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SAG-AFTRA Health Plan Highlights

  • Plan I eligibility = $33,000/year
  • Plan II eligibility = $17,000/year
  • If you are a current Plan I participant, you will continue in Plan I under the new plan
  • If you are a current Plan II participant, you will continue in Plan II under thenew plan
  • Senior performers will receive Plan I coverage
  • Most premiums will stay the same on January 1, 2017
  • Provider networks will not change
  • Mental health and substance abuse benefits will be covered under Plan II
  • No deductibles for in-network office visits
  • Prescription drug deductible for Plan I reduced to $75/person,
    $150/family

SAG-Producers Health Plan and AFTRA Health Plan to Merge

The Trustees of the SAG-Producers Health Plan (SAG Plan) and the Trustees of the AFTRA Health Plan (AFTRA Plan) are pleased to announce that they have agreed on a merged health plan that combines elements of the existing SAG and AFTRA Plans.

The new plan will be called the SAG-AFTRA Health Plan and will become effective January 1, 2017, pending successful completion of the merger.

Following are key highlights of the new SAG-AFTRA Health Plan:

Two-plan design. Like the SAG Plan, the SAG-AFTRA Health Plan will offer two levels of family coverage – Plan I and Plan II – each with separate benefits and earnings thresholds to qualify.

Combined earnings and eligibility. Under the new Plan, your SAG and AFTRA earnings will be combined to establish eligibility. The earnings threshold will increase to $33,000 for Plan I and to $17,000 for Plan II. Please see page 2 for more information on eligibility requirements for senior performers and surviving dependents.

Continuity of benefits. Anthem Blue Cross' BlueCard PPO will continue to be your healthcare provider network, and Express Scripts, Delta Dental and Vision Service Plan will continue to serve your other benefit needs. In addition, mental health and substance abuse coverage through Beacon Health Options will now be offered in both Plan I and Plan II, an important improvement for those currently in SAG Plan II.

Continued coverage. If you are currently covered under the SAG Health Plan and your coverage extends into 2017, you will continue under the SAG-AFTRA Health Plan at the same plan level for the remainder of your coverage period. You must continue to pay your premiums.

No change to your premiums. The premiums for most participants will not change on January 1, 2017, when the SAG-AFTRA Health Plan begins operations. Please see the premiums table on page 2 for more information.

Learn More
In the coming months, you will receive personalized information in the mail about your continued coverage under the SAG-AFTRA Health Plan. In the meantime, visit www.sagaftrahealth.org for the latest information including
eligibility and premiums, plan details, and a list of frequently asked questions. The site features side-by-side charts comparing the current SAG Plan to the SAG-AFTRA Health Plan. The charts are also included in this edition of the Take 2. If you have questions, please call us at (800) 777-4013 and press "8" for merger-related information.

Download a PDF version of this Take 2 to learn more >>