The Screen Actors Guild-Producers Health Plan provides a comprehensive health care package to all eligible participants and their eligible dependents. In order to qualify for these benefits the participant must meet the eligibility requirements of the Health Plan. The following sections describe the basic eligibility requirements for Health Plan coverage, how eligibility is maintained and the programs available if eligibility is lost. Special eligibility rules may apply to certain benefits, such as the mental health and chemical dependency benefits and the dental benefits. These special rules are described in the sections outlining those benefits.
The Health Plan does not impose a waiting period on coverage for pre-existing conditions (conditions which started prior to eligibility) nor does it cover charges for conditions after eligibility terminates, even if those conditions developed during a period of Health Plan eligibility or if treatment for those conditions began during a period of Health Plan eligibility.
Note: The benefits under the Health Plan, including those for Senior Performers and their eligible dependents, are not vested or guaranteed. They may be modified, reduced or canceled at any time by the Board of Trustees.
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