Required Documents
When to Submit Required Documentation
Some open enrollment election actions require you to submit supporting documentation to complete the enrollment. A few common examples are shown in the table below. This is not an exhaustive list and is subject to change.
Open Enrollment Election Action
Adding a spouse to coverage…
Adding a domestic partner to coverage…
Adding a child to coverage…
Electing Cash-in-Lieu…
Enrolling yourself and/or your dependent(s) into certain life insurance coverage levels…
How to Submit Required Documentation
There are several ways to submit required documents: Online, Email, Fax, or In-person.
Online: Log in to the Benefits Central Portal and upload your documents.
Upload your supporting documents directly to your account via the:
“To do” section of your Enrollment Confirmation screen.
“Upload my documents” tile.
“Enrollment Forms Requirements” call to Action that should appear after you successfully complete an applicable enrollment event.
You can also monitor the status of your uploaded documents.
Email or Fax: Write your name and employee ID number on each document and send via:
Email: per.empbenefits@lacity.org
Fax: 213-978-1623
Mail: Write your name and employee ID number on each document and mail to:
LAwell Benefits Service Center
PO Box 534077
St. Petersburg, FL 33747-4077
In-person*: Write your name and employee ID number on each document and place in the dropbox outside the Employee Benefits Division at:
Los Angeles City Hall
200 N Spring Street, Room 867
Los Angeles, CA 90012