2023 Health and Dental Subsidy Updates

On November 17, 2022, the Board of Fire and Police Pension Commissioners approved new maximums for the Medicare health subsidy, the health subsidy for Qualified Surviving Spouses/Domestic Partners, as well as the dental subsidy. These new maximum amounts will be effective January 1, 2023 through December 31, 2023.

Medicare Health Subsidy Benefit

The maximum Medicare Health Subsidy will remain at $494.67, effective January 1, 2023. The maximum Medicare Health Subsidy is set at the highest monthly premium of an approved plan supplemental to Part A of Medicare available to retired members of the Los Angeles City Employees’ Retirement System (LACERS), pursuant to the City of Los Angeles Administrative Code Section 4.1154(c).

A Medicare Health Subsidy is provided to eligible retired members or Qualified Surviving Spouses/Domestic Partners who are enrolled in both Medicare Parts A and B. The monthly subsidy that you may receive is based on the number of whole years of service at the time of retirement (or DROP entry) as shown in the chart below.  

Member’s Whole Years of ServiceMaximum Medicare Health Subsidy*
20 or moreThe lesser of: $494.67 or 100% of the single-party premium of the participant’s health plan.
15 – 19The lesser of: $445.20 or 90% of the single-party premium of the participant’s health plan.
10 – 14The lesser of: $371.00 or 75% of the single-party premium of the participant’s health plan.
Less than 10No subsidy; Tier 6 retirees see below.**
*For members who: (1) entered DROP or retired after July 14, 2011, and (2) did not opt-in during the designated period to make the additional 2% pension contributions, the Maximum Medicare Health Subsidy is equal to the July 1, 2011 amount of $480.41.  
** Tier 6 members who retire on a service-connected disability pension with less than 10 years of service may qualify for a minimum health subsidy at age 55 if

Qualified Survivors Health Benefit

The non-Medicare health subsidy maximum for Qualified Surviving Spouses/Domestic Partners (Qualified Survivors) will increase from $900.24 to $939.09 per month, effective January 1, 2023.

If you currently receive a survivorship pension from LAFPP, you may also be eligible for a health subsidy if the following qualifications are met:  

  • You must be enrolled in a Board-approved health plan (one offered by Los Angeles Firemen’s Relief Association (LAFRA), Los Angeles Police Relief Association (LAPRA), UFLAC or Fire & Police Pensions) or participate in the Health Insurance Premium Reimbursement Program.
  • The sworn member had at least 10 years of service.
  • The sworn member received, or was eligible to receive, a health subsidy at the time of death; otherwise, you will be eligible when the sworn member would have been 55 years old.
  • The sworn member was a Tier 6 retiree with a service-connected disability.
  • If you receive a survivorship benefit pursuant to a purchase made by the retired member under the Survivor Benefit Purchase Program for Retirees, you are not eligible for a health subsidy. 

Member Dental Subsidy Benefit

The maximum retiree dental subsidy will decrease from $44.60 to $43.81 per month, effective January 1, 2023. Per City of Los Angeles Administrative Code Section 4.1164(b), the maximum dental subsidy for retirees shall be the lower of LACERS’ maximum dental subsidy or any amount allowed active members of any LAFPP Tier.

You are eligible for a dental subsidy if you are retired with at least 10 years of service, are at least 55 years old, and are enrolled in a Board-approved dental plan. If you retire with more than 25 years of service, your eligibility is capped at 100% of the maximum subsidy. If you retire with 10 to 24 years of service, your subsidy is calculated at 4% of the current maximum for each whole year of service.

Note: Qualified Survivors are not eligible to receive a dental subsidy from LAFPP but are allowed to enroll in a Board-approved dental plan

Questions

If you would like more information about LAFPP’s Health and Dental Subsidy program eligibility requirements, please contact the Medical and Dental Benefits Section at (213) 279-3115 or (844) 88-LAFPP ext. 3115. Information is also available in the Retired Members section of www.lafpp.com.

New Form W-4P for Federal Tax Withholding in 2023

In January 2022, the Internal Revenue Service (IRS) released a new 2022 Form W-4P – Withholding Certificate for Periodic Pension or Annuity Payments and a new 2022 Form W-4R – Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions.

Use of the new forms was optional for tax year 2022 but LAFPP is required to use them beginning January 1, 2023.

Note for California State Tax Withholding

The revised Form W-4P must be used for federal tax withholding only and may no longer be used for California state tax withholding. The California Franchise Tax Board has not updated its form, DE 4P – Withholding Certificate for Pension or Annuity Payments. As such, LAFPP has created a new form for pensioners to elect or make changes to California state tax withholding.

This form is available for download from the LAFPP website at Income Tax Withholding Form.

Form Submission Deadlines

If you plan to submit changes to your federal and/or California state tax withholding, please adhere to the following guidelines:

  • The revised IRS Form W-4P for federal tax withholding and the new LAFPP California State Income Tax Withholding Form must be used to elect federal and California state tax withholding if effective on or after January 1, 2023. 
  • Changes to federal tax withholding submitted electronically via MyLAFPP on or after December 16, 2022 will be submitted under the new Form W-4P, that is effective January 1, 2023.

FREQUENTLY ASKED QUESTIONS

Why did the IRS change the Form W-4P?

Prior to the updates, the old Form W-4P was used to withhold federal tax from both periodic payments (e.g., monthly pension payments) and nonperiodic payments (e.g., DROP lump sum payments). The IRS redesigned the Form W-4P and created a new Form W-4R to simplify withholding, make tax withholding more accurate, and to be consistent with the recent federal tax law changes.

Why can’t I enter the number of allowances on the Form W-4P?

The IRS removed the option to enter allowances to be consistent with current tax law. Instead, Form W-4P considers information that affects your taxable income. Note however that the form to elect California state tax withholding has not changed and still allows you to enter a number of allowances.

I am satisfied with my current tax withholdings. Do I have to submit a new form?

If you do not wish to change your federal and/or California state tax withholding, LAFPP will continue to withhold taxes according to the elections we have on file for you until you submit new elections.

What happens if I do not submit my tax withholding elections?

Beginning January 1, 2023, if there are no tax withholding instructions on file for you, LAFPP is required to withhold federal tax from your taxable monthly pension payment based on a filing status of Single with no adjustments.

In addition, if you are a resident of California, LAFPP is required to withhold California state tax from your taxable monthly pension payment based on a filing status of Married and three allowances.

What if I do not want taxes withheld from my pension payment?

If you are receiving a taxable pension payment and do not want federal tax withheld, you can write “No Withholding” in the space below Step 4© and complete Steps 1(a), 1(b), and 5 only on the IRS Form W-4P. For MyLAFPP submissions, you can check the “No Withholding” box below Step 4© and complete Step 5 only in the “Federal Tax Instructions” section.

If you are a California resident receiving a taxable pension payment and do not want California state tax withheld, you can select Option 1 on the LAFPP California Income Tax Withholding Form. Be sure to complete the personal information section and sign and date the form. For MyLAFPP submissions, you can select the “No Withholding” option from the “Tax Calculation Method” drop down menu in the “State Tax Instructions” section.

How can I update my tax withholding elections?

You may submit your tax withholding elections electronically by logging into MyLAFPP or you can submit the appropriate tax withholding paper form(s) to LAFPP:

Submissions received after the 15th of the month will become effective the following month.

How do I complete the new Form W-4P?

Please see the “General Instructions” section of Form W-4P for information on how to complete the form.

I’m not sure how much should be withheld for taxes each month. Can you assist me with filling out the Form W-4P?

LAFPP cannot offer tax or legal advice. The Form W-4P contains a “General Instructions” section to assist you with completing the form. For further assistance, we encourage you to contact the taxing agency or your tax advisor.

I am retiring on a Service Pension or exiting DROP on or before January 31, 2023. What form should I complete to have federal taxes withheld from my monthly pension payment?

Complete and submit the tax withholding forms provided to you by the DROP/Service Pensions Section. Please contact the DROP/Service Pensions Section for more details by email at dropsp@lafpp.com, or by phone at (213) 279-3100 or toll-free at (844) 88-LAFPP (52377).

If I do not submit a tax withholding form, how will my federal tax withholding be calculated for my monthly pension payment? How will my DROP payment be taxed?

If you do not submit the required tax withholding form(s), LAFPP is required to withhold federal tax from your taxable monthly pension payment based on a filing status of Single with no adjustments. Your entire DROP account balance will also be subject to a mandatory 20% federal tax withholding.

In addition, if you are a resident of California, LAFPP is required to withhold California state tax from your monthly pension payment based on a filing status of Married with three allowances. There is no requirement to withhold California state tax from your DROP account balance.

LAFPP’s Ongoing Commitment to Cyber Security

LAFPP remains focused and committed to keeping member data/information safe and secure. As more and more members conduct business online, we recognize the increased need to manage cybersecurity risks and have adopted a strategic cybersecurity initiative to mitigate those risks.

How does LAFPP protect you?

  • LAFPP frequently conducts network vulnerability assessment testing and institutes best practices in securing member data;  
  • Conducts periodic department-wide staff training; and,  
  • Makes continuous enhancements to our cybersecurity program to improve and defend against cyber-attacks, including implementation of a 2-Factor Authentication (2FA) member portal login. 

What can you do to secure your LAFPP information?

Protecting your information is a shared responsibility and cybersecurity starts with you. Here are some tips to protect your personal information with LAFPP:

MyLAFPP

  • Register online to view and maintain your personal information through the MyLAFPP member web portal. 
  • Keep your contact information up to date to receive timely notices in the event that we may need to reach you. Download forms to update your information from our website or submit a change request via the member portal.  
  • Utilize strong passwords by creating passwords that use a combination of upper and lower case letters, numbers, and special characters. Consider a password manager to help create and track passwords. It is advisable not to share, reuse, or repeat passwords.  

Direct Deposit

  • Consider enrolling in direct deposit, which saves time and is more secure than paper checks. 
  • Check with your bank and confirm that your monthly pension is being deposited regularly.  
  • Contact LAFPP if you are not receiving your monthly itemized pension statement, which is mailed to your address on file. 
  • Update your bank account and tax withholding information by downloading forms from our website or utilizing MyLAFPP. 

Contacting LAFPP

  • Do not include any personally identifiable information (PII) in your email messages, such as Social Security numbers, dates of birth, driver’s license numbers, or addresses. 
  • Consider encrypting your emails before sending to LAFPP, especially when attaching files for Health Insurance Premium Reimbursement (HIPR) requests. 
  • For enhanced security during phone calls, staff will confirm your identity by requesting your date of birth, mailing address, last 4 digits of your Social Security Number, and a security question known only to you.  

Reminder: LAFPP will never initiate a phone call, email, or text message to request your MyLAFPP login credentials or any other personal information.

Do not respond to phone calls or click on links requesting your personal information. When in doubt, contact LAFPP directly by dialing (213) 279-3000 or (844) 88-LAFPP or by sending an email to pensions@lafpp.com.

Medicare Part B Premium Reimbursement for 2023

SPECIAL NOTICE: This article only applies to eligible retired members of Los Angeles Fire and Police Pensions and respective Qualified Surviving Spouses/Domestic Partners.

The Centers for Medicare and Medicaid Services (CMS) has decreased the standard Medicare Part B monthly premium to $164.90 effective January 1, 2023; however, you may pay a different amount determined by CMS.

  • If you are a new Medicare Part B enrollee in 2023, you will be reimbursed the standard monthly premium of $164.90 and will only need to provide a copy of your Medicare card.  
  • If you received a Medicare Reimbursement less than $164.90 on your pension check in 2022, you will need to provide documentation to update your Part B reimbursement for 2023. 
  • If you received a Medicare Reimbursement of $164.90 or more on your pension check in 2022, your reimbursement amount will be automatically adjusted on your December 31, 2022 pension check.

To update your Part B reimbursement for the 2023 calendar year: 

Please submit a copy of:

  • The first page of your Social Security New Benefit Amount statement for 2023; or
  • Your next Medicare monthly or quarterly billing statement (if you do not receive Social Security benefits)

To update your Part B reimbursement for premiums paid during the 2022 calendar year: 

Please submit a copy of your:

  • Social Security Form 1099 for 2022; or
  • Your first Medicare monthly or quarterly billing statement for 2022

Please redact any birthdate or SSN information and send all documents to LAFPP’s Medical and Dental Benefits Section via:

  • Email to: mdb@lafpp.com;
  • Fax to: (213) 628-7782; or
  • Mail to: Department of Fire and Police Pensions, Attn: Medical & Dental Benefits, 701 E. 3rd Street, Suite 200, Los Angeles, CA 90013

Due to the anticipated high volume of submissions, it may take approximately three months to process your Part B documentation and update your reimbursement amount on your LAFPP pension payment.

As a reminder, Part B reimbursement only applies to Retired Members or Qualified Survivors who are eligible for an LAFPP health subsidy and are enrolled in both Medicare Parts A and B. Any additional Part B penalties or fees charged by CMS are not eligible for reimbursement.

Frequently Asked Questions

1. How do I know if I am eligible for Part B reimbursement?

You must be a retired member or qualified survivor who is receiving a pension and is eligible for a health subsidy, and enrolled in both Medicare Parts A and B.

2. What document do I need to submit to receive my correct Part B reimbursement amount?

You must submit a copy of your Social Security benefits verification statement (your “New Benefit Amount”) or a copy of a 2023 Centers for Medicare and Medicaid Services (CMS) billing statement.     

3. My spouse (non-LAFPP member) is currently enrolled in Medicare Parts A and B.  Does he/she need to submit Medicare Part B premium documentation?

No.  Only the retired member or Qualified Survivor enrolled in Parts A and B is eligible for Medicare Part B premium reimbursement. 

4. I received a letter stating that I pay a higher Part B premium based on my income level (Income-Related Monthly Adjustment Amount – “IRMAA”). May I submit this letter as proof of my Part B premium?

Yes.  You may submit a copy of the first page of your IRMAA letter if it contains your name, address and 2023 monthly Medicare Part B premium deduction.  LAFPP does not reimburse IRMAA fees, so your Part B reimbursement will not exceed the 2023 standard monthly premium of $164.90.  

5. I receive a monthly Social Security payment, but I did not receive/cannot locate my “New Benefit Amount” Statement from Social Security.  What should I do?

You may call or visit your local Social Security Administration (SSA) office. You may also access proof of your 2023 Medicare Part B basic premium online at the SSA website: www.ssa.gov/myaccount. You may be required to create or register your SSA account. Please note that once you have an online account, your SSA notifications will be emailed to you.

6. When do I need to provide LAFPP documentation of my Part B Premium?

You may submit your documentation as soon as it is available and receive a retroactive reimbursement for up to twelve (12) pension roll months from the date your submission is received. 

If you have additional questions about your Medicare Part B reimbursement, please contact the Medical and Dental Benefits Section at (213) 279-3115, toll free at (844) 88-LAFPP ext. 3115, or via email to mdb@lafpp.com

2022 Valuation Reports Approved

Based on the actuarial report for the period ending June 30, 2022, the combined funded ratio for pension and health benefits is 95.0%, up from 92.5% the previous year. This marks the fifth consecutive year that the combined funded ratio has increased for the System. The pension benefit funded ratio is now 98.0%, up from 96.8%, and the retiree health benefit funded ratio increased from 64.7% to 74.3%. The favorable results indicate that the Plan remains strong despite another volatile year marked by the continuing COVID-19 pandemic, high inflation, and financial market volatility.

Every year a valuation of the LAFPP fund is performed by the Board’s actuary. The valuation reviews the System’s assets and liabilities and establishes the City’s (including the Harbor and Airport Departments) contribution to the fund for each fiscal year. The City’s combined contribution rate for July 15, 2023, will decrease by 1.26% of sworn payroll, from 41.67% to 40.41%. The contribution rate decrease is due to a higher than expected return on the valuation value of assets (after smoothing), lower than expected salary increases for active members, higher than expected employer contributions, and lower health plan premiums and subsidies than projected in the prior valuation. The overall unfunded liabilities have decreased from $2.1 billion to $1.5 billion.

The actuarial valuation reports can be found on the Financial Reports page of our website.