Thursday, January 16, 2025

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
2025 Active Open Enrollment Booklet
2025 Retiree Open Enrollment Booklet
Health Care Forms
Health Care Forms
Annual Affidavit of Qualifying Incapacitated Dependent Eligibility - Regence
Trust Enrollment Form
Beneficiary Form
FMLA Application
Hearing Aid Claim Form
Authorization Form for Release of PHI
Trust Plan Dental Claim Form
Timeloss-Disability Waiver Form
Health Care Amendments and Changes
Health Care Amendments and Changes
Summary of Material Modification - Eligibility & Participation Requirements
Summary of Material Modification - Restriction of Venue
Summary of Material Modification - Outbreak Period Extensions and 2021 COBRA Subsidy
Amendment - Eligibility for Early Retiree Coverage
Amendment 2 - Eligibility for Early Retiree Coverage
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Summary Plan Description
Attachment #1: Regence BlueCross BlueShield of Oregon Benefit Booklet
Attachment #2: Kaiser Permanente Active Medical Plan Evidence of Coverage
Attachment #3: VSP Self-insured benefit description and Evidence of Coverage
Attachment #4: Hearing Aid Benefit Description
Attachment #5: Standard Insurance Basic Life and AD&D Insurance Certificate
Attachment #6: Standard Insurance Short Term Disability Certificate
Attachment #7: Trust Dental Plan Benefit Description and Evidence of Coverage
Attachment #8: Willamette Dental Group Dental Plan Evidence of Coverage
Attachment #9: Kaiser Permanente Dental Plan
Regence Pharmacy Home Delivery Program
Uniform Glossary of Health Coverage and Medical Terms
Regence Guide to Health Plan Coverage
HW Form 5500 2024
Plan Notices
Plan Notices
2023 Summary Annual Report
2025 Active Open Enrollment Booklet
2025 Retiree Open Enrollment Booklet
2025 Active Coverage Comparison
2025 Retiree Coverage Comparison
2025 Exchange Notice
COBRA Initial Notice
Health Care Summary of Benefits and Coverages
Health Care Summary of Benefits and Coverages
2025 Kaiser Active Plan Benefits Summary
2025 Kaiser Retiree Plan Benefits Summary
2025 Kaiser Dental Benefits Summary
2025 VSP Benefits Summary
2025 Willamette Dental Benefits Summary
2025 Kaiser Active Summary of Benefits & Coverage
2025 Kaiser Retiree Summary of Benefits & Coverage
2025 Regence Active Summary of Benefits & Coverage
2025 Regence Retiree Summary of Benefits & Coverage
The Standard Enrollment Booklet – Skamania County Members
The Standard Enrollment Booklet – Association of Western Pulp and Paper Workers
The Standard Enrollment Booklet – All other Members
The Standard Short Term Disability Benefit Summary
VSP In-Network Benefits
VSP LightCare
VSP - TruHearing Hearing Aid Discount Offer
VSP - Vision Care App
Willamette Dental - Enrollment Packet
Willamette Dental - Member FAQ
Willamette Dental - Member Overview
Willamette Dental - New Member Welcome Letter
Willamette Dental - Office & Specialty List
Willamette Dental - Orthodontic Treatment
Key Contact List