitlement, pleaseFROZEN health Tiers 2, 3, 4, or 5contact the Medical and Dental Benefits Section atsubsidy based onand(213) 279-3115, (844) 88-LAFPP, ext. 3115, the July 1, 2011 maximum amount ofor via email at [email protected]. Information is also Did not opt-in during$1,097.41 if you: the designated periodavailable on the Retirees (Plan Details) page of our to contribute 2% ofwebsite at lafpp.lacity.gov. your base salaryJUNE 2025 5'