WBACC Information

The WBACC offers medical insurance with Regence BlueShield / Asuris Northwest Health, vision plans from VSP and dental plans from Washington Dental Service. Life products are offered through Regence Life & Health. Below you will find plan summaries, benefit brochures, plan comparisons, enrollment applications and miscellaneous forms.

Medical Plans Effective 3/1/10 through 2/28/11

REGENCE BLUESHIELD

ASURIS NORTHWEST HEALTH

RBS Brochures

ANH Brochures
  1. Master Application
  2. Enrollment Form
  3. PPO 200
  4. PPO 250+
  5. PPO 500+
  6. PPO 500
  7. PPO 750
  8. PPO 1000
  9. PPO 1500
  10. PPO 2000
  11. PPO 2500
  12. Sel. 80
  13. Sel. 100
  14. HSA 1500
  15. HSA 2500
  16. HSA 3500
  17. Plan Comparison
  18. Ded. Credit Form
  19. Waiver Form
  20. Dual Choice Matrix
  21. RX Claim Form
  1. Master Application
  2. Enrollment Form
  3. PPO 200
  4. PPO 250+
  5. PPO 500+
  6. PPO 500
  7. PPO 750
  8. PPO 1000
  9. PPO 1500
  10. PPO 2000
  11. PPO 2500
  12. HSA 1500
  13. HSA 2500
  14. HSA 3500
  15. Plan Comparison
  16. Ded. Credit Form
  17. Waiver Form
  18. Dual Choice Matrix
  19. RX Claim Form

 

  1. PPO 200
  2. PPO 250+
  3. PPO 500+
  4. PPO 500
  5. PPO 750
  6. PPO 1000
  7. PPO 1500
  8. PPO 2000
  9. PPO 2500
  10. Sel. 80
  11. Sel. 100
  12. HSA 1500
  13. HSA 2500
  14. HSA 3500

 

  1. PPO 200
  2. PPO 250+
  3. PPO 500+
  4. PPO 500
  5. PPO 750
  6. PPO 1000
  7. PPO 1500
  8. PPO 2000
  9. PPO 2500
  10. HSA 1500
  11. HSA 2500
  12. HSA 3500
© 2011 DiMartino Associates / WBACC Trust