Health Plan FAQs

  1. What are enrolled and dis-enrolled dependents?

    Enrolled dependent(s) are qualified family members the participant has chosen to cover for a specific eligibility period. Once the premium is received the participant and their dependent(s) will have health coverage. Dis-enrolled dependent(s) are individuals the participant chose not to cover for a specific eligibility period. Dis-enrolled dependents are not eligible for health coverage or Self-Pay. Dependents may only be enrolled or dis-enrolled when the participant re-qualifies or a life event occurs.

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  2. If a participant dis-enrolls his dependents (spouse or child) while on active coverage what will happen when he goes on the senior performer plan?

    You will have an opportunity to make changes to your dependent enrollments.

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  3. What if I do not want to make a change to the current dependent(s) listed on file?

    If there are no changes, just pay the premium payment. You can pay by web or by phone at (818) 954-9400 or (800) 777-4013.

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  4. What if I have coverage with another entertainment industry plan, will the special coordination of benefits rules still apply?

    Yes. The current entertainment industry coordination of benefits rules apply to all tier levels. If you qualify for coverage in the SAG-Producers Health Plan and another entertainment industry plan, you should contact the Plan Office and your other carrier for their coordination of benefits rules. For more information on the special coordination of benefits rules, click here.

    If your coverage in this Plan is terminated because you did not pay your premium and this coverage would have been primary to another entertainment plan, coverage for you and/or your dependents under the other plan may be reduced or eliminated. You should contact your other plan for further information about how your coverage may be affected should you choose to let your coverage under this Plan lapse or choose not to enroll your dependents.

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  5. How do I add new dependents?

    Complete a new dependent form which you can download from our website and submit via mail, fax or e-mail with the appropriate documents such as a recorded birth certificate or recorded marriage certificate. Please indicate if you would like the dependent enrolled in the Health Plan. If adding the dependent changes your tier rate, we will send you a new billing statement for the difference in the new premiums. Please see the Premium Payment Rules sheet for more information.

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