Description of the
Individual and Family
Health Plans

Minimum Earnings
Requirements

When Eligibility Begins

When Coverage Begins

Duration of Coverage

When Coverage Ends

Extended Coverage
During Disability

Extended Coverage in the
Event of Your Death

Continuation of
Coverage During Leave
Under FMLA

Continuation of Coverage
During Military Leave

Continuation of Coverage
Through COBRA

Converting to Limited
Medical Coverage
When COBRA Ends

Certificates of
Creditable Coverage

The AFTRA Health Plans

Hospital Program

Major Medical Program

Mental Health and Chemical Dependency Programs

Prescription Drug Program

Wellness Program

Dental Program

Life Insurance, Accidental Death & Dismemberment and Loss of Voice

Senior Citizen Health Program

General Exclusions and Limitations

Coordination of Benefits

Other Important Information

Your Rights Under ERISA

Plan Administration

Claims and Appeals Procedures

Hospital, Major Medical,
Mental Health and
Chemical Dependency Programs

Procedures for
Deciding Claims

Prescription Drug Benefits

Dental Benefits

Notice of Decision

Your Right to Appeal a Claim

Appeals Procedures/
Post-Service Claims

Appeals Procedures/
Pre-Service Claims

Notice of the Determination of
your Appeal

Designated Authorized Representative

Introduction

Permitted Uses and
Disclosures Part 1

Permitted Uses and
Disclosures Part 2

Permitted Uses and
Disclosures Part 3

Your Rights

Complaints/For
Questions or Requests

Introduction to
the AFTRA
Retirement Plan

Retiree Health
Benefits

Eligibility and
Participation

Earning Credit
Toward a Pension

Vesting Service

When You Can
Begin Receiving a
Regular Annuity

Amount of the Regular
Annuity

How To Figure
Your Regular
Annuity

Reduction for
Payments Before
Age 65 (Early Retirement)

Increase
for Payments
After Normal
Retirement Age

Adjustment for
Form of Payment

Minimum Pension
Amount

Maximum Annual
Benefit

Disability Pension

Retirement
Accounts

Forms of
Benefit Payments

Standard Forms
of Annuity

Optional Forms

Death Benefits

How to Apply for
Pension Benefits

Return to Covered
Employment

Other Information

Plan Administration

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