• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to footer
The Relief

The Relief

  • Facebook
  • Flickr
  • Instagram
  • Twitter
  • YouTube
  • Home
  • Medical
    • Claim Status
    • What’s Covered
    • Eligibility
    • Change Dependents
    • Prescriptions
    • Find Medical Care
    • LiveHealth Online
    • Medical Equipment
    • Medicare
    • Long-Term Care
    • Vision
    • ID Cards
    • Kaiser Plan Member
    • PPO Summary Plan Document (SPD)
    • Medical Forms
  • Relief Benefits
    • Medical Equipment
    • Sick & Injury
    • Life & Accident
    • Death Benefit
    • Family Support Group
    • Assistance/Advancements
    • Estate Planning/Trusts
    • Scholarships
  • Ten Bells
    • Death Notices & Funerals
    • Report a Death
  • Retirement Corner
    • Scheduled Retirement Events
    • Retirement Announcements
    • Plan a Retirement Event
    • How To Retire
  • Calendar
    • Events
    • Special Fundraisers
    • Add an Event
  • Grapevine
    • Current Issue
    • Articles
    • Columns
    • Mailbox
    • President’s Message
    • Advertising
    • Submit an Article/Photo
    • Archives
  • Donate
    • Donate Now
    • Widows & Orphans Web Site
  • About Us
    • About The Relief
    • Contact Us
    • Board of Trustees
    • Testimonials

Change Dependents

Coverage of your enrolled dependents starts the same date as your coverage provided that you authorize any necessary payroll deduction(s) and pay all premiums due.

You can add newly acquired dependents to your coverage without restriction within 60 days of any of the following events:

  • Marriage
  • Qualified Domestic Partnership
  • Birth
  • Adoption
  • Legal Guardianship

If your dependents are NOT added to your coverage within this 60-day period, they will be required to wait until the next Open Enrollment period, which occurs each spring and fall. Changes made during Open Enrollment are effective July 1 or January 1.

In order to change a dependent, the proper documentation must be sent to the Relief Association, such as birth certificate, marriage certificate, divorce decree.

Download the form and mail it to:
Los Angeles Firemen’s Relief Association
P.O. Box 41903
Los Angeles, CA 90041

For more information on changing your dependent(s), contact Member Services at (323) 259-5200 or  memberservices@lafra.org.

Primary Sidebar

Share!

Join Our Mailing List

Subscribe

Events Calendar

« April 2021 » loading...
S M T W T F S
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
Sun 18

Retirement Celebrations – Firefighter/Paramedic George Mikami Hall

April 18 @ 9:00 am - 5:00 pm
Wed 21

Committee Meeting – APR 21

April 21 @ 8:00 am - 5:00 pm

Footer

Main Office Numbers
(800) 244-3439 Toll-free
(323) 259-5200 Direct

Office Location
7470 N. Figueroa St
Los Angeles, CA 90041

Los Angeles Firemen's Relief Association
  • Home Page
  • Contact Us
  • Links
  • All Forms
  • Staff Directory
  • Board of Trustees
  • By-Laws
  • Privacy Policy
  • Site Map

Give To A Hero

Widows, Orphans & Disabled Firefighter’s Fund
Donate Now

Copyright © 2021 · Los Angeles Firemen's Relief Association