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EFA Health Insurance

RBA: HIP | TEIGIT: GHI, Cigna, and Oxford | Careington | Northeast Dental

Updated: May 18, 2009

Our health plans are available to members only and are handled for us by third-party administrators. The administrators are very efficient, and new members are generally enrolled quickly.

Please contact the third-party administrators for details of coverage provided.

  • RBA Insurance Strategies, LLC: toll-free (888) 722-8121 / (561) 833-9032 / E-mail: info@rbastrategies.com for info on HIP plans.
  • HIP, billing questions only: (646) 447-5999
  • TEIGIT: toll-free (800) 886-7504 / (518) 348-1270 / Fax (518) 348-1273 / E-mail: teigit@teigit.com for info on their Oxford, CIGNA, GHI, and Atlantis plans and the CIGNA dental plan.

HIP (Health Insurance Plan of Greater New York)

HIP bills EFA members directly for their premiums on a monthly basis. Plan enrollment is administered by RBA Insurance Strategies, LLC. HIP plans are available to members of EFA who are self-employed. Members must submit two of the following documents along with the enrollment materials as proof of self-employment:

  • Form 1040 (both pages) plus one of the following
    • Current Schedule C (both pages)
    • Schedule K-1
    • Schedule 1120-S
    • Quarterly Wage and Withholding Form NYS-45

Forms must be submitted to:

RBA Insurance Strategies
319 Clematis Street, Suite 408
West Palm Beach, FL 33401
(888) 722-8121
E-mail: roy@RBAstrategies.com

Group Benefits and Premiums

Insurance Coverage (Standard Plan—HMO)

HIP offers one of their most comprehensive plans to members of the EFA. This plan covers a broad range of health care and services. These include medical services, hospital care, emergency care, skilled nursing facilities, home care, and chiropractic health care. All services require a copay. The plan also includes prescription drug coverage with a copay of $20 for generic and $30 for most brand-name drugs. Please note that there is a $300 deductible per calendar year for prescription drugs. For more details and a list of benefits and costs, please contact RBA.

Premiums, Standard Plan HMO

Monthly rates are effective 1/1/2009.

  • Individual: $493.98
  • Individual & Child(ren): $918.80
  • Husband & Wife: $987.97
  • Family: $1,275.75

Insurance Coverage (Standard Plan—PPO)

This PPO plan is an alternative comprehensive plan, covering the same services. This plan offers a lower premium and allows you to use out-of-network physicians, but you must first meet a deductible of $4,000 per calendar year. The deductible is reduced to $2,000 for in-network physicians. For more details and a list of benefits and costs, please contact RBA.

Premiums, Standard Plan PPO

Monthly rates are effective 1/1/2009.

  • Individual: $400.05
  • Individual & Child(ren): $741.34
  • Husband & Wife: $797.13
  • Family: $1,224.09

If you are interested in either of these plans, review list of benefits and costs under HMO [330 Kb] and PPO [624 Kb]. For additional information, contact RBA. These are group plans, available only to self-employed members of the EFA. Continuous membership is required.

RBA Insurance Strategies
319 Clematis Street, Suite 408
West Palm Beach, FL 33401
(888) 722-8121
E-mail: roy@RBAstrategies.com

Please do not call the EFA office.

The Entertainment Industry Group Insurance Trust (TEIGIT)

Since 1965, The Entertainment Industry Group Insurance Trust (TEIGIT) has administered health insurance plans for members of participating associations. On July 28, 2006, TEIGIT announced the expansion of its plans to include Long-Term Care, Life, Disability, and International Travel Health Insurance. The TEIGIT website has more information on most of these new offerings; if you do not find what you're seeking there, contact TEIGIT directly.

TEIGIT offers health insurance to EFA members in New York State through Oxford Health Plans, GHI, and Atlantis Health Plan and in New Jersey, Connecticut, Florida, California, and the Greater Chicago area through CIGNA. TEIGIT also offers individual insurance to members in Texas, Arizona, and Virginia.

CIGNA HMO Dental is available in most parts of the country.

TEIGIT also offers long-term care insurance, international health and travel insurance, and life insurance and disabiity.

For more information about the TEIGIT plans, please contact TEIGIT directly:

TEIGIT
Alice and David Rubin
632 Plank Road, Suite 203
Clifton Park, NY 12065
(800) 886-7504
E-mail: teigit@teigit.com
Web: www.teigit.com

Please do not call the EFA office.

Careington International

Careington is not an insurance plan but rather offers EFA members customized discount plans and a premium discount of 10 percent. Careington will waive one-time enrollment fees for EFA member-subscribers. These plans and discounted rates are available nationwide exclusively to EFA member-subscribers.

If a member is not satisfied within 45 days of enrollment, Careington will refund 100 percent of the membership fee (but not the $20 enrollment fee for the Total-Care plan).

Total-Care

The premium for an individual is $26.95/month and that for a family (household) is $242/year. There is a $20 enrollment fee for this plan.

  • medical and hospital discounts
  • dental care
  • vision
  • prescription drugs
  • chiropractic
  • holistic health
  • vitamins and other nutritional supplements
  • hearing aids/supplies
  • 24-hour Nurse Help-Line

Find service descriptions at: www.cmctotalcare.com

Dental/Vision

Premium per household is $10.25/month or $97.20/annually.

Multi-Care

The premium per household is $13.04/month or $116.10/annual.

  • dental/vision
  • pharmacy
  • chiropractic
  • hearing

Members interested in these discount plans can visit Careington's websites (www.careington.com or www.cmccare.com) for product details, provider search, fees, and a schedule of benefits according to state of residence. Please note that Careington's customized rates to EFA member-subscribers are applicable only if application forms are obtained from EFA and payments are mailed by USPS to Ryan Reist at Careington at the address below. Member services will be provided by Careington directly to EFA member-subscribers.

A member may call a physician in advance to determine if he or she is affiliated with a hospital in the Careington plan or may call Member Services at (800) 290-0523 to nominate a physician to the Careington plan(s).

Careington International Corporation
c/o Ryan Reist
Frisco, TX 75034
Toll-free phone: (800) 441-0380 ext. 2909
Fax: (877) 335-7811
E-mail: ryanr@careington.com

EFA members can obtain Careington's enrollment kits from Judi Greenstein, EFA's office manager. For further questions about these plans and to submit snail-mailed completed application forms with payment, members are to contact Ryan Reist directly, stating their EFA member status.

For additional information (including provider information), you can also call Careington's Customer Service department toll-free at: (800) 290-0523.

Please do not call the EFA office.

Northeast Dental Plan

Somewhat analogous to HMO plans. Clients choose from a list of affiliated dentists; the area covered is limited. There is an annual fee that covers some services and offers discounts on more complicated procedures. To learn more, contact the EFA office administrator at office@the-efa.org for an information packet.