WBACC Information

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

For Plans Effective 1/1/07 through 2/29/08

RBS Forms

ANH Forms

  • Regence BlueShield Master Application
  • Regence BlueShield Enrollment
  • PPO 1 Plan
  • PPO 2 Plan
  • PPO 3 Plan
  • PPO 4 Plan
  • PPO 5 Plan
  • Traditional 50/50
  • FourFront 200
  • FourFront 500
  • FourFront 750
  • FourFront 1000
  • Selections 100
  • HSA
  • Plan Comparison
  • RBS Dental Low
  • RBS Dental High
  • RBS Dental CDG
  • Vision Plan - 12/12/24
  • Vision Plan - 24/24/24
  • Asuris Master Application
  • Asuris Enrollment
  • PPO 1 Plan
  • PPO 2 Plan
  • PPO 3 Plan
  • PPO 4 Plan
  • PPO 5 Plan
  • Traditional 50/50
  • Advance 500
  • Advance 1000
  • HSA
  • Plan Comparison
  • Delta Dental Plan #00690 Plan A
  • Delta Dental Plan #00690 Plan B
  • Delta Dental Plan #00691
  • Delta Dental Plan #00692
  • Vision Plan - 12/12/24
  • Vision Plan - 24/24/24