Board of Trustees Unanimously Approves Additional Three-Month Extension through June 2024 of Free Major Medical Plus Plan Coverage Under Health Plan for Eligible Participants, Beginning April 1, 2024

As a result of the WGA and SAG-AFTRA strikes and to help mitigate the impact on participant eligibility for those whose coverage expired March 31, 2024, the Board of Trustees of the DGA-Producer Health Plan unanimously approved another extension of the Major Medical Plus Plan for three months beginning April 1, 2024 and ending on June 30, 2024 for participants who met certain eligibility requirements.

On February 20, 2024, the Board of Trustees unanimously approved an additional three-month extension of free strike-related Major Medical Plus Plan coverage, recognizing that those who lost Earned Active or regular Carry-Over coverage as of March 31, 2024 may also be impacted by the WGA and SAG-AFTRA strikes. Like before, extended Major Medical Plus Plan coverage is available to eligible Plan participants and their dependents.

The Board of Trustees previously offered Major Medical Plus Plan coverage to participants and their eligible dependents who lost Earned Active or regular Carry-Over coverage as of June 30, 2023, September 30, 2023 and December 31, 2023. Those who elected the coverage were also eligible for the extended Major Medical Plus Plan coverage through June 30, 2024, provided they remained on the Major Medical Plus Plan through March 31, 2024.

What the Major Medical Plus Plan Covers

The strike-related Major Medical Plus Plan provides the following benefits:

  • Network medical coverage, including mental health and substance abuse benefits.
  • In the case of Emergency Services provided at a non-network facility, when you receive emergency or non-emergency services from a non-network provider at certain network facilities, or emergency air ambulance services provided by non-network providers, non-network providers may not balance bill a patient and the patient will pay the same cost sharing that applies to network claims.
  • Prescription drug coverage.

Hearing aids, chiropractic, acupuncture, and foot orthotics are excluded from coverage under the Major Medical Plus Plan, as are dental benefits, vision benefits, and special arrangements with UCLA Health/EIMG.

Who Qualifies

To qualify for the Major Medical Plus Plan, you must have worked under the Basic Agreement or the Freelance Live and Tape Television Agreement and satisfy the requirements below. Individuals in Groups 1, 2 and 3 who previously elected, and remained on, the Major Medical Plus Plan through March 31, 2024 are also eligible for the most recent extension from April 1, 2024 through June 30, 2024:

  • Group 1: You and your eligible dependents lost Earned Active or regular Carry-Over coverage as of June 30, 2023 and did not have sufficient earnings to requalify effective October 1, 2023 for the applicable work period July 1, 2022 to June 30, 2023 and have at least $10,000 in initial compensation during the work period July 1, 2022 to June 30, 2023 and the DGA-Producer Health Plan is your primary plan; OR
  • Group 2: You and your eligible dependents lost Earned Active or regular Carry-Over coverage as of September 30, 2023 and did not have sufficient earnings to requalify effective October 1, 2023 for the applicable work period July 1, 2022 to June 30, 2023 and have at least $10,000 in initial compensation during the work period July 1, 2022 to June 30, 2023 and the DGA-Producer Health Plan is your primary plan; OR
  • Group 3: You and your eligible dependents lost Earned Active or regular Carry-Over coverage as of December 31, 2023 and did not have sufficient earnings to requalify effective January 1, 2024 for the applicable work period October 1, 2022 to September 30, 2023 and have at least $7,500 in initial compensation during the work period October 1, 2022 to September 30, 2023 and the DGA-Producer Health Plan is your primary plan; OR
  • Group 4: You and your eligible dependents lost Earned Active or regular Carry-Over coverage as of March 31, 2024 and did not have sufficient earnings to requalify effective April 1, 2024 for the applicable work period January 1, 2023 to December 31, 2023 and have at least $5,000 in initial compensation during the work period January 1, 2023 to December 31, 2023 and the DGA-Producer Health Plan is your primary plan.

Eligible participants may also cover their eligible dependents under the Major Medical Plus Plan.

If you were eligible for the Major Medical Plus Plan effective October 1, 2023 or January 1, 2024, you are also eligible for the extension through June 30, 2024, provided you elected and remained on the Major Medical Plus Plan through March 31, 2024.

Eligibility Exclusions

You are ineligible for free strike-related Major Medical Plus Plan if you fit within any of the following categories:

  • You worked under an agreement other than the Basic Agreement or Freelance Live and Tape Television Agreement and lost coverage on either June 30, 2023, September 30, 2023, December 31, 2023 or March 31, 2024; OR
  • You have Earned Inactive coverage based on residual compensation; OR
  • You have any form of self-pay coverage (including COBRA, Extended Self-Pay, Retiree Carry-Over or Certified Retiree); OR
  • You are covered by other insurance or if you qualify for Medicare as your primary coverage; OR
  • You have available Carry-Over credits or Retiree Carry-Over credits or are eligible to begin Certified Retiree coverage. (You will be required to use your credits or Certified Retiree coverage.)

Eligible Participants Will Be Notified

Participants who qualify for the latest extension of coverage under the Major Medical Plus Plan have already been notified by the Health Plan. If you are eligible, you should have received a letter from the Health Plan with further information.

If you believe you should be eligible for extended Major Medical Plus Plan coverage, but have not received notification, or for any other questions, please speak to a Participant Services Representative at (323) 866-2200, Ext. 401.