New Claims Reimbursement Status Option
Once you have logged in to your account, in the "Claims Reimbursement" section,
there is a new option titled, "Claims Reimbursement Status." This option will
allow you to view the Evidence of Processed Claim (EOPC) for all claims
previously submitted and provide an up to the minute status on the processing
of your claims. If the claim has been paid, the check number and date will be
displayed. If the claim has not been paid, the system will show the projected
payout date. We hope you find this new feature helpful.
If you are covered by an individual or exchange policy, please be sure to review this information. Important Plan Updates due to the Affordable Care Act ("ACA")
In order to comply with the regulations which were effective January 1, 2014, the Flex Plan was required to make some modifications to the benefits offered through the Plan. The most significant change affects participants who are covered through an individual policy (a policy that you obtain as an individual directly from an insurance company) or participants who elect coverage through one of the exchanges. For more information please review our Frequently Asked Questions on this topic at www.flexplan.com/aca
Grandfathered Balance Rule: Here is additional guidance for participants who are covered by an individual or exchange policy after 01/01/2014. Participants may use account balances from employer contributions posted PRIOR TO 01/01/2014 for participant and dependent out-of-pocket medical expenses provided the participant has current insurance information (group, individual or exchange) on file with the Plan. Individual and Exchange premiums incurred after 01/01/2014 cannot be reimbursed from any employer contributions.
Please review the Special Guidance for Participants with Individual Policies for more information.
Need to make a Self Payment?
You may make a payment after you log-in by clicking on "Self Payment Information". You can also make a payment through our Automated Member Services System, Option 2.
Fax or Email transmission of combined documents
If a claim is faxed or emailed, each fax or email transmission should contain only 1 claim form and the supporting documentation for that claim. Remember: All documents sent via email must be a SINGLE FILE, PDF or TIF/TIFF document.
When documents are combined and transmitted together, this will delay the processing of your claim by up to 7-10 days.
Email Validation Procedure
If you have not enrolled on-line, the first time you log in you will be asked to provide your email address. You will then be sent a validation e-mail. When you receive the e-mail, click on the link, and you will be prompted to enter your PIN. Once you enter your PIN you will be logged in. This process must be completed one time prior to accessing your personal account information. Once you have validated your account, you may login as usual.
The Entertainment Industry Flex Plan began more than 28 years ago to provide benefit solutions for Union Members in the 'Industry'. During this lengthy period of time, we have evolved to represent several affiliations of Unions throughout the United States and more than 22,000 members. As a result, we have learned and therefore refined what we do to continually improve service to our membership.