What Forms Should I Return?

General Information
Written By AS Design
Reviewing forms to return
 
 

Please refer to the chart below for a list of the forms we need returned, based on your Fund coverage for 2020. If you have any questions, please contact Member Services at 1-818-243-0222 or email us at musicians@pacfed.com.

COVERAGE

Life Insurance Only

FORMS TO RETURN

Life Beneficiary Form*
Waiver of Coverage Form

COVERAGE

Dental & Vision Only**

FORMS TO RETURN

Life Beneficiary Form*
Dental / Vision Enrollment Form

COVERAGE

Full Benefit Package***

FORMS TO RETURN

Life Beneficiary Form*
Level A, B or C Enrollment Form

*Effective January 1, 2020 you will not have Life and AD&D coverage unless you return a beneficiary form to indicate that you are enrolling in the Fund’s Life and AD&D program through Prudential Life Insurance Co.

**New for January 1, 2020, the Fund is offering a Dental & Vision Only benefit; you do not have to enroll in a medical plan to have a dental/vision benefit. This option is available to those who qualify at Levels A & B. A premium may be required.

***The full benefit package is not only medical coverage, but includes dental and vision, if you have qualified at Levels A & B.

 
AS Design

Sharon Barcarse provides over 30 years of experience in the graphic design industry, including branding, publications, advertising, marketing collateral, and online design. She spent 13 years in publication and advertising; both as an art director and later as a creative director overseeing more than 50 annual publications.

In 2003, Sharon started AS Design, based in Santa Monica, CA. Clients have included Guidant Corporation, Abbot Laboratories, Clay Lacy Aviation, Motion Picture Industry Pension & Health Plans, Pacific Federal Insurance, Mission Community Hospital, San Fernando Community Health Center, Los Angeles Better Buildings Challenge, Valley Industry & Commerce Association, and Los Angeles Valley College.

In her free time, Sharon and her husband like to discover new restaurants and post far too many food and wine photos on Instagram.

https://www.as-dzine.com
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