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Deadline for Health Plan to Send ACA-Required Tax Forms Extended to March 31

The IRS has extended the due date by which the Health Plan must provide participants with proof of health coverage for their 2015 tax returns. The deadline for insurers and employers to send Affordable Care Act-required Forms 1095-B and –C has been changed from January 31 to March 31, 2016.

Individuals covered by the DGA–Producer Health Plan during 2015 are affected by this change.

For more information, visit our Affordable Care Act Information for Participants webpage.

Increase in the All-Inclusive Network Out-Of-Pocket Limit

Beginning January 1, 2016, the Health Plan’s All Inclusive Network Out-of-Pocket Limit will increase from $6,600 individual/$13,200 family to $6,850 individual/$13,700 family for network benefits.

The All Inclusive Out-of-Pocket Limit sets a maximum on the amount you pay out-of-pocket in a calendar year on deductibles, co-payments (including prescription drug co-payments) and co-insurance.

The increased limit is the maximum allowed by the Affordable Care Act.

New List of Covered Medications Takes Effect January 1

Effective January 1, 2016, Express Scripts, the Health Plan’s prescription drug benefit manager, has revised its list of covered medications. The list, called the National Preferred Formulary, affects which medications will be covered under the Health Plan and how much you pay out of pocket for prescriptions.

Certain medications may be excluded from the formulary when clinically equivalent alternatives are available and offer significant cost savings. In some cases, medications that were not covered previously will be covered in the coming year. If you currently take a maintenance medication, be sure to check the updated formulary to see if the status of your medication has changed.

The list is available at


Information For Foreign Participants

If you live outside the United States, click here for more information about your benefits.

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Created as a result of the Directors Guild of America's collective bargaining agreements with producer associations representing the motion picture, television and commercial production industries, the DGA-Producer Pension and Health Plans provide excellent benefits to participants.

The DGA-Producer Pension and Health Plans are separate entities from the DGA and are administered by a Board of Trustees made up of DGA representatives and Producers' representatives.

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