
Eligibility and Enrollment > When You Lose Eligibility > Extended Coverage Program
Extended Coverage Program
Writer's Point System
Effective April 1, 2000, you can extend your own coverage at no charge through
the Extended Coverage Program. This is a point awards program in which points
are awarded based on a writer's meeting the covered earnings minimum in a four-quarter
earnings cycle in order to be eligible for employer-paid coverage.
You may accumulate up to 50 points to use toward future eligibility. The following
chart shows how points are awarded. For each four-quarter earnings cycle in
which you earned eligibility, you have the potential to be awarded up to three
points.
If you've met the covered earnings minimum during any earnings cycle ending
on or after September 30, 1989, you:
- Get 1 point;
- Get a second point if you earned at least $100,000 during that earnings
cycle; and
- Get a third point if you earned at least $200,000 during that earnings cycle.
Beginning January 1, 2001, the covered earnings minimum amount increased based
on the MBA minimum.
| TIME PERIOD |
EARNINGS CYCLE |
COVERED EARNINGS REPORTED TO THE FUND |
Each four-quarter earnings cycle resulting in eligibility:
1 point awarded, plus |
Ending on or after September 30, 1989 |
Covered earnings minimum |
| 1 point for one of the following: |
|
|
| Each four-quarter earnings cycle |
Ending on or after September 30, 1989 and before January
1, 2001 |
At least $100,000* |
| Each four-quarter earnings cycle |
Beginning on or after January 1, 2001 and before January
1, 2002 |
At least $103,252* |
| Each four-quarter earnings cycle |
Beginning on or after January 1, 2002 and before January
1, 2003 |
At least $106,089* |
| Each four-quarter earnings cycle |
Beginning on or after January 1, 2003 and before January
1, 2004 |
At least $108,741* |
| Each four-quarter earnings cycle |
Beginning on or after January 1, 2004 and before January 1, 2005 |
At least $111,460* |
| Each four-quarter earnings cycle |
Beginning on or after January 1, 2005 and before January 1, 2006 |
At least $113,968* |
|
|
| Plus, 1 point awarded for |
|
|
| Each four-quarter earnings cycle |
Beginning on or after January 1, 2005 and before January 1, 2006 |
At least $204,500 |
* The covered earnings level will periodically increase by a proportional amount
equal to any increase in the MBA minimum for a one-half-hour network prime-time
story and teleplay for the previous calendar year over the second previous year.
Points are determined based on each earnings cycle (four quarters) that resulted
in earned eligibility.
You have to accumulate 10 points to be eligible to receive benefits under the
point system. If you subsequently lose eligibility for employer-paid benefits
because of insufficient covered earnings within an earnings cycle, you'll be
notified that you've been automatically placed in the Extended Coverage
Program. The Fund will send you a statement indicating the number of points
you've accumulated, the number of points you've used and the number of points
available. You'll then "pay" for your coverage by exchanging points, as follows:
- 10 points for 4 quarters under the Regular Plan (2 1/2 points per quarter).
Coverage includes medical (including hospital, prescription drug, vision and
wellness benefits), dental, life insurance and accidental death and dismemberment
insurance (AD&D); or
- 6 points for 4 quarters under the Low Option Plan (1 1/2 points per quarter).
Coverage includes medical and hospital benefits only, with higher out-of-pocket
costs.
(See Section 2 & 3: for specific information about your medical
and dental plan options.)
Applicable points will be deducted for each quarter you receive benefits until:
- You're once again eligible for employer-paid coverage based on meeting the
covered earnings minimum within the appropriate earnings cycle;
- You become a Certified Retiree (See definition of "Certified
Retiree"); or
- You don't have enough points to continue to "pay" for your coverage.
If you die, your surviving spouse or same-sex domestic partner and covered
dependent children can use your remaining points to extend their coverage. If
you elect Certified Retiree health care coverage, your points will be forfeited.
When you've exhausted your points under the Extended Coverage Program, you'll
be offered the option of purchasing COBRA continuation coverage. (For information
about COBRA, see "COBRA Continuation Coverage".)
$200,000 Extension For Individual Writers
If you earn at least $200,000 in gross covered earnings in one earnings
cycle but you don't earn enough in the next earnings cycle to be eligible for
the Fund's health plans, the Fund will provide continuous coverage for another
year by dividing the $200,000 covered earnings minimum equally between the two
consecutive earnings cycles. If you do earn enough during the second earnings
cycle to qualify for regular employer-paid coverage, you won't require the $200,000
extension, and the extension won't be carried forward. The Fund provides this
extension automatically if necessary, so you don't need to take any action.
The $200,000 eligibility extension will be coordinated with the points awarded
under the Extended Coverage Program. First, you'll be granted an eligibility
extension based on the $200,000 extension and then, if necessary and if you've
accumulated the required points, you'll be granted eligibility based on your
accumulated points.
$200,000 Extension For Bona Fide Two-Person Teams
The $200,000 extension provision also applies to bona fide two-person writing
teams that meet the covered earnings requirement. Income earned as part of the
team - not individual earnings - will be considered for eligibility. This
extension is not automatic. You must contact the Eligibility Department if you
believe you qualify for the extension.
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