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FACTS ABOUT YOUR PLAN

Name and Type of Plan
Screen Actors Guild-Producers Health Plan for Motion Picture Actors.

This Plan is a collectively-bargained, jointtrusteed 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 fiscal year runs from January 1 through December 31.

Administrator
The administrator is the Board of Trustees, made up of an equal number of representatives from the Producers and the Screen Actors Guild.

The routine administrative functions are performed by The Screen Actors Guild-Producers Health Plan. The Chief Executive Officer is Bruce L. Dow who may be reached at the same address and telephone number as the Board of Trustees (see the next page).

The Plan is sponsored by various producers who make contributions on your behalf under Screen Actors Guild Collective Bargaining Agreements. If you want to know whether a particular producer is a sponsor, contact the Plan Office.

Names and Addresses of the Current Board of Trustees
To contact the Board of Trustees, write, call, fax or e-mail:

Screen Actors Guild-Producers Health Plan
P.O. Box 7830
Burbank, California 91510-7830
(818) 954-9400 or
(800) 777-4013 (outside the Los Angeles area)
Fax: (818) 953-9880
Web site: www.sagph.org
E-mail: E-Mail

As of January 1, 2007 the Trustees of this Plan are:

Guild Trustees Producer Trustees
Mr. Doug Allen
Mr. Daryl Anderson
Ms. Timothy Blake
Mr. John Carter Brown
Mr. Robert Carlson
Ms. Leigh French
Ms. Eileen Henry
Mr. Al Hubbs
Mr. Bob Kaliban
Mr. Larry Keith
Mr. John T. McGuire
Mr. Joseph Ruskin
Mr. William Schallert
Mr. John H. Sucke
Mr. Yale Summers
Ms. Kathryn Swink
Ms. Joan Warren
Ms. Sallie Weaver
Mr. Jay Barnett
Mr. Ted Bird
Mr. J. Nicholas Counter, III
Ms. Pamela DiGiovanni
Mr. Alan Fendrick
Ms. Marla Johnson
Mr. Sheldon Kasdan
Ms. An T. Le
Ms. Carol Lombardini
Mr. John A. McGuinn
Mr. Wayne Metcalf
Mr. Edward G. O’Neill
Mr. Alan H. Raphael
Mr. John E. Rhone
Mr. Elhanan C. Stone
Mr. Robert Todd
Mr. Marc Wisot
Mr. Samuel P. Wolfson

Agent for Service of Legal Process
Legal process may be served on the Trustees or the Chief Executive Officer at:

Screen Actors Guild-Producers Health Plan
Street Address
3601 West Olive Avenue
Burbank, CA 91505

Mailing Address
P.O. Box 7830
Burbank, CA 91510-7830

Collective Bargaining Agreements
Contributions to the Plan are made on behalf of each employee in accordance with Collective Bargaining Agreements between the Screen Actors Guild and employers in the industry.

The Plan Office will provide you, upon request, with a copy of the applicable Collective Bargaining Agreement. You will be charged a reasonable amount for copying. The agreement is available for inspection at the office of the Chief Executive Officer.

Source of Financing
The Collective Bargaining Agreements require contributions by producers to the Plan based on a percentage of an actor’s compensation. In addition, the Plan requires most participants with Earned Eligibility to remit a premium for each month of coverage. It also requires certain actors and dependents covered under the Senior Performers Health Plan to pay 25% of the cost of their coverage. Participants and dependents whose eligibility under the Plan has terminated may continue coverage by making self-payments in accordance with the rules of the Self-Pay Program.

Powers of the Board of Trustees
The benefits provided under the Plan are not contractual benefits. Therefore, the Board of Trustees reserves the right, in its sole discretion at any time and from time to time:

  • To terminate or amend the amount or condition of any benefits even though such termination or amendment affects claims which have already been incurred.
  • To alter or postpone the method of payment of any benefit.
  • To amend or rescind any other provisions of the Plan.

The Trustees do not promise to continue the benefits and coverage in full or in part in the future, and rights to future benefits and coverages are not vested. In particular, retirement or the completion of the requirements to receive a pension benefit under the SAGProducers Pension Plan does not give any participant or former participant any vested right to continued benefits or coverages under the Health Plan.

The Board of Trustees and the Benefits Committee are authorized and empowered to:

  • Construe the meaning of any doubtful or ambiguous provision of the Plan.
  • Decide on a participant’s entitlement to or application for benefits under the Plan.
  • Execute all such agreements, adopt and promulgate all such reasonable rules and regulations, take all such proceedings and exercise all such rights and privileges as are necessary in the establishment, maintenance and administration of the Plan.

Decisions on doubtful or ambiguous provisions or a participant’s entitlement to or application for benefits shall be final and
binding upon all affected parties.

Type of Benefits Provided by the Plan
The Plan provides hospital, major medical, prescription drug, mental health and chemical dependency, dental, vision, life insurance and accidental death and dismemberment benefits. It also provides access to discount eye wear.

Organizations Through Which Benefits are Provided
The carrier listed below provides fully insured benefits under the Plan.

Company Benefits
Metropolitan Life Insurance Company
1 Park Plaza, Suite 1150
Irvine, CA 92614
Life insurance and accidental death and dismemberment benefits

The Plan is fully self-insured for the benefits obtained through the carriers listed below. These carriers administer at least a portion of the benefits for the Plan, but do not insure or otherwise guarantee any of the benefits of the Plan.

Company Benefits
Blue Cross of California
21555 Oxnard Street
Woodland Hills, CA 91367
Provides case management and access to its network of hospital and medical providers inside California
The Industry Health Network
23388 Mulholland Drive
Woodland Hills, CA 91364-2792
Provides access to its network of medical providers inside California
Private HealthCare Systems, Inc.
1100 Winter Street
Waltham, MA 02451
Provides case management and access to its network of hospital and medical providers outside of California
Medco Health Solutions, Inc.
300 Oceangate, Suite 450
Long Beach, CA 90802
Administers the prescription drug benefit and provides access to its network of retail and home delivery pharmacies
ValueOptions
10805 Holder Street
Cypress, CA 90630
Administers the mental health and chemical dependency benefit and provides access to its network of providers
Delta Dental of California
100 First Street
San Francisco, CA 94105
Administers the dental benefit and provides access to its network of dental providers
Vision Service Plan of America
3333 Quality Drive
Rancho Cordova, CA 95670
Administers the vision benefit and provides access to its network of vision providers

Individual conversion policies are provided by Blue Cross of California (hospital and medical coverage for California Participants), Celtic Life (hospital and medical coverage for non-California Participants) and Metropolitan Life Insurance Company (life insurance coverage).

Requirements with Respect to Eligibility for Participation and Benefits
The Eligibility requirements are outlined on pages 1 through 10 of this booklet.

Circumstances Resulting in Disqualification, Ineligibility or Denial or Loss of Benefits
Loss of Earned Eligibility is described on page 11 of this booklet.

Loss of Self-Pay coverage is described on page 20 of this booklet.

Audit verification procedures and the recovery and offset of future benefit payments are described on pages 81 and 82 of this booklet.

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

Procedures to Follow for Filing a Claim
The procedure to be followed in filing a claim for benefits is described on pages 74 through 76 of this booklet.

  

   
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