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Health Fund

Employer Contributions

The Fund is financed primarily by participating employers who are signatory to the Writers Guild of America MBA and who make contributions to the Fund. As of November 1, 2004, participating employers are required to contribute 8.5%* of all "gross compensation" (as that term is defined in Article 17 of the MBA) earned, paid, or due to Writers for guaranteed flat deal writing services covered under the terms of a WGA Collective Bargaining Agreement, provided the Writer's employment contract is dated on or after November 1, 2004 or the Writer is employed on a week-to-week or term deal. Optional services are reportable at the rate and ceiling in effect on the date the optional service is exercised (default to pay date if unknown). This percentage will be periodically adjusted based on bargaining agreements.  (See "Earnings Qualifying for Employer Contribution and Eligibility" on page 18.)

If your employer does not remit the required contributions, you may still be able to receive credit toward eligibility. Contact the Administrative Office for information.

* In the second and/or third periods of the May 2, 2011 - May 1, 2014 MBA contract term, the Trustees have the discretion to increase or reduce the Health Fund contribution rate by up to 0.5%, in increments of not less than one-quarter (0.25%), by reducing or increasing minimums a corresponding percentage if they determine that additional contributions are needed/not needed to maintain the level of benefits in existence on May 2, 2011.

If Eligibility Is Granted In Error

Contributions an employer remits to the Fund may be paid in error. Examples include:

  • Services not covered by a WGA Collective Bargaining agreement.
  • Contributions paid in excess of the applicable ceilings.

In these cases, the Health Fund will attempt to collect from your employer the cost of any benefits the Fund or the Fund's insurance carriers paid for the writer or covered dependents as a result of such error, plus audit costs and attorney fees the Fund spent to recover this amount.

In certain circumstances, the Fund will seek repayment from the participant and employer.

Termination of Health Coverage for Cause - Including Fraud or Intentional Misrepresentation

As always, the Fund reserves the right to terminate coverage for you and/or your dependent(s) if you and/or your dependent(s) are otherwise determined to be ineligible for coverage. Pursuant to the Patient Protection and Affordable Care Act (PPACA), the coverage will not be rescinded (within the meaning of PPACA) retroactively (as opposed to prospectively) except in the circumstances permitted by law, such as the failure to pay premiums or the commission of fraud or intentional misrepresentation (for example, in enrollment materials, a claim or appeal for benefits or in response to a question from the Fund Administrator or its delegates by you, your covered dependent(s), or someone seeking coverage on your behalf ), or where not considered a rescission. In such cases of fraud or intentional misrepresentation, your coverage may be rescinded retroactively upon 30 days notice. Failure to promptly inform the Administrative Office that you or your dependent or spouse has become ineligible for coverage (e.g., divorce) or knowingly providing false information to obtain coverage for an ineligible dependent are examples of actions that constitute fraud or intentional misrepresentation.