Motion picture health enrollment 2026

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The document is a Beneficiary/Enrollment Form for the Motion Picture Industry Health Plans, used to enroll participants and their dependents in health coverage and designate life insurance beneficiaries. It requires personal information, including Social Security numbers, marital status, and details about dependents. The form must be completed and signed by the participant to be valid, and it emphasizes the importance of timely submission for benefits to commence.

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Click ‘Get Form’ to open the motion picture health enrollment form in our editor.
Begin by entering your personal information, including your Social Security Number, last name, first name, middle initial, and date of birth. Select your gender and provide your mailing address along with your daytime phone number.
Indicate your marital status by checking the appropriate box. If applicable, provide details about your spouse, including their last name, first name, date of birth, and Social Security Number.
List all eligible dependents in the designated spaces. Ensure you include Social Security Numbers for each dependent as required.
Complete the life insurance section carefully. Designate beneficiaries in order of preference and specify if benefits are to be shared. Remember to include mailing addresses for each beneficiary.
Finally, certify that all information is accurate by signing and dating the form before submission.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (222 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the motion picture industry?

The film industry or motion picture industry comprises the technological and commercial institutions of filmmaking, i.e., film production companies, film studios, cinematography, animation, film production, screenwriting, pre-production, post-production, film festivals, distribution, and actors.

What is the purpose of a health enrollment form?

Enrollment forms record whether employees have enrolled in or waived group benefits. For instance, if you have more than 50 full-time employees, you will need this data to complete IRS forms 1094 and 1095, which record health care coverage.

What is the motion picture industry summary plan?

The Motion Picture Industry Individual Account Plan is a defined contribution plan that provides participants with either a lump sum payment or a monthly benefit. It is completely Employer-funded and the amount of a participants benefit will be their account balance at the time of retirement.

What is the IAP plan for retirement?

Individual Accounting Plan [IAP] The IAP is paid as a single lump-sum payment or roll-over at the time of retirement. You get out what you put in, plus interest and a percentage of the pot (residuals, supplemental markets, etc.)

What is the difference between a pension and an IAP?

There are some significant differences between the Plans the Pension Plan is a Defined Benefit Plan, whereas the IAP is a Defined Contribution Plan.

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Where can I open an MPI account?

To create your My MPI account, go to the MPIPHP website and register. Be sure to allow pop-ups on your browser from the MPI website. The MPI website is capable of generating many different reports which open in new pages.

How to qualify for MPI?

After satisfying the initial eligibility requirement of 600 work hours in one six-month qualifying period or two consecutive qualifying periods, Participants must work at least 400 hours in subsequent qualifying periods to maintain health benefits during the corresponding eligibility period.