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Health Fund
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Section 1
Summary of Benefits

The Summary Plan Description ("SPD") along with this Summary of Benefits ("SOB"), will serve as your guide to the medical, vision, prescription drug, dental, mental health and chemical dependency benefits available to eligible participants in the Writers' Guild-Industry Health Fund ("Fund"). The SOB contains details about (1) your earnings requirement, (2) dependent coverage premiums, (3) benefit levels for each plan, and (4) plan contact information.

The SOB does not serve as a guarantee of benefits. Services are either subject to preauthorizationPreauthorization, sometimes referred to as “pre-certification,” is the process used to confirm if a proposed service or procedure is a medically necessary health care service. Preauthorization, when required, should occur before treatment is received, except in an emergency. or medical necessity review. The benefits outlined may change from time to time. Terms not specifically defined herein shall have the meaning assigned to them in the SPD. The Trustees reserve the right to terminate or change any part or all of any of the health plans offered under the Fund at any time. Benefit changes will periodically be communicated to you by letter, SMM, newsletter, or our website at www.wgaplans.org, between publications of updates of this SOB.

 

Major topics in the Summary of Benefits Section: