Senior Performers FAQs

  1. What are the Senior Performer premium rates?

    Please see the chart below for Senior Performer rates.

    Coverage
    Commencing
    Senior Performers and Extended Spousal With No Spouse or With Spouse Age 65 and Over With Spouse Under Age 65
    January 1, 2015 - March 31, 2016 20+ Pension Credits* $50 per month** $100 per month**
    15-19 Pension Credits $150 per month** $150 per month**
    Coverage
    Commencing
    Senior Performers and Extended Spousal With No Spouse or With Spouse Age 65 and Over With Spouse Under Age 65
    April 1, 2016 - December 31, 2016 20+ Pension Credits* $60 per month** $120 per month**
    15-19 Pension Credits $165 per month** $165 per month**

    *Includes Senior Performers who had at least 10 Pension Credits as of 12/31/01 and were at least age 55 as of 12/31/02.
    **Includes coverage for dependent children

  2. Why is the premium higher for participants with a spouse or domestic partner under the age of 65?

    Currently the Health Plan is paying as the primary plan for spouses and same-sex domestic partners under the age of 65 because they are not yet eligible for Medicare. Costs are much higher for these spouses and/or partners than for Medicare-eligible spouses and/or partners.
  3. Why is the premium increasing effective January 1, 2013?

    The Trustees have evaluated the Senior Performers Health Plan benefits and hope to maintain its commitment to our long-term participants. In an ongoing effort to reduce the deficit, the Trustees have made the difficult but necessary decision to raise the premiums for the first time since the Senior Performers premium was implemented on January 1, 2010.
  4. How do I submit my premium payment?

    You can have the monthly premium automatically deducted from your monthly Pension Benefit or from a checking or savings account by enrolling in the Auto Debit Plan. You will not receive quarterly payment coupons if you are enrolled in Pension Deduction or the Auto Debit Plan.

    If you are not enrolled in Pension Deduction or the Auto Debit Plan, you will receive a billing statement and payment coupon, along with a payment envelope, from the Plan Office each quarter, in advance. You can pay online with a credit card or e-check or over the phone with a credit card. See here for procedures.

    If you wish to pay by check or money order, you should complete the payment coupon and mail it along with your check in the envelope provided. Please note that we do not accept cash payments. Payment must be sent to the payment center address shown on the coupon. Do not send your payment to the Plan Office or the SAG-AFTRA Union Office.

  5. What happens if I am late with my premium payment?

    If your payment is not received by the Plan Office on or before the due date, your coverage will be terminated and you will not be eligible for coverage until your next benefit period. You cannot enroll in the Self-Pay Program and you will not be eligible for conversion options.

    If your coverage is terminated because your payment was not received by the due date you may be able to reinstate your coverage by using a late payment waiver. The Plan allows one late payment waiver per Benefit Period for Senior Performers and dependents covered under the Extended Spousal benefit. Participants may use a late payment waiver up to the last day of the quarter for which a payment is due.

    To use one of your late payment waivers, simply make your payment using our website or submit your premium payment with your billing coupon to the Payment Center. When your payment is received after the grace period, the Plan will automatically apply one of your late payment waivers (if available) and your coverage will automatically be reinstated retroactively.

  6. What if I cannot afford to pay the premium?

    Please contact the SAG Emergency Foundation at (323) 549-6773 to see if you qualify for assistance. We also maintain a list of Assistance Organizations that may be of help to you.

  7. What if I don't receive payment information in the mail?

    If you are eligible and do not receive payment information in the mail by the 15th of the month before the start of the calendar quarter (for example, by December 15, 2012 for the first calendar quarter in 2013), you should call the Plan Office or pay your premium online. You will not receive quarterly payment coupons if you are enrolled in Pension Deduction or the Auto Debit Plan.

    To ensure that you receive all billing statements and other important Plan information, be sure to keep the Plan Office informed of any change in your mailing address.

  8. How can I change my rate?

    Your rate is based on the age of your spouse or same-sex domestic partner as of January 1, 2013 and includes coverage for dependent children. Changes to your enrolled dependents may change the amount of your Health Plan premium. For example, if your spouse or same-sex domestic partner is under age 65 and you dis-enroll them, your premium will be reduced from $100 per month to $50 per month. Enrolling or dis-enrolling dependent children will not affect the amount of your premium. You may enroll/dis-enroll your dependents online during your Open Enrollment Period or by submitting your completed Open Enrollment Form to the Plan Office.

    If your spouse or same-sex domestic partner is under age 65 and eligible for early Medicare, please contact the Plan Office, as you may qualify for the lower premium amount.

  9. When will I receive my Open Enrollment packet?

    Open Enrollment packets are mailed in late October. If you have not received information in the mail by mid-November, you should call the Plan Office or make your enrollment changes and pay your premium online.

    To ensure that you receive all important Plan information, be sure to keep the Plan Office informed of any change in your mailing address.

  10. I would like to dis-enroll from Pension Deduction and change my payment method. Can I dis-enroll from Pension Deduction online?

    No. A completed Payment Election Change Request form or written request must be received and processed by the Plan Office before you can use a different payment option.
  11. What are enrolled and dis-enrolled dependents?

    Enrolled dependent(s) are qualified family members the participant has chosen to cover for a specific coverage 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.

  12. Can I dis-enroll as a participant but elect coverage for a dependent?

    In some cases, your dependents may be entitled to enroll in the program even if you do not elect coverage. Contact the Plan Office for more information.

  13. Once I make the election for dependent coverage and submit the premium, can I make any changes?

    You can make multiple changes during your Open Enrollment Period regardless of whether the payment is made or not. The only restriction is that once payment is made you can no longer make changes through the website. Additional changes must be made via a paper form.
  14. How can I add a new dependent during Open Enrollment?

    You must submit a New Dependent Form and all required documents to consider your dependent(s) as qualified. Examples are a recorded marriage certificate for a spouse or a recorded birth certificate for your dependent child. Please indicate on the form if you would like the dependent(s) enrolled in the Health Plan and submit your documents via fax, email or mail. 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.

  15. Can I add a new dependent(s) outside of my Open Enrollment Period?

    You may make dependent enrollment changes outside of the Open Enrollment Period if you experience a life event that results in a change in family status. A change in family status is defined as an increase or decrease in the number of your dependents, which may result from birth, adoption, marriage, establishment of a same-sex domestic partnership, divorce, dissolution of a qualified same-sex domestic partnership, death or loss of dependent "child" status as defined by the Plan, or if your dependent obtains or loses insurance coverage on their own.

    Additionally, Senior Performers also have an opportunity to make changes to their covered dependents in the event their spouse or same-sex domestic partner turns 65. In the case of Extended Spousal coverage, the eligible dependents will have an opportunity to re-enroll in the Plan when the spouse or same-sex domestic partner turns 65.

    If one of these events should occur, you will be permitted to change your dependent's enrollment status and change your premium rate (if applicable) based on the addition or loss of that dependent. A written request must be submitted to the Plan Office within 30 days from the date on which the life event occurred. No verbal requests will be accepted.

  16. Can I dis-enroll my dependent(s) outside of my Open Enrollment Period?

    If you are dis-enrolling a dependent due to divorce, dissolution of a qualified same-sex domestic partnership or death, you are required to submit a copy of the final judgment of divorce, termination of domestic partnership form or recorded death certificate to the Plan Office. In the event of divorce or same-sex partnership dissolution, you must notify the Health Plan within 60 days of the date of your divorce or dissolution of your domestic partnership in order for the dependent to receive individual self-pay rights.
  17. My spouse is turning age 65 on/after January 1, 2013. Do I need to submit anything to change my rate?

    No, there is no paperwork to submit. Your premium will automatically be adjusted to the lower premium rate effective the first of the month in which your spouse or same-sex domestic partner turns age 65. For example, if you are paying $100 per month and your spouse turns age 65 on May 15th, your premium will be $50 per month effective May 1st.

    If you are on Pension Deduction or ACH, the rate will automatically adjust effective the first of the month in which your spouse turns age 65.

  18. When will my Notice of Eligibility packet be sent?

    Your Notice of Eligibility (NOE) packet, which contains your Health ID cards, will be mailed 7-10 business days from the receipt of your premium payment. You can also print your Health ID cards from our website by logging in and clicking on "Health ID Cards". Please allow up to 48 hours for your payment to post to your account before attempting to print your Health ID cards.