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Health Insurance Overview

Updated March 10, 2006

Are you a musician without health insurance?  You’re not alone.  As musicians ourselves we know there are significant hurdles to obtaining health insurance, especially if you’re trying to make a career as a musician.  In 2002 we conducted an online survey to ask musicians about health insurance.  Of the 2,700 folks who answered the survey, 44 percent did NOT have health insurance.  This is much higher than the national average of the uninsured, which hovers around 18 percent. Of the folks who did not have health insurance, 76 percent said that they couldn’t afford it, while the remainder were split between confusion about plans and where to start, and feeling it was a waste of money.

It’s true, health insurance is expensive, even more so if you’re a certain age, a smoker, or are living in certain parts of the country. And while it may feel like a waste of money, insurance is invaluable in protecting you from financial misery brought on by an accident or a major medical issue. 

There are no magic answers to the cost problem – and it gets worse every year – but we do hope that HINT can help musicians overcome some of the hurdles that make getting health insurance such a difficult task by a) explaining the essential parts of health insurance and b) giving musicians access to advice about where to start the process of obtaining insurance.

Let’s start with a review of the seven paths to health insurance.  Click on the links in each section for related articles.

  1. If you are employed, make sure you’re not missing out on an employer-sponsored plan.  Or if you are married, are you able to get on your spouse’s plan?
    Working for Widgets, Inc. might not be your end goal, but one of the advantages of working in the corporate world is the benefits offered by larger employers.  Before you explore these other routes, make sure you are not missing out on any benefits offered by your current employer or, if you’re married, your spouse’s employer.  Given the advantages of group coverage (including guaranteed coverage ­– even for folks with pre-existing conditions) it is important to review these options with your company’s Human Resources representatives before you go one step further.

    Read more at Best Practices

  2. If you’re about to purchase individual coverage, know what you’re looking for.
    If you’re about to pursue purchasing individual health insurance coverage, do some thorough research into the range of options, and evaluate your own needs and priorities. Would you like to pay as little as possible per month, but just guarantee that you’d be covered in the event of a catastrophe? Are you able to pay more per month in order to have a lower deductible? Read the articles below to understand the most important components of health insurance plans.

    Read about Stop Loss Coverage

  3. If you’re signed to a major label, you may already be eligible for coverage
    If you’re in a band that’s signed a contract with one of the five …er…four major labels, you may already be eligible for coverage. In a September 2003 agreement brokered between the major labels and AFTRA, the nation's five major record labels agreed for the first time to make health benefits available for all artists on their rosters. 

    Read more about the major label/AFTRA agreement on rostered artist health insurance

  4. If you’re on another label, buy your own coverage but ask your label representative about getting reimbursed fully for this cost.  Although the AFTRA Code signatories includes all five major labels and nearly 1,200 subsidiaries, there are many large independent labels that are not signatories to that agreement. If you’re signed to one of these labels, there are other options you can pursue, especially during the initial contract negotiation process. 

    If the label does not have a specific health insurance plan for its artists, urge your attorney to discuss adding a clause in your contract that will allow you/your band to purchase and administer your own plan, with full reimbursement from your label for the monthly premium costs.

    Both the label and the artists benefit when artists under contract have health insurance – musicians are able to schedule checkups and avert major crises or get emergency assistance, which makes it more likely they’ll be able to continue creating and performing.  Talk to your label representative and your attorney, explaining that you’ll administer and pay for your own plan each month, with the expectation that the label would fully reimburse you for this cost on a regular basis. 

  5. Understand the benefits of incorporating your band
    Whether you’re signed to a label or not, consider incorporating your band and treat it as a small business.  This action leads to a number of benefits, including tax. As an added bonus, you can look into the small business group insurance plans that many insurance providers offer, as opposed to the more expensive option of individual plans for each band member.  With a small business group plan, the monthly premium can either be paid by the band itself (if your band is generating that much revenue) or each band member can chip in to cover her/his share of the premium each month. 

    We are working on an article about the benefits of incorporating

  6. Know about the plans or resources offered by the musicians’ unions, PROs and other music advocacy groups
    Both of the music unions – AFM and AFTRA – offer insurance benefits to their members.  If you are a member of these unions, or work in a field where you participate in union-related work, make sure you know about these plans.  

    AFTRA: The AFTRA Health and Retirement Fund offers its members two health plans: an Individual Health Plan and a Family Health Plan. Both plans include hospital, major medical, prescription drug, mental health and chemical dependency, wellness and dental programs. In addition, both plans provide members, but not dependents, with life insurance, accidental death and dismemberment (AD&D) insurance and loss of voice.

    Qualifying for these benefits can be tough. AFTRA members must have earned at least $10,000 but less than $30,000 in four consecutive calendar quarters or less for union gigs – work done for an employer who’s signed onto a collective bargaining agreement that provides for contributions to the AFTRA Health Fund. However, as noted here, this minimum earnings qualification can be met through major label payments if you are an artist under exclusive contract. There’s a lot more information about their plan on this website. http://www.aftrahr.com/

    ASCAP, BMI and SESAC:  All three US performance rights organizations list health insurance benefits as one of the advantages of joining.  All three point to MusicPro Insurance as a way for musicians to insure their instruments, as well as gain access to health insurance. MusicPro Insurance is not an actual health insurance broker. Instead, MusicPro guides users towards the eHealthInsurance.com for quotes from an array of individual or small group plans.  Be aware that you don’t need to be a member of ASCAP, BMI or SESAC to access the eHealthInsurance.com quoting network.

  7. Understand what’s available to you in your state/city. 
    Many states offer health insurance coverage for low income residents, children, seniors, people with disabilities and veterans.  Because the options vary widely from state to state, we urge to you visit these two websites for more information:

    Artists Health Insurance Resource Center: Created by the nonprofit Actors' Fund, this is an extremely comprehensive, state-by-state research tool for individual artists and small business groups looking for health insurance. Includes information on state-funded programs, Medicare/Medicaid, and tips for self-employed and small businesses.

    The State Insurance Gateway: This site provides links to each state's insurance department. This resource is part of Insure.com, a comprehensive, consumer-oriented information source for all types of insurance.

    Health Alliance for Austin Musicians provides access to affordable health care for Austin, TX's uninsured musicians, focusing on prevention and wellness. If you are an uninsured, professional musician in the Austin, TX area, you may be eligible for low-cost primary health care services, basic dental care and mental health counseling provided by HAAM.

    SIMS Foundation is a non-profit organization that provides access to low-cost mental health services for Austin, TX musicians and their immediate families. SIMS is dedicated entirely to musicians' assistance. Named in loving memory of Sims Ellison, the SIMS Foundation was founded to prevent suicides in the Austin music community.

  8. Where to Turn if You’re in Serious Straights
    In addition to health insurance plans, you should also know about two charity organizations set up to help musicians in crisis.

    MusiCares Foundation: Operated by the Recording Academy, the Musicares Foundation ensures that music people have a place to turn in times of financial, medical or personal crisis.  Its Emergency Financial Assistance program offers financial assistance for medical expenses including doctor, dental and hospital bills, prescriptions, addiction recovery treatment, psychotherapy, treatment for HIV/AIDS, Parkinson's, Alzheimer's and other critical illnesses, as well as basic living expenses such as rent and utilities.  It also offers Addiction Recovery Programs that offers financial and support group assistance for artists and crew struggling with addiction issues.

    Sweet Relief: Founded by singer/songwriter Victoria Williams who is battling multiple sclerosis, Sweet Relief is a charity organization that provides financial assistance to all types of career musicians who are facing illness, disability, or age-related problems. Sweet Relief provides financial assistance to musicians of all kinds for medical expenses, alternative therapies, treatment for alcohol or chemical dependency, prescriptions, and living expenses if the artist is unable to work. Sweet Relief also has a new financial assistance program especially for retired or semi-retired older musicians, which helps pay living expenses.


HINT ARTICLES

Health Insurance Overview
Health Insurance Is A Bad Deal, Until You Get Sick
Health Savings Accounts
Best Practices
Glossary of Terms
Resources

FEATURED NEWS

Covering Your Own Health
Buying Insurance Is Costly and Confusing, and 18 Million Americans Do It
Washington Post, March 16, 2008

Getting Coverage if Your Employer Doesn't Offer It
Washington Post, March 16, 2008

Keeping a Health Policy After You Leave Your Job
Washington Post, March 16, 2008

Lack of Insurance Hits Us All
Washington Post, March 16, 2008

Health Alliance right prescription for uninsured musicians
Nearly 500 musicians have signed up for care this year, provided by Austin's Health Alliance for Austin Musicians
Austin American Statesman, March 13, 2006

Madison musicians help colleagues with no insurance
The Daily Page, February 24, 2006

Musicians who juggle jobs say latest cuts are too great
Shreveport Symphony musicians struggle with paycuts and reductions in health insurance coverage
Shreveport Times, February 14, 2006

Dallas -- Beyond the Music. Where do artists get health care?
Texas Gigs, January 31, 2006

Coverage and Access

NPR's Ed Gordon interviews David Nathan, chair of the R&B Foundation, about the lack of health insurance coverage among many musicians. According to Nathan, many people assume that recording and performing artists "have some huge amount of money that they generate, but that's just not the case.
NPR's News and Notes with Ed Gordon
January 20, 2006

Soundman Versus Flesh-Eating Bacteria. His next challenge: a six-figure medical bill
Chicago musicians organize benefits to help soundman Gary Schepers
Chicago Reader, January 6, 2006

Band Aid: Musicians Taking Care of their Own
Chicago musicians and labels organize benefits to help soundman Gary Schepers
Chicago Tribune, January 20, 2006

Most Temp, Part-Time Workers Lack Job-Linked Health Insurance

Commonwealth Fund study shows that only 21 percent of America's 34 million part-time workers have health insurance from their job.
Forbes, December 1, 2005

Coping Without Health Insurance
PBS, November 28, 2005

A New Pension for Struggling Artists
Though it's about visual artists, an interesting article about artists pooling their resources to create long-term security.
by Julie Salamon
New York Times, July 20, 2004

Band Aid for an Ailing Musician
Almost 90 percent of the musicians surveyed had played a benefit for another musician, though even the most successful benefit seldom makes more than a symbolic dent in typically huge health care debts.
By Richard Harrington
Washington Post, April 9, 2004

Health Insurance Crisis Lingers for Biz
The number of uninsured musicians remains high
By Chris Morris
Billboard, March 13, 2004

Songs in the Key of Major Medical

By Peter Margasak
Chicago Reader, November 28, 2003

Chic drummer Tony Thompson dies
Thompson, who was also one of the world's most famous session musicians, died of renal cancer. A fund was set up to help Thompson with medical bills last week, as the drummer had no medical insurance.
NME, November 14, 2003

Health Care for Recording Artists?
In 2003, AFTRA approved an agreement with BMG, EMI Music, Sony Music Entertainment, Universal Music Group, and Warner Music Group. The agreement would make available health care insurance to all union-affiliated performing artists under exclusive contract to a recording label, for the duration of their contracts.
By Barry Willis
Stereophile, October 6, 2003 

Disclaimer: Future of Music Coalition provides basic health insurance information to answer your basic health insurance option questions. Insurance is regulated on a federal basis and by each state, and each insurance carrier rules and policy terms may differ from state to state and between individuals. Therefore, you acknowledge and agree that any insurance-related information provided by or through the Website is general information only, and may not apply to your particular situation. FMC does not endorse any insurance carrier, product, or policy and is not responsible or liable for any information provided on the website, by a HINT representative or other resource. FMC shall not be responsible for any injury, loss, or damage which occurs as a result of any statements, advice or information provided in or through the HINT program, or for the reliability or accuracy of same. In addition, any user of the HINT program who chooses to make any personally identifiable information or other information publicly available to a HINT representative or otherwise does so at his or her own risk.  Such disclosures are expressly excluded from the terms of our Privacy Policy. For more information see our terms of service

 





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RESOURCES

Fractured Atlas is a nonprofit service organization for artists and creators. One of the benefits they offer their members is access to group health insurance. Visit the website and select your state from the menu to see the state-specific insurance options. Membership in the organization is $75 annual for an individual, but there are also affordable group rates starting at $150.

AHIRC: The Artists’ Health Insurance Resource Center is an online database created by the Actors’ Fund with a grant from the National Endowment for the Arts. Data is organized by state and includes information about resources in each state for artists, and lists of insurers of all kinds.  Access to this data is free.

Health Alliance for Austin Musicians If you are an uninsured, professional musician in the Austin, TX area, you may be eligible for low-cost primary health care services, basic dental care and mental health counseling provided by HAAM.

SIMS Foundation is a non-profit organization that provides access to low-cost mental health services for Austin, TX musicians and their immediate families.

Texas Music Office is a state-funded business promotion and information clearinghouse for the musicians of Texas. The insurance page provides a detailed list of health insurance options for residents of Texas.

Rock and Rap Confidential's Music and Healthcare Guide A detailed list of resources for musicians seeking insurance or health care.

A Consumer Guide for Getting and Keeping Health Insurance  Created by the Georgetown University Health Policy Institute, this website provides legal information about your rights as a health insurance consumer for each state.  Updated regularly.

eHealthinsurance.com A for-profit broker that consolidates information about plans and premiums on their website.

Robert Wood Johnson Foundation produces many reports on health insurance coverage and policies in America and sponsors the Cover the Uninsured Week campaign which includes a database of state-specific health insurance resources and resources for individuals.

Kaiser Family Foundation Includes statistics on who purchases individual health insurance, average premiums, and a handbook on options for individuals.



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