Please be sure to enter your Member ID WITHOUT
the NSA prefix—only the numbers, no letters.
Please be sure to enter your Member ID WITHOUT
the NSA prefix—only the numbers, no letters.
If you (or your covered dependents) lose Earned Eligibility coverage, the Consolidated Omnibus Budget Reconciliation Act (COBRA) allows you to temporarily continue your health benefits by paying continuation premiums directly to the Plan.
To qualify for the life insurance benefit, you must be an Active Plan Participant with Earned Eligibility or have Senior Performers coverage at the time of your death.
Employers should submit this form to notify the Plan of participant’s employment start date and requested coverage.
Beginning January 1, 2027, the SAG-AFTRA Health Plan's minimum earnings requirements and premiums will change, as adopted by the Board of Trustees on August 27, 2026.
Covered Earnings are wages paid to you and reported to the Plan by a contributing employer for work performed under a SAG-AFTRA Collective Bargaining Agreement that require employer contributions to the Plan.