IMPORTANT: How Health Plan Eligibility Works

During these unprecedented times, we understand you may be concerned about qualifying for Health Plan coverage. To qualify for Health Plan coverage, you must first meet the minimum earnings threshold during a 12-month period called an earnings period. You must earn $35,875 for earnings periods beginning in 2020 to qualify for Health Plan benefits. This amount was $35,000 for earnings periods starting in 2019. For the benefit period beginning on April 1st, the earnings period was January through December 2019. If you made $35,000 in 2019, you will continue to have coverage through March 31, 2021, – even if you had no earnings in the first quarter of 2020. Similarly, if your 12-month earnings period ends in March or June 2020, and you make $35,000 during that time, you will have another year of coverage beginning on July 1, or October 1.

If you did not earn at least $35,000 during the 12-month earnings period that ended December 2019, you will not qualify for benefits beginning April 1, 2020. Similarly, if you do not earn at least $35,000 for the 12-month earnings periods ending March 2020 or June 2020, you will not qualify for benefits beginning July 1 or October 1, 2020, respectively.

The Plans’ online benefits portal provides you with up to date information regarding your eligibility and reported earnings. Please visit www.dgaplans.org/about-myPHP for more information on registering for the online benefits portal.

For more information about qualifying for coverage under the Health Plan, you can also contact the Eligibility Department at (323) 866-2200, Ext. 402.