Out-of-Network vs In-Network
When a Participant seeks health services from an Out-of-Network (OON) provider the OON coverage is 60% of the PWGA reasonable and customary cost, and there is an annual out of pocket maximum of $20,000. For In-Network (INN) provider services the PWGA covers 85% of the cost, with a $1,500 maximum out of pocket cost to the Participant.
While your out of pocket cost exposure is an important consideration for opting to use INN providers, there are a number of other important reasons to utilize
In-Network (INN) services vs. OON.
Click HERE to learn more.
Theatrical Feature Writing Teams
The 2023 WGA negotiations resulted in changes to project ceilings or maximum reportable amounts which should help writers qualify for health coverage and increase their pension contributions.
To learn more, click HERE.
Earnings Minimum Increase Notice
Effective July 1, 2024, the earnings minimum to qualify for
health coverage is $45,397.
Click HERE to learn more.EXPLANATION OF BENEFITS GOING DIGITAL
Participants will automatically receive an electronic notification by email any time a new EOB is available. The website will allow you to view current and past EOB documents, and you will be notified whenever an update is posted.
If you’re not already registered, clicking on this LINK will walk you through the registration process, and if you are registered you can go straight to your documents. We also have an app. You can download by clicking HERE.
GETTING READY TO RETIRE?
You must meet with the pension department to review your options before you can file your retirement application
The mandatory educational session can be in-person, via Zoom presentation, or phone conversation. To get your educational session started, call us to make an appointment at: (818) 846-1015, or email us at: [email protected].
You are welcome to include a financial consultant, a spouse, or anyone else you think should participate in the educational session.
NEW SMM AVAILABLE
The Board has voted to expand the dental implants coverage within the Delta Dental PPO plan.
To learn more, click HERE.
UPDATE: HEALTH COVERAGE CONTINUATION
This is an update to our prior communication, and includes an FAQ link for additional information.
The WGA and the AMPTP have agreed, and the Board has approved, that an additional quarter of health coverage (including the dependent premium) will be provided at no cost to all Participants who would otherwise lose eligibility immediately following an earnings cycle that included all or a portion of the strike period (i.e., an earnings cycle that ended or will end on June 30, 2023, September 30, 2023, December 31, 2023, March 31, 2024, or June 30, 2024) will also receive the same benefits. There is nothing you need to do or pay. Coverage will be extended (including payment for dependents), automatically.
Participants who are on COBRA that is expiring on October 1, 2023. If you are among this population, you may opt to extend coverage for up to one more quarter, though that will not be subsidized and you will have to pay the full amount due for each additional month you wish to be covered, up to one quarter. If you elect this additional COBRA coverage, all you have to do is remit payment.
If a Participant has 10 or more banked points as of October 1, 2023, they must use their banked points for this extended quarter
in accordance with the Extended Coverage program.
To learn more about the health coverage extension agreement, click HERE.
Annual Funding Notice
The government requires the Pension Plan publish a document in a government-prescribed format about the condition and finances of your Pension Plan. If you would like to see that document, please click here.
The bottom line is that the Pension Plan is healthy and in the green zone.The PWGA App is Now Available!
Also, Big Changes to MyPlans on the PWGA Website!For the very first time, you can access Health and Pension Plan information through an app on your favorite mobile device whether it be your phone or tablet. We have updated the website and made MyPlans significantly more capable and secure as well. One registration, two great ways to see your information.
did you know
411 – In Network vs. Out of Network
October 04, 2024
When a Participant seeks health services from an Out-of-Network (OON) provider the OON coverage is 60% of the PWGA reasonable and customary cost, and there is an annual out of pocket maximum of $20,000. For In-Network (INN) provider services the PWGA covers 85% of the cost, with a $1,500 maximum out of pocket cost to the Participant. While your out of pocket cost exposure is an important consideration for opting to use INN providers, there are a number of other important reasons to utilize In-Network (INN) services vs. OON.
did you know
Theatrical Feature Writing Teams
October 04, 2024
The 2023 WGA negotiations resulted in changes to project ceilings or maximum reportable amounts which should help writers qualify for health coverage and increase their pension contributions.
More News
Theatrical Feature Writing Teams
October 04, 2024
Electronic Claim Submissions
April 14, 2023
Out of the Country Claims
April 06, 2023
How To Check Your Earnings – Make Sure You Get Everything You Deserve
February 22, 2022