Screen Actors Guild – Producers Health Plan for Motion Picture Actors.
This Plan is a collectively-bargained, joint-trusteed labor-management trust.
The Employer Identification Number (EIN) assigned to the Plan by the Internal Revenue Service is 95-6024160. The Plan number is 501.
The fiscal year runs from January 1 through December 31.
The administrator is the Board of Trustees, made up of an equal number of representatives from the Producers and SAG-AFTRA.
The routine administrative functions are performed by The Screen Actors Guild – Producers Health Plan. The Chief Executive Officer is Christopher S. Dowdell who may be reached at the same address and telephone number as the Board of Trustees (see right).
The Plan is sponsored by various Producers who make contributions on your behalf under SAG-AFTRA Collective Bargaining Agreements. If you want to know whether a particular producer is a sponsor, contact the Plan Office.
To contact the Board of Trustees, write, call, fax or email:
Screen Actors Guild – Producers Health Plan
P.O. Box 7830
Burbank, California 91510-7830
(818) 954-9400 or (800) 777-4013
Fax: (818) 953-9880
As of July 1, 2013 the Trustees of this Plan are:
|Union Trustees||Producer Trustees|
|Mr. Daryl Anderson
Ms. Amy Aquino
Ms. Timothy Blake
Mr. Jim Bracchitta
Mr. John Carter Brown
Mr. Duncan Crabtree-Ireland
Ms. Leigh French
Mr. Barry Gordon
Mr. Al Hubbs
Mr. Bob Kaliban
Mr. Richard Masur
Mr. John T. McGuire
Mr. Joseph Ruskin
Mr. John H. Sucke
Ms. Kathryn Swink
Ms. Kim Sykes
Mr. Ned Vaughn
Mr. David P. White
|Mr. Jay Barnett
Mr. Ted Bird
Ms. Tracy Cahill
Ms. Eryn Doherty
Ms. Marla Johnson
Mr. Robert W. Johnson
Mr. Sheldon Kasdan
Ms. Shelley Landgraf
Ms. An T. Le
Ms. Carol Lombardini
Ms. Stacy K. Marcus
Ms. Diane P. Mirowski
Mr. Paul Muratore
Mr. Alan H. Raphael
Mr. John E. Rhone
Mr. Robert Todd
Mr. David Weissman
Mr. Samuel P. Wolfson
Legal process may be served on the Trustees or the Chief Executive Officer at:
Screen Actors Guild – Producers Health Plan
3601 West Olive Avenue
Burbank, CA 91505
P.O. Box 7830
Burbank, CA 91510-7830
Contributions to the Plan are made on behalf of each employee in accordance with Collective Bargaining Agreements between SAG-AFTRA and employers in the industry.
The Collective Bargaining Agreements are available on the SAG-AFTRA website: www.SAG-AFTRA.org. Or, you may request that the Plan Office provide you 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.
The Collective Bargaining Agreements require contributions by Producers to the Plan based on a percentage of a participant's compensation. In addition, the Plan requires participants to pay a premium for 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.
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:
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 SAG– Producers 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 are authorized and empowered to:
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.
The Plan provides hospital, medical, prescription drug,
mental health and substance abuse, dental, vision, life
insurance and accidental death and dismemberment
benefits. It also provides access to discount eye wear.
The carrier listed below provides fully insured benefits under the Plan.
|Metropolitan Life Insurance Company
Group Life Claims
123 Wyoming Avenue
Scranton, PA 18503
|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.
|Anthem Blue Cross
21555 Oxnard Street
Woodland Hills, CA 91367
|Administers the hospital and medical benefits and provides access to its network of hospital and medical providers|
|The Industry Health Network
23388 Mulholland Drive
Woodland Hills, CA
|Provides access to its network of medical providers inside California|
|Express Scripts, Inc.
One Express Way
St. Louis, MO 63121
|Administers the prescription drug benefit and provides access to its network of retail and home delivery pharmacies|
10805 Holder Street
Cypress, CA 90630
|Administers the mental health and substance abuse 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|
3333 Quality Drive
Rancho Cordova, CA 95670
|Administers the vision benefit and provides access to its network of vision providers|
Individual hospital and medical conversion policies are provided by Anthem Blue Cross in California or the local Blue Cross Blue Shield plan for states outside of California. Metropolitan Life Insurance Company provides life insurance conversion policies.
The Eligibility requirements are outlined on pages 1 through 15 of this book.
Loss of Earned Eligibility is described on page 16 of this book.
Loss of Self-Pay coverage is described on page 24 of this book.
Replacement checks will not be issued for any lost or expired checks if more than four years have elapsed from the date of issue.
The procedure to be followed in filing a claim for benefits is described on pages 84 through 86 of this book.