Harbor-UCLA Medical Center

Your union has your back! The incredible benefits you have are a result of your colleagues working together to ensure that resident physicians can both provide the highest quality care possible and improve their working conditions. If you haven’t already, join CIR (enrollment form below). We’re stronger together.

Health

Vision
Disability
LA Gap Insurance
Supplemental Medical and Dental
Benefits at a Glance + Addendum

Contract

Wages and Bonuses
Time off and Meals
General Terms of Employment
Open your Contract

Benefits & Forms

Submit paper forms by mail or fax to:
House Staff Benefits Plan | 10-27 46th Avenue, Suite 300-2 | Long Island City, NY 11101 | Fax: (212) 356-8181

*Denotes fillable online form

Personal information:

  • Membership Form
  • Domestic Partnership Application (both same-sex and opposite-sex partners are eligible.) To add a partner, download an application below and return a notarized copy, along with all requested documentation, to the Plan office. You must also complete an Update Form below.
  • Update Form* to add new dependents to your plan. Requests to add dependents must be received within 30 days of qualifying event (birth/adoption or marriage), and you must attach requested documentation.
  • Opt-Out Form* Please fill out this form if you would like to remove yourself and/or your dependent(s) from the CIR Benefits Plan.

Submit paper forms by mail or fax to:
House Staff Benefits Plan | 10-27 46th Avenue, Suite 300-2 | Long Island City, NY 11101 | Fax: (212) 356-8181

Disability:

Rivetti Financial offers Student Loan Consultations to CIR members at a discounted rate:

  • Receive individualized advice regarding your student loans
  • Complete analysis of your federal and private loans
  • Analysis of different repayment plans (Standard, IBR, PAYE, REPAYE)
  • Assistance selecting appropriate repayment plan
  • Projections of future payments and forgiveness
  • Eligibility for Public Service Loan Forgiveness (PSLF)
  • Refinancing suitability analysis
  • Introductions to competitive refinancing lenders

How to sign up:

  1. Verify your CIR membership to receive the discount code
  2. Go to the registration form
  3. Complete the registration form and upload your documents
  4. Schedule a date and time
  5. Pay the discounted consulting fee

Once the registration is complete, we will analyze your loans and request any additional information or documents from you if necessary. We will call you on the day and time of your consultation to conduct a review of your student loans with you.

Consultations are conducted either by phone or through computer screen sharing if you are a visual learner (similar to a webinar).

Submit paper forms by mail or fax to:
House Staff Benefits Plan | 10-27 46th Avenue, Suite 300-2 | Long Island City, NY 11101 | Fax: (212) 356-8181

COBRA:

COBRA (continued health insurance after hospital closure or layoff). If you are electing COBRA for the first time, you must complete the Election Form. If you are changing or updating an existing credit card, complete the Payment Form only.

Currently, the application cycle is closed and will reopen in late summer/early fall of 2018.

Looking to Improve Patient Care? LAC+USC and Harbor-UCLA has one of the oldest and largest Patient Care Funds, with LA County contributing $1,210,000 and $980,000 respectively. Click here to apply or for more information.

Appeal & Claim Reprocess:

  • HSBP Appeal* Complete this form if your claim was denied in whole or any part or if you disagree with the decision that was made.
  • HSBP Claim Reprocess Form* Complete this form if your claim was denied and your are able to provide additional information.

Additional Benefits

Member Only Discounts

View discount programs on the main Members page

Benefits at a Glance

View a quick summary of all available benefits, plus the addendum

Regional Vice Presidents & Delegates

Regional Vice Presidents
Alexis Gordon, Med+Peds
Erica Barrios, Ob/Gyn

Delegates
Kelsey Wilhelm, Emergency Medicine
Erica Barrios, OBGYN
Daniela Delgado, Family Medicine
Joseph Friedrich, Emergency Medicine
Lorenzo Gonzalez, Family Medicine
Pedro Alvarez, OBGYN
Franchesca Marie Rivera-Calonje, Anesthesiology (Alternate)
John Kelsey, Neurology (Alternate)

Contact us: 1545 Wilshire Blvd., Suite 608, Los Angeles, CA 90017  | Dwane Devoe 213.332-4548 Ddevoe@cirseiu.org