Your session is about to expire due to inactivity.
Health Fund
print

Introduction

The Board of Trustees ("Trustees") is pleased to provide you with this Summary Plan Description ("SPD"), which describes the benefits and eligibility rules under the Writers' Guild-Industry Health Fund ("Fund", "Health Plan" or "Plan") in effect as of May 1, 2013. This SPD constitutes the Fund's Plan document and supercedes all prior SPDs, plan rules and other notices for health coverage rendered or received on or after May 1, 2013. As such, this handbook along with the Summary of Benefits will serve as the primary guide and reference concerning all aspects of your health care benefits and how to use them as of such date. For health coverage rendered or received prior to May 1, 2013, please refer to the Fund's prior SPD, notices and documents for the applicable period. The SPD (and prior SPD and correspondence about the Fund) is also available on the Fund's Website at www.wgaplans.org.

We encourage you to review this handbook carefully so that you are aware of all the benef its to which you are entitled, as well as some import ant restrictions and responsibilities. In its preparation, our goal has been to present and explain your benefits in language that is easy to understand. However, sometimes, for legal reasons, we must use terms that are not used in everyday conversation. Terms and phrases that fall into this category are either explained in the context of their sections or are listed alphabetically in the Glossary starting on page 124 of this handbook.

Periodically, changes are made to the Health Plan. As a participant, you are notified through a Summary of Material Modification ("SMM") letter or special mailing. Those SMMs become part of this SPD. For easy reference, we recommend that you keep copies of the SMMs and your Health Plan correspondence in the front pocket of this handbook.

The nature and extent of benefits provided by the Writers' Guild-Industry Health Fund and the rules governing eligibility are determined solely and exclusively by the Trustees of the Fund. Employees of the Administrative Office are there to assist you, but have no authority to alter those benefits or eligibility rules. Any interpretations or opinions given by employees of the Administrative Office are not binding upon the Trustees and cannot enlarge or change such benefits or eligibility rules.

The Trustees and the Benefits Committee are authorized and empowered to decide on a participant's entitlement to or application for benefits under the Health Plan, and any such decision of the Tr ustees or the Benefits Committee is final and binding upon all affected parties. The Trustees and the Benefits Committee are authorized and empowered generally to do all things, execute all such agreements, adopt and promulgate all such reasonable rules and regulations, take all such proceedings and exercise all such rights and privileges as are necessary in the establishment, maintenance and administration of the Health Plan.

Additional information about the Fund is available in other Plan documents including, without limitation, the Fund's Agreement and Declaration of Trust and insurance or service provider contracts (collectively referred to as "Official Plan Documents"). While we have made every effort to ensure that the SPD provides an accurate explanation of the Fund's Official Plan Documents, in the event that there is a conflict between this SPD and the Official Plan Documents, the Official Plan Documents will govern.

The benefits described in this handbook may be reduced, modified or discontinued by action of the Trustees (or their authorized designee) at any time. These benefits and eligibility to receive these benefits are not guaranteed and may be changed at any time.

If you have a ny que stions about any terms of your coverage in general, please call the Administrative Office at (818) 846-1015 or toll free outside the Los Angeles area at (800) 227-7863.

Note: calls may be recorded for quality purposes.

IMPORTANT NOTE: The Fund and the Writers Guild of America, East, Inc. and the Writers Guild of America, West, Inc. are Separate Entities.

All benefits described in this SPD are provided by the Fund (and not the Writers Guild of America, East, Inc. or the Writers Guild of America, West, Inc. (collectively referred to as the "Union"), which are separate entities). Accordingly, if you have a question regarding your benefits under the Fund, please do not contact the Union. Instead, all questions concerning the Fund should be directed to the Administrative Office.

The Fund is what the law calls a "health and welfare" benefits program that is established and maintained in accordance with the applicable provisions of the Employee Retirement Income Security Act of 1974, as amended. The Fund covers Writers for whom contributions are made by contributing employers to the Fund pursuant to the terms of a Collective Bargaining or other written agreement with the Union as well as employees of eligible Named Employers (e.g., Writers' Guild-Industry Health Fund, Producer-Writers Guild of America Pension Plan, Writers Guild of America East and West, Writers Guild Foundation and certain temporary employees of CBS Broadcasting Inc. ("CBS Staff Group").* The Fund makes no profit of any kind and all assets are used for the sole and exclusive benefit of its participants. The Fund is governed by a Joint Board of Trustees that is made up of an equal number of Union and Employer Trustees who have equal voting power. Therefore, neither the Union nor the Employers may unilaterally determine the policies, benefits or rules of the Fund. The Trustees of the Plan determine the form, nature and amount of health and welfare benefits, the rules of eligibility for such benefits, and the effective dates of such benefits. The Trustees receive no compensation for their service to the Fund.

Notificación de asistencia con traducciones al español

Este documento es un resumen del plan, el cual contiene un resumen en inglés de sus derechos y beneficios según el plan de salud de. Si tiene dificultades para entender cualquier parte de este documento, comuníquese con un representante de Writers' Guild-Industry Health Fund al (818) 846-1015, de 8:30 a.m. a 5:00 p.m. Hora estándar del Este, o visite una de las oficinas de Writers' Guild-Industry Health Fund:

Producer-Writers Guild of America Pension Plan
Writers’ Guild-Industry Health Fund
2900 W. Alameda Ave.
Suite 1100
Burbank, CA 91505-4220
8:30 a.m. a 5:00 p.m.
Hora estándar del Pacífico



*The CBS Staff Group includes both regular full-time staff and temporary employees of CBS Broadcasting Inc., who meet the requirements of Article II, Section 1(e)(2) of the Pension Plan and participate in the Writers' Guild-Industry Health Fund. The CBS Staff Group is a "Named Employer" pursuant to a Collective Bargaining Agreement.