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Directors Guild of America – Producer Pension and Health Plans
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Pension Plans Documents

All forms are in Adobe PDF format. Click here to download the free Adobe Acrobat Reader.

Pension Plans Documents


March 2025 Summary Plan Description Describes the benefits offered through the DGA-Producer Pension Plans.
Beneficiary Designation Form This form allows you to designate a beneficiary or beneficiaries to receive your Basic and Supplemental Plan benefits, in the event of your death.
Benefit Application Request Form This is the form requesting a retirement application package from the DGA-Producer Pension Plans. This is not the retirement application.
California State Tax Withholding Form This form allows you to elect to have or not have California Personal Income Tax withheld from periodic or nonperiodic pension or annuity payments. You may also complete this form to claim California Personal Income Tax withholding allowances or to change or revoke a previously filed California State Tax Withholding Form.
Direct Deposit Form If you would like to have your monthly pension benefit deposited directly into your bank account, please fill out this form and mail it to the Plans office.
Employment Recap Form If you are retired from the Basic Pension Plan and have returned to DGA covered employment, complete this form to provide a recap of your recent employment.
IRS Form W-4P If you currently receive a monthly benefit payment from the DGA-Producer Basic Pension Plan, complete this form to update your withholding elections for annuity payments.
IRS Form W-4R If you currently receive a benefit payment from the DGA-Producer Supplemental Pension Plan, complete this form to update your withholding elections for annuity payments.
IRS Form W-7 This is the Internal Revenue Service Application for IRS Individual Taxpayer Identification Number form.
IRS Form W-8BEN This is the Internal Revenue Service Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding form.
Supplemental Plan Additional Distribution Request Form This form is only for participants who have previously received or are currently receiving distributions from the Supplemental Plan and who would like to request another Supplemental Plan Distribution Application in order to request an additional distribution from the Supplemental Plan.
Supplemental Plan Incoming Rollover Form This form must be submitted to the Pension Plan office if you are planning on rolling funds from a qualified plan into your Supplemental Plan account.
Third Party Authorization Form This form authorizes the Pension Plans to release confidential Pension Plans information to a third party.

More Documents and Forms…

Documents and Forms

Spotlight on Benefits Newsletters

Health Plan Documents

Demographics Documents

Pension Plans Documents

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About Us

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.

Contact Us

Main Phone: (877) 866-2200

🏢 OFFICE LOCATION & HOURS:

5055 Wilshire Boulevard
Suite 600
Los Angeles, CA 90036

Monday through Friday
8:30 a.m. to 5:00 p.m. Pacific Time

🤝 MEETING INFORMATION:

To schedule an in-person meeting: click here
To schedule a virtual meeting: click here

📠 FAXES:

Contributions: (323) 866-2311
Demographics: (323) 866-2389
Health Plan Claims: (323) 782-9287
Health Plan Eligibility: (323) 866-2399
Pension: (323) 866-2372

For department directory and more contact options, click here.

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  • Home
  • Health Plan
        • Benefits Overview
          • Medical - Network
          • Medical - Non-Network
          • Prescription Drugs
          • Dental
          • Vision
          • Infertility
          • Paid Parental Leave
          • Preventive Care
          • UCLA/EIMG Health Clinics
        • Request a Predetermination to Estimate Coverage
        • Summary of Coverage Plans
        • Qualifying for Coverage
          • Open Enrollment
          • Adding Dependents
        • Filing a Claim
        • Transparency in Coverage – Machine-Readable Files
        • Find A Network Provider
        • Coverage Extensions
          • Self-Pay Plans
        • Pay Your Premium
          • By Phone
          • Online
          • By Check
          • By Automatic Pension Deduction
        • Medicare
        • Affordable Care Act Information for Participants
        • Health Services and Assistance for Non-Covered Participants
        • Health Plan Summary Plan Description
  • Pension Plans
        • Benefits Overview
          • Basic Pension Plan
          • Supplemental Pension Plan
        • Rollovers into the Supplemental Plan
        • Pension Plans’ Investment Program
          • Investment Performance
          • Asset Allocations
        • Pension Plans Summary Plan Description
  • News
  • Documents and Forms
    • Spotlight on Benefits Newsletters
    • Demographics Documents
    • Health Plan Documents
    • Pension Plans Documents
    • Health Plan Summary Plan Description
    • Pension Plans Summary Plan Description
  • Online Services
    • Anthem Blue Cross
      Benefits Portal
    • CVS Caremark Online
    • Delta Dental Online
    • E-Bill Express
      Online Payments
    • Vision Service Plan Online
    • Benefits Portal
  • Producers
    • Contributions Forms
    • Signatory Employer Guide