In order to receive retiree health benefits you must take the following steps:

• Complete the application form (HI-22) and return it to the Health Benefits Administration, P.O. Box 513307, Los Angeles, CA 90051-1307. For questions please call Benefits Administration at (213) 241-4262. 
• Send a copy of your "Notice of Benefit Approval" (PERS) or "Award Letter" (STRS) to the Health Benefits Administration to verify the effective date of your retirement. Verification of your coverage as a retiree will be mailed to you.
• If you and/or your dependent reach age 65 (or if you or your dependent are under age 65 and eligible for Medicare), you must enroll (and remain enrolled) in Medicare Part B to retain your District-paid medical benefits (paying the monthly cost to purchase Part B coverage). If you are entitled to Medicare Part A (either on your own or through your spouse’s coverage), you must also enroll in that plan (Part A coverage is provided at no cost to those who worked at least 40 quarters under Social Security). Note that all Medicare-eligible individuals who want to enroll, or remain enrolled in the Secure Horizons Retiree Plan from PacifiCare are required to enroll in Medicare Parts A and B.

Please note that on your retirement date, you must be enrolled in the plan you wish to have in retirement. If you are not currently enrolled, contact your Health Benefits Administration regarding enrollment procedures prior to retirement date.