HRA elig hero image

Eligibility and Qualification

+ Who qualifies for the HRA Plan?

+ What are the HRA allocation amounts?

+ What about my spouse or children who are not eligible for Medicare?

Who qualifies for the HRA Plan?

To qualify for the HRA Plan, you must meet all of the following:

  • Age 65 or older,
  • Currently receive a pension benefit from the SAG-Producers Pension Plan or the AFTRA Retirement Fund,
  • Have at least 20 Retiree Health Credits or qualify under the Plan’s grandfathering rules if you have fewer than 20 credits,
  • Be enrolled in Medicare Parts A and B.

Note: Unmarried, Medicare-eligible Surviving Spouses of Senior Performers are also eligible for HRA allocations.

Important: If you meet the minimum earnings requirement for SAG-AFTRA Health Plan Earned coverage, you are no longer eligible for HRA allocations.

What are the HRA allocation amounts?

If you are eligible for the SAG-AFTRA Health Plan Senior Performers HRA Plan, you will receive an individual HRA allocation that you can access through Via Benefits. Your Medicare-eligible spouse or Surviving Spouse may also qualify for individual allocation, subject to Plan rules.

HRA Allocation Amounts

At least 20 Retiree Health Credits

$1,140 per year ($95 per month)

$1,500 per year ($125 per month)

Fewer than 20 Retiree Health Credits, if eligible under grandfathering rules

$240 per year ($20 per month)

$312 per year ($26 per month)

 

What about my spouse or children who are not eligible for Medicare?

If you have a spouse who is non-Medicare-eligible or eligible children under age 26, you may be able to enroll them in SAG-AFTRA Health Plan coverage (subject to Plan eligibility rules). 

Learn more