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WBACC Information

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

** Only available to groups currently enrolled in these plans.

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

REGENCE BLUESHIELD

ASURIS NORTHWEST HEALTH
  1. Regence BlueShield Master Application
  2. Regence BlueShield Enrollment
  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. Selections 80 **
  13. Selections 100 **
  14. HSA 1500
  15. HSA 2500
  16. HSA 3500
  17. RBS Medical Plan Comparison
  18. RBS Deductible Credit Form
  19. RBS Waiver Form
  20. RBS Dual Choice Matrix
  21. RBS RX Claim Form
  1. Asuris Master Application
  2. Asuris Enrollment
  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. ANH Medical Plan Comparison
  16. ANH Deductible Credit Form
  17. ANH Waiver Form
  18. ANH Dual Choice Matrix
  19. ANH RX Claim Form
© 2009 DiMartino Associates Inc. / WBACC Trust