2016 Claims must be filed by 03/31/2017 (11:59pm PT)
You may submit your claim by: Email, Mail or Fax.
Your 2016 claim must be postmarked by 03/31/2017 for us to be able to process it. If you experience a problem faxing a claim, please do not attempt multiple transmissions as this will delay the processing of your claim; please email or mail it. If you experience an error faxing your claim, we can accept your claim after the claims cutoff date of 03/31/2017 only if you mail the claim to us by 04/10/2017 with a copy of your fax transmission log.
Please do not combine 2016 and 2017 claims on the same form or combine insurance premiums with out-of-pocket medical expenses as items on the incorrect form will be denied.
IMPORTANT: If you plan to email or fax more than one claim, you must send each claim (with supporting documentation) as a separate email or fax transmission. Emails which contain password protected documents or links cannot be processed by the email imaging system.
If more than one claim is included in your email or fax transmission, it will delay the processing by 7-14 days.
If you have any questions about what should be submitted, please call our Member Services Department, we will be happy to assist you.
2016 Claims received during March
Due to the large number of claims submitted during the last claims cycle for 2016 (03/15/2017 - 03/31/2017) there may be a delay in issuing claim payments. Claim payments not issued on the 04/20/2017 payout should be issued by the 05/05/2017 payout provided necessary information is submitted.
Anyone who is considering or is already covered by an Exchange or Individual Policy should review this information first.
If you are covered by Exchange or Individual Policy you cannot use employer contributions for the payment of those premiums. In addition, if you or your dependents are not covered by a group insurance contract, the employer monies cannot be used for reimbursement of out-of-pocket medical expenses (unless you have "Grandfathered" monies in your account). Your group insurance may be any group policy, it does not have to be a Flex Plan group policy. For more information please review our Frequently Asked Questions on this topic at www.flexplan.com/aca
Verify the receipt of all documents on-line
You can see what documents (email, fax, US Mail) we have received from you (as soon as we can) after logging-in by clicking on "Documents Received". During high volume periods (March), please allow 1-5 days for your document to be recorded.
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.
Looking for Claim Forms or Health Information Authorization Forms? You must log in to view forms or click here.
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.
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 30 years ago to provide benefit solutions for Union Members in the 'Industry'. During this lengthy period of time, we have evolved to represent many affiliations of Unions throughout the United States and more than 27,000 members. As a result, we have learned and therefore refined what we do to continually improve service to our membership.