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Dependent Enrollment Form - Dgaplans - dgaplans

Dependent Enrollment Form - Dgaplans - dgaplans 2025

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The document is a Dependent Enrollment Form for the DGA-Producer Health Plan, requiring participants to provide information about their dependents, including names, social security numbers, dates of birth, relationships, and whether they are adding or dropping coverage. It also outlines necessary documentation for verifying dependent eligibility, such as marriage certificates and birth certificates. Participants must certify the eligibility of their dependents and understand potential liabilities for claims overpayments.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the dependent's name, Social Security number, date of birth, relationship, and sex. Ensure all fields are filled out accurately to avoid delays in enrollment.
Indicate whether you are adding or dropping a dependent by selecting the appropriate checkbox next to 'Add' or 'Drop'. Repeat this for each dependent you wish to enroll.
In the certification section, provide your name and SSN or Plan ID Number. Sign and date the form where indicated to confirm eligibility.
Prepare any required documentation as listed on the second page of the form. Upload these documents directly through our platform for a seamless submission process.

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How much are DGA union dues?

Each member pays basic dues of $50 per quarter.

What are the benefits of being in the DGA?

As a member of the DGA, you are guaranteed certain benefits. These benefits fall into several broad categories: creative rights, residuals, pension and health plans, contractual and legal protection, seminars, and membership in a creative community of filmmakers.

What is the retirement age for DGA?

1 In general the plan considers age 65 to be standard retirement age, but directors may begin receiving retirement benefits as early as age 55 with reductions to reflect that they will probably receive benefits for a longer time.

What are the benefits of the DGA union?

The DGA offers excellent benefits, including employer-provided health benefits (medical, dental and vision), defined benefit and defined contribution pension plans, and a 401(k) plan.

What is the DGA pension rate?

Employer Contributions For work performed on or after December 31, 2021, Employers must remit pension contributions based on 8.5% of an Employees DGA-covered earnings.