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How do I qualify / enroll?

Before you receive health benefits from the Equity-League Funds (ELF), you must: a) qualify for coverage and, b) pay the required premium for that coverage. This page describes our eligibility requirements and the steps you take to enroll.

How do I qualify for coverage?

In most cases, you qualify for health coverage by performing work under Actors’ Equity contracts. If you work in covered employment for at least 11 weeks in a 12 consecutive calendar month period (Accumulation Period), you become eligible for coverage as follows:

If you work in covered employment for at least 11 weeks (but fewer than 19) in an accumulation period, you qualify for six months of coverage.

If you work for 19 or more weeks in an accumulation period, you qualify for a full 12 months of coverage.

After you meet these qualification requirements, there is a two-month waiting period (after the end of your accumulation period). After the waiting period, your medical and vision coverage will begin.  For instance, if you worked 11 weeks between January and December of a given year, your coverage would begin on March 1 of the following year.  

How do I enroll for health coverage?

You can enroll using the Self-Service Portal. If you choose to enroll in the Cigna Plan, there are no forms to complete – simply indicate your coverage choice and pay the premium to enroll. If you choose an HMO Plan, you must complete the enrollment application for your HMO. Enrollment materials may be found at this page.

Where can I check my work history?

It is easy to track your history of covered employment, and to know when you qualify for coverage, by logging into our Self-Service Portal. If you have not already done so, register for our secure Self-Service portal, by clicking here.

From within the portal, you can check your progress toward eligibility. The portal displays your work history on a color-coded calendar. This makes it easy to see work weeks that may be credited toward eligibility for coverage, versus weeks for which we have no record of any work or weeks which have already been used for eligibility.

ELF staff also checks this for you monthly, and we will notify you when you first qualify or newly qualify for coverage.

What are my coverage choices?

After you qualify for medical and vision coverage, depending on your location, you may have different coverage options available to you.

Everyone who qualifies for coverage may choose to enroll in the Cigna Open Access Plus (OAP) Plan. The Cigna Plan offers a nationwide network of providers and allows you to see almost any doctor without a referral. In addition,  if you live in certain areas of the country, you may choose one of the regional HMO Plans we offer in those areas. The HMO Plans provide coverage for many preventive services and other types of care at little or no cost out-of-pocket. However, you must choose a primary care physician (PCP) to coordinate your care and authorize any referrals to  Specialists. Generally, you may not use health care providers who are not in the HMO’s network.

Here is a list of the currently available HMOs:

• Southern California (Kaiser Permanente)

• Northern California (Kaiser Permanente)

• New York (HIP, an Emblem Health Company)

• Washington, DC (Kaiser Permanente)

What if I have other questions?

If you have other questions about enrolling in health coverage, please contact the ELF Health Department at (212) 869-9380 (New York City) or (800) 344-5220, and a representative will assist you.