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Writers Guild-Industry Health Fund Participant Submitted Claim Form 2012-2025 free printable template

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Refer to our website at www. wgaplans. org for the applicable submission address. Non-Traditional claims For wellness claims submit your claims to Writers Guild-Industry Health Fund 1015 North Hollywood Way Burbank CA 91505 10/12 V1 SEE BACK HOW TO USE THIS FORM Dear Participant Usually health care providers will bill us for services rendered to you and your enrolled dependents. This is the preferred procedure. You are not bothered with claim forms and we often need more details than are...
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How to fill out Writers Guild-Industry Health Fund Participant Submitted

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How to fill out Writers Guild-Industry Health Fund Participant Submitted Claim

01
Obtain the Writers Guild-Industry Health Fund Participant Submitted Claim form from the official website or your health plan provider.
02
Fill out your personal information at the top of the claim form, including your name, address, and contact details.
03
Provide your health insurance information, including your policy number and group number.
04
Complete the sections related to the medical services received, including the dates of service, providers' names, and descriptions of the services rendered.
05
Attach all necessary documentation, such as invoices, receipts, and any other relevant paperwork that supports your claim.
06
Sign and date the claim form to certify that the information provided is accurate.
07
Submit the completed claim form and attachments to the appropriate address indicated on the form.

Who needs Writers Guild-Industry Health Fund Participant Submitted Claim?

01
Participants who are enrolled in the Writers Guild-Industry Health Fund and have incurred medical expenses for which they seek reimbursement.
02
Freelance writers, directors, or other eligible entertainment industry professionals who qualify for health benefits under the Writers Guild-Industry Health Fund.
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People Also Ask about

We know that many of you have difficulty identifying and securing affordable health insurance; freelance writers rarely qualify for group health insurance and are left on their own to navigate the insurance marketplace under the ACA.
Writers Guild of America WGA offers members the Writers' Guild-Industry Health Fund, providing hospital, medical, prescription, dental, wellness, life insurance, and vision benefits. Participants in the Fund are typically writers from the film and television industry.
Your Aflac policy provides one Wellness Benefit per policy year.
The Writers' Guild-Industry Health Fund ("Fund") provides medical, hospital, dental, prescription, vision, wellness and life insurance benefits to its Participants and their eligible DependentsAny dependent of a participant who meets the criteria for eligibility established by the Fund..
How long do I have to file a claim? A. There is a one-year timely filing provision in your certificate.
Report of Contributions (ROC) – The report submitted by a signatory company to the Trust Funds containing the information required to add covered earnings and contributions for the writers working for the company.
Most Aflac accident, hospital indemnity and cancer insurance policies have a wellness benefit to pay you for staying on top of your health. available for Apple and Android devices.
ANNuAL CARE BENEfIT Aflac will pay $500 on the anniversary date of a Covered Person's Internal Cancer diagnosis upon proof that the Covered Person is still under the active care of a Physician. This benefit is not payable for Associated Cancerous Conditions or Nonmelanoma Skin Cancers.
The Health Plan's Wellness benefit provides up to $500 to help Participants (and their dependents… up to $1,500 per family) improve their health. You don't have to first meet the $300 annual deductible before accessing your Wellness Benefits.
ACCIDENT SPECIFIC-SUM INJURIES BENEFITS: When a Covered Person receives treatment for Injuries sustained in a covered accident, Aflac will pay specified benefits ranging from $20–$7,500 for dislocations, burns, skin grafts, eye injuries, lacerations, fractures, concussion, emergency dental work, coma, paralysis, and
Your traditional pension plan is designed to provide you with a steady stream of income once you retire. That's why your pension benefits are normally paid in the form of lifetime monthly payments. Increasingly, employers are making available to their employees a one-time payment for all or a portion of their pension.
Your Aflac wellness claim pays you money for staying on top of your health by getting yearly checkups and medical screenings such as physicals, dental exams and eye tests. Most Aflac accident, hospital indemnity and cancer insurance policies have a wellness benefit to pay you for staying on top of your health.
When a writer works under the WGA Minimum Basic Agreement (MBA), in addition to the monies paid to them for their writing services, the employer contributes an additional 8.5% toward the writer's pension.
Normal Retirement Age Pension Eligibility Generally, you are vested if you have earned at least five Years of Vesting Service and you worked one or more hours after June 1, 1998 for an employer required to make contributions to the Plan.
Wellness Benefit After the policy has been in force for 12 months, Aflac will pay $60 if you or any one family member undergoes routine examinations or other preventive testing during the following policy year. Eligible family members are your spouse and the dependent children of you or your spouse.
If you have a defined-benefit (DB) pension, you will typically have the option to either leave the pension where it is or transfer it to a new employer's plan. If you have a defined-contribution (DC) pension, you will usually be able to take your account balance with you and invest it elsewhere.
Most Guild members get health insurance through their job, whether it is through the Writers Guild–Industry Health Fund (external – opens in a new window); or through a separate company health insurance plan.

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The Writers Guild-Industry Health Fund Participant Submitted Claim is a form used by eligible participants of the Writers Guild-Industry Health Fund to request reimbursement for health-related expenses.
Participants of the Writers Guild-Industry Health Fund who have incurred eligible medical expenses are required to file the claim to receive reimbursement.
To fill out the claim form, participants need to provide their personal information, details of the medical services received, the amount charged, and any supporting documentation such as invoices or receipts.
The purpose of the claim is to allow participants to seek reimbursement for out-of-pocket medical expenses incurred for eligible health services.
Participants must report their name, address, health fund ID number, details of the medical service provider, the date of service, description of services, the amount charged, and any other relevant information requested on the form.
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