Senior Citizen Health Program:
       Qualification requirements

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The Senior Citizen Health Program is available to Medicare-eligible performers …
  • who have reached age 65,
  • whose covered earnings (as defined in the AFTRA Health Plan) during four consecutive quarters do not meet the thresholds necessary to qualify for active coverage under the AFTRA Health Plan, and
  • who meet the necessary earnings requirements based on their history of AFTRA-covered earnings (see below).
Senior Citizen Health Program – individual and family coverage requirements

To qualify for individual coverage under the Senior Citizen Health Program, you must meet the general requirements listed above, and ...
  • Have 15 or more “qualifying” years (see chart below), based on the minimum annual earnings requirements in the middle column below, or
  • Have at least 10 qualifying years if you were at least age 60 on January 1, 2003.
To qualify for family coverage under the Senior Citizen Health Program, you must meet the general requirements listed above, and ...
  • Have a total of 20 or more qualifying years, of which at least 15 are family qualifying years, based on the minimum annual earnings requirements listed below (see right column below for requirements for Family qualifying years); or
  • Have a total of 15 or more qualifying years, of which at least 10 are family qualifying years, if you were at least age 60 on Jan. 1, 2003.

Base Year
(Dec. 1 - Nov. 30)

Individual Qualifying
Year Covered Earnings

Family Qualifying Year
Covered Earnings

1986 and prior
$2,000
$2,000
1987
$2,500
$2,500
1988
$3,500 $3,500
1989 $3,500 $3,500
1990
$5,000
$5,000
1991
$5,000
$5,000
1992-1993
$7,500
$7,500
1994-2001 $7,500 $15,000
2002
$7,500
$20,000
2003 to date
$10,000
$30,000
If you would meet the minimum qualifications for the Senior Citizen Health Program but then meet the minimum requirements for active coverage under the AFTRA Health Plan, you may no longer be eligible to participate in the Senior Citizen Health Program.


Covering dependents under the Senior Citizen Health Program

Those who qualify for family coverage under the Senior Citizen Health Program may choose to cover one or more dependents at the time they enroll. After the initial enrollment, a dependent only may be added under limited circumstances, provided that written notice is given to AFTRA H&R within 30 days of the event that qualifies the dependent for coverage.

Senior Citizen Health Program premiums and buy-up rates
About the Senior Citizen Health Program

Note that performers born prior to December 1, 1937 may be eligible for the Senior Citizen Health Program even if they don’t meet the earnings requirements outlined above. Please call Participant Services at (800) 562-4690 to learn whether or not you are eligible.

These Web pages provide general summarized information about the Senior Citizen Health Program.  For further information about qualification requirements for the Senior Citizen Health Program, refer to the 2011 AFTRA Health Plan Summary Plan Description and relevant Benefits Updates. If you have questions, contact AFTRA H&R at (800) 562-4690.