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Producers Health Benefits Plan Information Session For Freelance Production Employees Tuesday, May 2

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Title: Producers Health Benefits Plan Information Session For Freelance Production Employees Tuesday, May 2


1
Producers Health Benefits PlanInformation
Session For Freelance Production
EmployeesTuesday, May 20, 2008
  • Administered by
  • Administrative Services Only, Inc.
  • 303 Merrick Road, Suite 300
  • Lynbrook, NY 11563
  • 1-888-345-PHBP
  • 1-888-854-9786(fax)
  • phbp._at_asonet.com
  • www.phbp.org

2
Summary
  • The Producers Health Benefits Plan (PHBP) or
    the Plan) was
  • established and is maintained by certain Producer
    members of the
  • Association of Independent Commercial Producers
    (AICP) to
  • provide health insurance coverage on a fully
    insured basis for certain
  • categories of freelance production employees
    working in
  • commercials and who are not currently covered by
    a health plan
  • (including a collectively bargained health plan)
  • PHBP will provide health coverage and potentially
    other benefits to
  • eligible employees. Eligibility rules are
    determined by PHBPs Board of
  • Trustees.
  • All AICP Producer members were given the option
    to participate in the Plan
  • and to cover their employees. Participating
    Employers who executed a
  • Participation Agreement have obligated themselves
    to contribute to the Plan
  • on behalf of all employees, regardless of whether
    an employee has elected to
  • participate in the PHBP or meets the eligibility
    requirements.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
    decisions

3
Contributions
  • All Participating employers must submit
    contributions on behalf of its employees not
  • covered by a collectively bargained health plan
    who work in the covered job classifications.
  • This contribution will not be deducted from your
    paycheck
  • Covered job classifications are
  • Producer/Line Producer
  • Production Manager
  • Supervising Producer
  • Production Supervisor
  • Assistant Production Supervisor
  • Production Coordinator
  • Commercials Coordinators
  • Coordinator
  • Assistant Coordinators
  • Production Assistant (all prefixes and suffixes)
  • Only days for Commercial Productions will be
    accepted. Days reported for a Music Video,
  • Television, Independent or Feature Film
    production will not be accepted or used towards
  • determining eligibility.

4
How You Become Eligible
  • Fill out, sign and return Authorization Form to
    ASO.
  • ASO will research your past employment with the
    payroll houses. ASO currently sends a file of
    newly authorized participants each week.
  • To speed the process you may want to return
    payroll stubs for the past 15 months, or whatever
    you have.
  • ASO will calculate eligibility and notify you if
    and when you become eligible.
  • If you are eligible ASO will enroll you with
    United Healthcare and you will receive a card.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
    decisions of its Trustees, and
  • shall control in the event of any conflict with
    this summary.

5
Eligibility
  • Initial eligibility for the PHBP was determined
    based on 100 days of employment over four (4)
    consecutive quarters.
  • For coverage beginning February 1, 2008 March
    31, 2008 (please note this is a modified initial
    quarter), you must have worked 100 days during
    this time period 10/01/2006 09/30/2007, and
    days counted were all days reported by payroll
    companies, not just for participating employers.
  • If you were not eligible during this time period,
    your days were recalculated for coverage to start
    on April 1, 2008. To qualify, you must have
    worked 100 days during this time period
    01/01/2007-12/31/2007.
  • Your ongoing eligibility is determined by having
    worked at least 25 days per quarter. With each
    quarter, your eligibility is recalculated. For
    example, if you qualified for coverage starting
    February 1, 2008 , in order to maintain coverage
    in the second quarter (04/01/2008 06/30/2008),
    you will need to have worked at least 25 days in
    the fourth (4th) quarter of 2007 10/01/2007
    12/31/2007. With the quarter commencing
    07/01/2008 09/30/2008, you will need 25 days in
    the first quarter of 2008 (01/01/2008-03/31/2008).
  • For ongoing eligibility, banking rules apply.
    This means that all days worked for participating
    companies in excess of 25 are banked for use
    in another quarter. The bank holds up to 90 days,
    and must be used within 3 quarters of the quarter
    in which they were earned.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
    decisions of its trustees,
  • and shall control in the event of any conflict
    with this summary.

6
Work Statement Correction Form
  • Administrative Services Only, Inc. has calculated
    work history based on reporting from the payroll
    companies.
  • If you feel days have not been credited, please
    go to www.myphbp.org , log-in and download a Work
    Statement Correction Form.
  • Fill out and remit, with supporting
    documentation.
  • Please note, we cannot accept any W2 forms, as
    they do not include all required information
    needed to verify days.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents,
  • and the decisions of its Trustees, and shall
    control in the event of any conflict with this
    summary.

7
Monthly Premiums
  • Coverage to Eligible Participants is FREE.
    Dependent coverage can be
  • purchased.
  • The monthly premiums are as follows
  • Employee Only 0.00
  • Add Child (ren) 394.37
  • Add Spouse/Domestic Partner
    482.00
  • Add Spouse/Domestic Partner Child (ren)
    832.55
  • All payments should be sent and made payable to
  • Producers Health Benefits Plan
  • c/o Administrative Services Only, Inc.
  • 303 Merrick Road, Suite 300
  • Lynbrook, NY 11563
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan

8
Qualifying Events
  • Spouses and children may only be enrolled during
    the initial eligibility
  • period, unless a qualifying event occurs.
  • The Eligible Person and/or Dependent had existing
    health coverage under another plan
  • At the time they had an opportunity to enroll
    during the Initial Enrollment Period and
    Coverage under the prior plan ended because of
    any of the following
  • ¾ Loss of eligibility (including, without
    limitation, legal separation, divorce or death).
  • Event Takes Place (for example, a birth or
    marriage).
  • Coverage begins on the date of the event if we
    receive the completed enrollment form and any
    required Premium within 31 days of the event.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan
  • documents, and the decisions of its Trustees, and
    shall control in the event of any conflict with
    this summary.

9
Self Pay
  • If a non-union freelance production employee has
    worked less than the minimum required days, but
    has worked at least 17 days per quarter in the
    four previous quarters, they will be given the
    option of self paying the remaining days. (The
    maximum to be paid would be 8 days).
  • The cost to self-pay is 53.63 per day.
  • If you have not worked at least 17 days in a
    quarter, and have no banked days, you will be
    offered COBRA continuation.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
    decisions of its Trustees, and
  • shall control in the event of any conflict with
    this summary.

10
COBRA
  • A person may have COBRA coverage for up to 18
    months from the date of the qualifying event, if
    due to the end of employment or reduced hours.
  • A person may also have COBRA coverage for 36
    months from the date of the qualifying event for
    an enrolled dependent whose coverage ended
    because of the death, divorce, or legal
    separation of the subscriber or loss of
    eligibility by an enrolled dependent who is a
    child.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
    decisions of its Trustees, and
  • shall control in the event of any conflict with
    this summary.

11
COBRA (cont)
  • The monthly COBRA costs are
  • Single 446.94
  • Husband Wife 938.58
  • Parent Child(ren) 849.20
  • Family 1,296.14
  • If you do not choose coverage through the
    self-pay option (if
  • available) or COBRA coverage, you will be
    ineligible for the Plan
  • for four (4) consecutive quarters beginning with
    the quarter in
  • which you did not elect to continue coverage,
    regardless of
  • intervening work experience.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
  • decisions of its Trustees, and shall control in
    the event of any conflict with this summary.

12
Websites
  • Once we have received a signed Authorization
    Form, a user account will be created for you to
    view your work history, important documents, and
    links to United Healthcare. Please feel free to
    log-in at www.myphbp.org
  • As explained on the website, your username will
    be your full 9 digit Social Security Number. Your
    password will be your first initial, last initial
    and your zip code.
  • If you are having trouble logging into this site
    please feel free to contact us at the number
    below.
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
    decisions of its Trustees, and
  • hall control in the event of any conflict with
    this summary.

13
Contacting ASO
  • If you have any further questions, or would like
    to check on your current eligibility status
    please feel free to contact us at
  • 1-888-345-PHBP(7427), phbp_at_asonet.com or
  • www.myphbp.org
  • Terms of coverage, benefits and eligibility are
    governed by the Plans Rules and Regulations,
    Insurance Policies, other Plan documents, and the
  • decisions of its Trustees, and shall control in
    the event of any conflict with this summary.
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