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The AFTRA Health and Retirement Funds provide essential health and retirement benefits for AFTRA members. This separate organization from SAG-AFTRA ensures that members qualify for benefits based on their covered earnings from AFTRA contracts. Minimum earnings requirements and various health plan options—including major medical, dental, and wellness programs—are outlined for eligibility. Additionally, it's crucial for members to keep accurate records of their earnings and report any life changes to maintain their benefits. For detailed information and updates, visit the AFTRA H&R website.
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SAG Foundation Presentation 10/10/13 Health Fund
Background • The AFTRA Health and Retirement Funds (“Funds”) was created to provide comprehensive health and retirement benefits for AFTRA members. • It is important to note that the Funds are a separate organization from SAG-AFTRA, the union. The two organizations do not share computer databases and maintain their own information
Qualifications: • Qualification for benefits is predicated on your AFTRA Covered Earnings. • Covered earning are earnings received for work under an AFTRA collective bargaining agreement (CBA) or as a full-time staff member of AFTRA or AFTRA H&R; and that do not exceed Plan maximums • When you work under an AFTRA contract, that calls for an employer to submit a contribution, that employer is required to submit a report detailing the work performed and amount you were paid. • The report and contribution are reviewed for accuracy and you are credited accordingly
Eligibility and Participation Health Plan • To qualify for AFTRA’s Health Plan you must earn at least $10,000 in 4 consecutive quarters or less for Individual Plan coverage, or $30,000 for Family coverage • You will become eligible on the 1st day of the second quarter following the quarter in which you meet the minimum covered earnings • When a member qualifies for coverage a notification is sent along with an enrollment form. • When the enrollment form with supporting documents is received within the time allotted, an invoice is sent. • Once the premium has been received the coverage will be activated beginning the first day of the following quarter
Benefits Health Plan • Major Medical Program which includes professional services such as doctor visits, surgeon, physical or occupational therapists chiropractors, lab testing etc. • Hospital Program • Mental Health and Chemical Dependency Program • Wellness Program • Prescription Drug Program • Dental Program • Group Insurance • Loss of Voice Insurance
Accurate Records and Life Events AFTRA H&R is a non-contributory jointly trusteed benefit fund. • Keep the Fund office advised of any life event changes such as address changes, new spouse/domestic partner, new children, divorces etc. • Keep accurate records of your earnings and review your yearly earning statement sent by the Fund • Health and Pension benefits are based on these earnings. Any incorrect or missing earnings may have an impact on these benefits • Updating Union information will not update the Fund information • Most needed forms are available on the website www.aftrahr.com
Mental Health, Chemical Dependency benefit improvements to be implemented effective Dec. 1, 2013 • Changes include lower copayments and the availability of non-network benefits • Non-network benefits available • Pre Authorization through Value Options is required only for inpatient admissions • Out patient Authorizations from Value Options no longer required • Refer to the September Benefits Update for details. This is available on the website www.aftrahr.com
