Entertainment Industry Flex Plan

COVID-19 Update

We are making every effort to continue to service Plan participants to the best of our abilities in light of the global pandemic from COVID-19. We are working to conform to CDC, Department of Labor, HHS, county, and city workplace recommendations to protect our staff and minimize staff absenteeism.

We are implementing telecommuting where possible, either to prevent potential exposure or due to self-quarantine. However, no matter how well prepared we are, we may have staff that becomes infected or require self-quarantine due to exposure.

Will there be a delay in processing reimbursement claims and insurance forms?

As a result of a potential reduction in our office staff working in the office, both outgoing and incoming mail will take longer to process. We are also concerned that mail may take longer to arrive, should the US Post Office experience absenteeism.

How can you help reduce the delays?

If you haven't already, please change your delivery preference to email. You will receive a $2.00 credit per quarter on your administrative fees.
Send your information to us via fax or email (use your account number instead of your Social Security Number on Claim Forms)
Please send each individual claim form (without instructions) and supporting documentation as one fax or email transmission.
If you send more than one claim form and supporting documentation in an email or fax transmission, it will significantly delay the processing of your claim. These claims will be processed after all other claims have been processed.
If you cannot send a multi-page PDF file, please submit your claim via fax.
A single broken into multiple emails will be processed after all other claims have been processed.
There are many apps for under $10.00, as well as free ones, that allow you to use your smartphone to create multiple-page PDF files that can be emailed; no scanner needed.
Do not combine a claim form with proof of insurance information. Insurance Coverage Verification Forms should be returned only with a copy of your medical ID Card.
Verify the receipt of documents you have sent us through our website, use the "Documents Received" option.
To check the status of your claims, use the "Claims Reimbursement Status" option.

Important Dates

03/18/2020

Projected April eligibility billing date

03/31/2020

Payments for April Eligibility must be made by 03:00 pm PT

04/10/2020

Office closed for Good Friday

06/30/2020

2019 Claims Deadline Extended Claims sent by US Mail must be postmarked by 11:59pm PT 06/30/2020.

Faxes/E-mails must be RECEIVED in our office by 11:59 pm PT 06/30/2020.

The processing of claims received in March may be delayed so please submit your claims as early as possible with the proper documentation. Refer to the instructions on the claim form for more information.

What's New

COVID-19 Testing through Flex Plan Insurance
The Trustees have waived the copayment for the testing of COVID-19 for the insurance plans offered by the Flex Plan (Plan 60, Plan 80, and Kaiser).

Checking to see if we have received a document?
If you are trying to verify receipt of a document sent via US Mail, Fax or Email has been received, please allow 5-7 days due to the high volume of documents received. Please retain fax transmission logs and email automatic responses.

We expect call volume to be high between March 28 and April 5 so we encourage you to check on-line to verify if your documents have been received.

Anyone who is considering or is already covered by an Exchange or Individual Policy should review this information first.
The group insurance rates for plans offered by the Flex Plan are always guaranteed for the calendar year. If you still have an individual or exchange policy, you should compare the benefits and rates of your current plan to the plans offered through the Flex Plan to see which option is best for you.

www.flexplan.com/aca-compare

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

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.

Welcome

The Entertainment Industry Flex Plan was created in 1985 to provide benefit solutions for Union Members in the Entertainment Industry. During this lengthy period of time, we have evolved to represent many affiliations of Unions throughout the United States and more than 31,000 members. As a result, we have learned and therefore refined what we do to continually improve service to our membership.