SCREEN ACTORS GUILD FOUNDATION GRANT PROGRAM

The Screen Actors Guild Foundation provides charitable, educational and humanitarian services for Screen Actors Guild members. The Foundation, established in 1985, offers services to SAG members and opportunities to those interested and able to assist those who need help. The Foundation offers financial grants to individuals who have a catastrophic illness or injury and who, due to financial need, cannot afford the Health Plan’s premium for Earned Eligibility or the Self-Pay Program.

Grant Qualification Requirements
To qualify for a SAG Foundation Grant the individual must be a participant, or eligible dependent, of the Screen Actors Guild-Producers Health Plan. The applicant must qualify for Earned Eligibility or the Self-Pay Program and must meet the following requirements:

1. The applicant must have a catastrophic illness or injury defined as follows:
   
   Catastrophic Illness or Injury means an illness or injury which prevents you from engaging in any occupation and the
   effects of which are likely to be of long or indefinite duration. With respect to a minor participant or dependent, Catastrophic Illness or Injury means an illness or injury which prevents you from engaging in most of the normal activities of a person of like age and gender in good health, and the effects of which are likely to be of long or indefinite duration.


2. The participant must be suffering from a financial hardship that prevents the individual from being able to afford the premium payments.

Grant Benefits
If a grant is approved for Earned coverage the grant funds will automatically be applied to the cost of the premium of the Plan for which you qualified – either Plan I or Plan II.

If a grant is approved for Self-Pay coverage, the funds will be applied to the cost of the Self-Pay premium. The amount of money available under the grant program is as follows:

• Single Applicants: The amount of the Lower Cost Self-Pay premium.
• Applicants with Families: The amount of the Plan II Basic Self-Pay premium.

If additional Self-Pay coverage is desired, or required in accordance with Plan rules, the additional premium amount must be paid for by the applicant.

Coverage will terminate on the earlier of the date the applicant no longer qualifies for Earned Eligibility or for the Self-Pay Program, or the date on which the grant funds have been expended. Contact the Managed Care Department at the Plan Office for an application or more information about the Screen Actors Guild Foundation and other assistance organizations. Assistance organization information is also available at www.sagph.org.