In November 10 and 11, DGA-PPHP CEO Lisa Read will be holding 30-minute, one-on-one participant meetings in London. As in the past, the purpose of these meetings is for you to ask questions regarding your Pension and Health Benefits.
If you would like to schedule a meeting time, please call Peggy O’Brien at (212) 258-0804 or email her at PeggyO@dga.org.
Peggy will assist you in scheduling a 30-minute meeting and answer any questions regarding location and directions.
We would like to extend our warmest thanks to the DGA members and their families who attended our 2014 Health Fair this past Saturday, taking advantage of the free flu shots, neck and shoulder massages, Pension and Health Plans presentations and all our vendor tables.
A special thanks to our vendors and other organizations for their support–Anthem, Expess Scripts, Delta Dental, Vision Service Plan, UCLA-MPTF and the Actors Fund. Finally, we would like to thank the DGA Foundation for covering the cost of flu shots for non-covered members and their families and providing food for all!
Hope to see you at the 2015 fair!
On Saturday, October 11 from 9:00 a.m. to 12:00 p.m. the DGA-Producer Pension and Health Plans will be hosting its Second Annual Health Fair.
DGA Members, Participants, and family members can join us for:
The Health Fair will be held at:
7920 Sunset Boulevard
Los Angeles, CA 90046
We hope to see you there!
If you do not pay your Health Plan self-pay premium on time, you are risking the suspension of your Health Plan coverage.
When your coverage is suspended, you will have to pay full price when you seek medical services or try to fill a prescription. If you subsequently pay your premium during your 30-day grace period, you can then submit the claim to us for reimbursement.
While there is a 30-day grace period for Health Plan premium payments (45 days for your initial COBRA premium), that simply means that you have 30 days to pay before your coverage is cancelled. If you miss your premium due date, your coverage will still be suspended until your payment is received. If payment is not received within the 30-day grace period, your coverage will be cancelled.
If you use the E-Bill Express automatic payment option to pay your Health Plan premium, make sure that your payment is scheduled to be made on the first of the month, when your premium is due.
If you schedule your payment for after the first of the month, you are risking the suspension of your health coverage (see the article above for more information).
The Spring 2014 issue of the Pension and Health Plans’ newsletter, Spotlight on Benefits, is coming soon to all participants.
This issue brings important information regarding coordinating health benefits among entertainment industry plans, avoiding excess charges from out-of-network providers and ensuring the availability of your health benefits by making timely premium payments.
Click here to view the newsletter.
Co-Insurance is the percentage of an allowable medical expense that you pay once your annual deductible has been met. For example, the network coinsurance is 90% of the contracted allowable amount, which means you pay 10% of the remaining cost.
If you have earned coverage and visit a network doctor, the Plan pays 90% of your covered charges, regardless of whether you are covered under the DGA Premier Choice Plan or the DGA Choice Plan.
And, since a network doctor is required to charge a set, allowable cost for a covered service, you do not need to worry about excess costs not covered by the Health Plan (see below for a brief discussion of these potential excess costs).
To locate a network hospital or doctor near you, use the Anthem Blue Cross Provider Finder. When you make an appointment with a provider, always double-check that the provider is in our network. The provider will have the most up-to-date information.
If you visit a non-network doctor, the Plan pays 70% of the reasonable and customary (R&C) amount under the DGA Premier Choice Plan and 60% under the DGA Choice Plan.
Since a non-network doctor is not under contract with our network, they can charge you an amount over the R&C amount. For example, if you have a $1,000 non-network charge with an R&C amount of $500, the Health Plan will apply the co-insurance to the $500 R&C amount and you will be responsible for the entire $500 over the R&C amount.
In the example above, under the DGA Premier Choice Plan, the Health Plan would pay $350 (70% of $500 R&C amount) and you would pay $150 (30% of $500) in co-insurance plus the $500 over the R&C amount, or $650.
For the DGA Choice Plan, the Health Plan would pay $300 (60% of $500) and you would pay $200 (40% of $500) in co-insurance plus the $500 over the R&C amount, or $750.
Legendary Assistant Director, Unit Production Manager and DGA–Producer Pension and Health Plans Trustee Abby Singer passed away on March 13, 2014 at the age of 96.
Abby joined the Board of Trustees in 1980, serving these Plans for over 33 years. He was a member of the Board’s Administrative Committee, where he contributed his industry-renowned expertise in managing production budgets to overseeing the Plans’ operations.
Mr. Singer’s entertainment career began in 1945 working for the head of production at Columbia Pictures. He soon after joined the (then) Screen Directors Guild in 1949. During his career he oversaw the budgets and crews for some of TV’s most enduring hit shows, including Rhoda, The Bob Newhart Show, WKRP in Cincinnati, and Hill Street Blues. His work in the Directors Guild of America earned him the Frank Capra Achievement Award in 1985.
But Singer won most of his international notoriety for his namesake shot. “The Abby Singer,” as it came to be known, is the second-to-last shot of the workday. Usually signaled on set by someone calling out “We’re on the Abby Singer” or “This shot and one more,” it warns the crew to prepare to move locations after the next shot. The technique saved valuable production time, earning directors up to an additional hour of shooting, time that was usually spent moving equipment from place to place.
Mr. Singer said about the DGA and the Plans: “The Guild is the best thing that ever happened to me…And the health and welfare have been incredible; it really watches out for its members.”
“Abby will be fondly remembered by the Plans’ Board and its staff as a devoted Trustee, a legendary Guild member, a good friend and a loyal family man. We extend our condolences to Mr. Singer’s wife, Lotte, and his family,” said Jay Roth, Chair of the Plan’s Board of Trustees and DGA National Executive Director.
Mr. Singer served these Plans with the same dedication, wisdom, enthusiasm and generosity that were the hallmarks of his nearly half-century career in Hollywood. He will be greatly missed.
Your deductible is the amount you must pay each year before benefits are payable by the Health Plan. This amount is for each calendar year (January 1 – December 31). If you satisfy, or pay, your deductible by April, the Health Plan will start paying benefits for the remainder of the calendar year.
Under the Health Plan, your deductible is only $325 per individual and $975 per family.
For a family, the individual rate still applies if the family rate has not yet been met. So, if one member of your family reaches $325 in payments, the Health Plan will pay benefits for that individual. However, there will still be $650 applicable to the rest of the family. The deductible is never more than $325 per family member.
The following expenses are included in your deductible:
The following expenses are not included in your deductible:
There is a separate deductible for the Health Plan's dental benefit.