Health Summary Plan Description

Screen Actors Guild Foundation Grant Program

The Screen Actors Guild Foundation provides charitable, educational and humanitarian services for SAG-AFTRA members. The Foundation, established in 1985, also offers services to SAG-AFTRA 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.

Grant Qualification Requirements

To qualify for a SAG Foundation Grant the individual must be a participant or eligible dependent under the Screen Actors Guild – Producers Health Plan. The applicant must qualify for Earned Eligibility, Senior Performer benefits, Extended Spousal benefits 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 performing the material and substantial duties of your regular 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 applicant 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 Eligibility, Senior Performers benefits or Extended Spousal benefits, 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 for the medical portion of Plan II. If additional self-pay coverage is desired, such as choosing to self-pay for Plan I, the additional premium amount must be paid for by the applicant. Also, if the applicant qualifies for dental coverage, it is his or her responsibility to pay
the additional premium.

Coverage will terminate on the earlier of the date the applicant no longer qualifies for Health Plan coverage or the date on which the grant funds have been expended. Contact 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.