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
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.
Verify the receipt of a fax, document or e-mail on-line
Faxes/emails are generally recorded within 60 minutes of receipt during our business hours. You can see what documents we have received from you (as soon as we can) after logging-in by clicking on "Documents Received". Mail, depending on our volume, may take 1 to 2 days to display after receipt.
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.
If you do not have coverage through the Flex Plan
You must go through the enrollment process www.flexplan.com/oe to get insurance verification forms for 2016. If you do not have insurance information on file, you will not be eligible for claims reimbursements and may be automatically enrolled with medical insurance. Enrollment only takes a minute!
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.