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Keeping LAwell
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BENEFITS CENTRAL PORTAL
Keeping LAwell
Member Benefits
Access Services
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
AD&D
Disability Insurance
Tax Advantaged Accounts
Support Plus
Wellness Program
Eligibility & Life Events
Employee Eligibility
Dependent Eligibility
Enrollment & Life Events
New Employees
Guides & Education
Enrollment Guides
Resources
LAwell Forms
FAQs
Non-LAwell Benefits
COVID-19
Archive
Governance
JLMBC
Policy Documents
Contact Us
BENEFITS CENTRAL PORTAL
Folder: Member Benefits
Back
Access Services
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
AD&D
Disability Insurance
Tax Advantaged Accounts
Support Plus
Wellness Program
Folder: Eligibility & Life Events
Back
Employee Eligibility
Dependent Eligibility
Enrollment & Life Events
New Employees
Folder: Guides & Education
Back
Enrollment Guides
Folder: Resources
Back
LAwell Forms
FAQs
Non-LAwell Benefits
COVID-19
Archive
Folder: Governance
Back
JLMBC
Policy Documents
Contact Us
BENEFITS CENTRAL PORTAL

Forms & Documents

Catastrophic Illness

New Employee Forms

Sworn Employee Forms

Domestic Partnership Forms

Cash-in-Lieu Forms

Dental Forms

EyeMed Vision Forms

Life Insurance Forms

Disability Forms

Tax-Advantaged Account Forms

DISABILITY FORMS

Medical History Statement

Medical History Statement (EOI) - Online Submission (This is the preferred method of submitting your Medical History Statement to The Standard Insurance Company.)

Medical History Statement (EOI) - English (fillable & printable PDF)

Medical History Statement (EOI) - Spanish (fillable & printable PDF)

Benefit Protection Plan (BPP)

Overview of Benefit Protection Plan (Revised January 2018)

FICA Withholding & Taxation of Disability Benefits (Revised December 2006)

Frequently Asked Questions About Disability Benefits From The Standard

Disability and Pregnancy

Pregnancy Claim Guidelines (Revised August 2006)

Maternity and Disability Guidelines (Revised August 2008)

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LAwell Benefits Program

Email: per.empbenefits@lacity.org / Tel: (213) 978-1655
Monday - Friday: 9:00am to 12:00pm
&
1:00pm to 4:00pm*
Schedule a phone or in-person appointment with LAwell Staff

*Eff June 11, 2025, in-person office services will end at 3:00pm. This temporary change is due to the protest activity in the downtown area.

MEMBER BENEFITS

Medical Insurance

Dental Insurance
Vision Insurance
Life Insurance
AD&D
Disability Insurance
Tax-Advantaged Accounts
Support Plus

ADDITIONAL BENEFIT PROGRAMS

LACERS: LA City Employees’ Retirement System
COMMUTEwell: Transportation BenefitsLA457: Deferred Compensation Plan

RESOURCES

Enrollment Guides
LAwell Forms
Frequently Asked Questions
Policy Documents