Employees Retirement Association

Los Angeles County, CA

Official Website: https://www.lacera.com/home/index.html

Forms & Documents

Browse all Employees Retirement Association government forms

41 - 60 of 66 forms

Form Title Topics
MA-DP_2021
MA-DP_2022
Medical & Dental/Vision Premium Rates
Medical Plan New Enrollment, Change, Cancellation
Medical Plans Overview
Medical Premium Rates - Out of Area
Medicare Advantage Prescription Drug Plan Enrollment Form
Medicare Benefits Chart
Notice of Creditable Coverage
online_election_form
out2001-retirement-checklist
out414-pre-ret-guidevv
Plan Comparison
Plan Comparison - Medicare
Plan Comparison - Out of Area
qa_2022_w-4
Request Enrollment Forms
RHC203
rhc_enrollment_booklet_07_15_21
rhc_guidelines

Contact Information & Office Locations

1 contact point

Headquarters

Address:
300 N. Lake Ave.
PO Box 7060
Pasadena, CA 91101

Phone numbers:
  • (800) 786-6464 (call center)
  • (626) 564-6000 (business)
Fax numbers:
  • (626) 564-6155
Hours of operation:

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