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 3/1/08 through 2/28/09
RBS Forms	ANH Forms
Regence BlueShield Master Application Regence BlueShield Enrollment PPO 1 Plan PPO 2 Plan PPO 4 Plan PPO 5 Plan FourFront 200 FourFront 500 FourFront 750 FourFront 1000 Selections 80 Selections 100 HSA Plan Comparison RBS Dental Low RBS Dental High RBS Dental CDG Vision Plan - 12/12/24 Vision Plan - 24/24/24 RBS General Information RBS Deductible Credit Form RBS Waiver Form	Asuris Master Application Asuris Enrollment PPO 1 Plan PPO 2 Plan PPO 4 Plan PPO 5 Plan Advance 750 Advance 1000 HSA Plan Comparison WDS Plan 690A WDS Plan 690B WDS Plan 691 WDS Plan 692 Vision Plan - 12/12/24 Vision Plan - 24/24/24 ANH General Information ANH Deductible Credit Form ANH Waiver Form

WBACC Information

For Plans Effective 3/1/08 through 2/28/09