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      • You can do this in your Benefits Manager, or simply visit the premium payments page. Pay by phone at (800) 777‐4013 using a credit/debit card. Send your check, money order or cashier’s check from a U.S. bank payable to SAG-AFTRA Health Plan, P.O. Box 30110, Los Angeles, CA 90030-0110.
      www.sagph.org/health/faq/how-do-i-submit-my-premium-payment
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  2. Please see Premiums section for current premium rates. The SAG-AFTRA Health Plan provides health care benefits to eligible Participants and their Dependents. Eligibility. Premiums. Benefits. Forms.

    • Plan Administration
    • Agent For Service of Legal Process
    • Collective Bargaining Agreements
    • Source of Financing
    • Plan Changes Or Termination/Reservation of Rights
    • Type of Benefits Provided by The Plan
    • Requirements with Respect to Eligibility For Participation and Benefits
    • Expired Check Limit
    • Procedures to Follow For Filing A Claim
    • No Liability For The Practice of Medicine

    Name and Type of Plan

    SAG-AFTRA Health Plan This Plan is a collectively bargained, joint-trusteed labor-management trust.

    Plan’s Identification Numbers

    The Employer Identification Number (EIN) assigned to the Plan by the Internal Revenue Service is 95-6024160. The Plan number is 501.

    Plan Year

    The Plan’s fiscal year runs from January 1 through December 31.

    Legal process may be served on the Trustees or the chief executive officer at: SAG-AFTRA Health Plan Street Address: 3601 West Olive Avenue Burbank, CA 91505 Mailing Address: P.O. Box 7830 Burbank, CA 91510-7830

    The Plan is maintained according to a number of Collective Bargaining Agreements between SAG-AFTRA and employers in the industry. The Collective Bargaining Agreements are available on the SAG-AFTRA website: www.sagaftra.org. Or, you may request that the Plan provide you with a copy of the applicable Collective Bargaining Agreement. You will be char...

    Contributions are made to the Plan by Contributing Employers according to the terms of applicable Collective Bargaining Agreements. In addition, the Plan requires Participants to pay a premium for coverage. Participants and Dependents whose eligibility under the Plan has terminated may continue coverage under COBRA, in accordance with the rules des...

    The benefits provided under the Plan are not guaranteed benefits for either active or retired Participants or for their Dependents. Therefore, the Board of Trustees reserves the right, in its sole discretion at any time and from time to time: 1. To terminate or amend the amount or condition of any benefits, in whole or in part, even though such ter...

    The Plan provides Hospital, medical, prescription drug, mental health and substance abuse, dental, vision, life insurance and accidental death and dismemberment benefits. It also provides access to discounted eyewear.

    The eligibility requirements are outlined on pages 8-29 of this SPD. Eligibility rules for staff of SAG-AFTRA (the union), the SAG-AFTRA Foundation, the SAG-Producers Pension Plan, the AFTRA Retirement Fund and the Industry Advancement and Cooperative Fund are outlined in a supplement to the SPD.

    Replacement checks will not be issued for any lost or expired checks if more than four years have elapsed from the date of issue.

    The procedure to be followed in filing a Claim for benefits is described on pages 102-105 of this SPD.

    While the Plan provides covered Participants and covered Dependents with health benefits, neither the Plan, the Plan administrator, nor any of their designees are engaged in the practice of medicine. None of them has any control over any diagnosis, treatment, care or lack thereof, or any health care services provided or delivered to you by any heal...

  3. Jul 9, 2021 · How do sessional and residual earnings work? I use the EIMG (MPTF/UCLA) clinics (Bob Hope, Toluca Lake, etc.). I can’t afford COBRA or I am losing COBRA. Will I be able to continue to go to these clinics if I lose coverage? What are the premiums in the new plan?

  4. You are required to enroll in Medicare Parts A and B when Medicare is your primary coverage and the SAG-AFTRA Health Plan is secondary. If you fail to enroll in Medicare, the Plan's benefits are reduced by 80%. See the Medicare Parts A, B & D Notice for more information.

  5. www.sagaftra.org › membership-benefits › member-benefitsMember Benefits | SAG-AFTRA

    Members earn credits toward retirement and health care each time they work. Click the SAG-AFTRA Health Plan, SAG-Producers Pension Plan and AFTRA Retirement Fund for details.

  6. Jan 1, 2024 · The plan offers comprehensive health care benefits, including medical, surgical, mental health, and dental and vision services, and costs between $125-$250 per month. Qualifying for SAG-AFTRA Health Insurance involves meeting certain eligibility criteria including $26,470 in covered earnings and 102 days working per calendar year.

  7. Learn the latest Health Plan News. Senior Performers HRA. SAG-AFTRA Health Fund. Senior Performers. Healthcare Reimbursement Account. Health Premium Payment. Paying your health premium has never been easier. Carelon Behavioral Health. Mental Health and Substance Use Disorder. Find Network Providers. Stay in-network.