Issue link: https://digital.copcomm.com/i/716514
24 SAG-AFTRA | Summer 2016 | SAGAFTRA.org Frequently Asked Questions Here is a sample of some of the answers that can be found on the health plan's website. Visit sagaftrahealth.org for more. Are my health benefits going to change (e.g. deductibles, copays, out-of-pocket limits, etc.)? The SAG-AFTRA Health Plan will provide a full complement of benefits, including hospital, medical, prescription drug, mental health/substance abuse and dental coverage under both Plan I and Plan II. Some of the SAG-AFTRA Health Plan design features, such as deductibles and copays, will not be exactly the same as those provided under either the AFTRA or SAG plans. For a more detailed review of the benefits, please refer to the comparison charts on sagaftrahealth.org. I have a surgery/procedure scheduled under my current plan later this year. Can I still go ahead with that? Yes. Both the AFTRA and SAG plans will continue to provide benefits under their current provisions through Dec. 31, 2016. All covered expenses incurred through that date will be paid under the terms of your current plan. If you are unsure and want to verify coverage, please call your current plan's office. Covered expenses incurred after Dec. 31, 2016 will be subject to the terms of the SAG-AFTRA Health Plan, even if the surgery or procedure was scheduled prior to Jan. 1, 2017. For information regarding covered expenses under your current plan, refer to your current plan Summary Plan Description, or contact your current plan office. Will the SAG-AFTRA Health Plan offer retiree health benefits? Yes, the SAG-AFTRA Health Plan will offer retiree health benefits under Plan I, which includes family coverage. Where can I get more information? Can I contact someone regarding these changes? Sagaftrahealth.org is the most up-to-date place for information. While current staff for the AFTRA and SAG plans are always happy to assist participants, they will not be able to provide more information than what is provided there. The website will be updated regularly to provide participants with information as details about the SAG-AFTRA Health Plan are finalized. Please keep in mind that these are general summaries to help with a smooth transition. Ultimately, the formal terms of the SAG-AFTRA Health Plan will be governed by a new Summary Plan Description. Where/when can I view the Summary Plan Description for the SAG-AFTRA Health Plan? The SAG-AFTRA Health Plan Summary Plan Description is planned for distribution in late 2016. It will be posted online and copies will be mailed to participants as soon as it is available. When will the SAG Pension Plan and the AFTRA Retirement Fund be merging? At this time only the health plans are merging. The SAG Pension Plan and AFTRA Retirement Fund remain separate entities. Benefit Design asked questions about eligibility, benefits, premiums and more. For those not already in a benefit period under either the AFTRA or SAG plans that extends beyond Dec. 31, initial eligibility for the SAG-AFTRA Health Plan will be determined by combined covered earnings from Oct. 1, 2015 through Sept. 30, 2016. Representatives of the plan provided informational meetings for members in Los Angeles and New York. A webinar was held for members in all other locals. An informational meeting to specifically address broadcasters will be announced soon. Visit sagaftrahealth.org for details. Providers for the new SAG-AFTRA Health Plan.