- The SAG-AFTRA Senior Benefit Plans are group Medicare advantage plans, so you can enroll in them any time, not just during Medicare's open enrollment period. Click the link above to contact an EHIS or AHIRC representative who can help you enroll.
I'm a Senior Performer with 16 Retiree Health Credits. I'll enroll in a Medicare Marketplace plan with Via Benefits. My under age 65 spouse and my 20-year-old are on SAG-AFTRA Health Plan. Do I need to continue to qualify for the Plan to keep benefits?
As a Senior Performer, you do not need to meet any ongoing requirements to continue to qualify for the Health Reimbursement Account plan or work with Via Benefits advisors to enroll into a plan. You also do not need to meet any ongoing qualification requirements to continue to cover your under age 65 spouse and children under age 26 through the SAG-AFTRA Health Plan.
As a Senior Performer, you don't need to meet ongoing requirements to continue to qualify for the Health Reimbursement Account plan or work with Via Benefits advisors to enroll into a plan.
Via Benefits also administers the SAG-AFTRA Health Plan HRA, so it is a requirement that you enroll in a Medicare Marketplace plan through Via Benefits. Doing this ensures that your HRA is set up properly and allows for more seamless use of your HRA account, including being able to submit claims electronically. However, we recognize that some participants already have relationships with the Actors Fund and the MPTF, so enrollments through AHIRC and EHIS will also allow you access to your HRA account. We also understand that some of our participants have retiree coverage through the entertainment industry and other retiree group health plans, so if you want that plan to be secondary to Medicare instead of enrolling in a Medicare Exchange plan, please contact the Plan Office so we can work with Via Benefits to make sure you still have access to an HRA.
What is a Retiree? What is a Senior Performer?
You are a Retiree if you are age 65 or older and receiving your SAG or AFTRA pension benefit. A Retiree has Senior Performer status if they have 20 or more Retiree Health Credits (or meet the grandfathering requirements) and do not meet the minimum Health Plan earnings requirement with all sessional earnings.
All Retirees will be able to work with Via Benefits advisors who can find and enroll them in the Medicare and supplemental plans that best fit their needs. Senior Performers will also receive a Health Reimbursement Account (HRA) allocation for themselves and their spouses over age 65. The HRA allocation can be used to pay premiums and other eligible healthcare expenses. Senior Performers can also continue to cover their eligible dependents under age 65 on the SAG-AFTRA Health Plan, subject to the Working Spouse rule.