Brokers
General Information & Forms
WFB Healthcare Key Contacts-List
WFB Membership Dues
Welcome Brochure 2023
Spanish Welcome Brochure 2023
WFB Dual Choice Matrix
2023-2024 WFB Healthcare Benefits At A Glance – Plan Menu
2022-2023 WFB Healthcare Benefits At A Glance – Plan Menu
WFB Membership Application
WFBH Quote Checklist
Rehn Employer Portal User Access Form
WFBH Authorization to Withdrawal Form
2023-2024 WFB Employee Application
2023-2024 WFB Spanish Enrollment Form
2023-2024-WFB-Group-Master-Application
2022-2023 WFB Employee Application
2022-2023 WFB Spanish Enrollment Form
2022-2023-WFB-Group-Master-Application
Census-Enrollment-Spreadsheet
WFBH-New-Group-Submission-Checklist
WFB Membership Application
Medical Plans
2023-2024 Enrollment Year
80% PPO Plans
01-PPO 80% Plan 250
02-PPO 80% Plan 500
03-PPO 80% Plan 750
04-PPO 80% Plan 1000
05-PPO 80% Plan 1500
06-PPO 80% Plan 2000
07-PPO 80% Plan 2500
08-PPO 80% Plan 3000
09-PPO 80% Plan 4000
10-PPO 80% Plan 5000
70% PPO Plans
11-PPO 70% Plan 1000
12-PPO 70% Plan 1500
13-PPO 70% Plan 2000
14-PPO 70% Plan 2500
15-PPO 70% Plan 3000
16-PPO 70% Plan 4000
17-PPO 70% Plan 5000
18-PPO 70% Plan 6000
100% and 50% PPO Plans
21-PPO 50% Plan 50-50
22-PPO 50% Plan 1000
23-PPO 50% Plan 2000
19-PPO 100% Plan 5500
20-PPO 100% Plan 8000
HSA Plans
24-HSA 1500
25-HSA 2500
26-HSA 3500
27-HSA 5500
HMO Plans
28-HMO 2000
29-HMO 3000
30-HMO 4000
31-HMO 5000
Spanish Translated Summaries
01-WFB 2023 PPO 80% PLAN 750 SP TRANSLATED
02-WFB 2023 PPO 80% PLAN 1000 SP TRANSLATED
03-WFB 2023 PPO 80% PLAN 1500 SP TRANSLATED
04-WFB 2023 PPO 80% PLAN 2000 SP TRANSLATED
05-WFB 2023 PPO 80% PLAN 2500 SP TRANSLATED
06-WFB 2023 PPO 80% PLAN 3000 SP TRANSLATED
07-WFB 2023 PPO 70% PLAN 2000 SP TRANSLATED
08-WFB 2023 PPO 70% PLAN 2500 SP TRANSLATED
09-WFB 2023 PPO 70% PLAN 3000 SP TRANSLATED
10-WFB 2023 PPO 70% PLAN 5000 SP TRANSLATED
11-WFB 2023 PPO 70% PLAN 6000 SP TRANSLATED
12-PPO 2023 50% Plan 50 50 Spanish Translated
13-PPO 2023 100% Plan 5500 Spanish Translated
14-WFB 2023 HSA 1500 SP TRANSLATED
15-WFB 2023 HSA 2500 SP TRANSLATED
16-WFB 2023 HSA 3500 SP TRANSLATED
17-WFB 2023 HSA 5500 SP TRANSLATED
18-WFB 2023 HMO 2000 SP TRANSLATED
19-WFB 2023 HMO 3000 SP TRANSLATED
20-WFB 2023 HMO 4000 SP TRANSLATED
21-WFB 2023 HMO 5000 SP TRANSLATED
2022-2023 Enrollment Year
80% PPO Plans
01-PPO 80% Plan 250
02-PPO 80% Plan 500
03-PPO 80% Plan 750
04-PPO 80% Plan 1000
05-PPO 80% Plan 1500
06-PPO 80% Plan 2000
07-PPO 80% Plan 2500
08-PPO 80% Plan 3000
09-PPO 80% Plan 4000
10-PPO 80% Plan 5000
70% PPO Plans
11-PPO 70% Plan 1000
12-PPO 70% Plan 1500
13-PPO 70% Plan 2000
14-PPO 70% Plan 2500
15-PPO 70% Plan 3000
16-PPO 70% Plan 4000
17-PPO 70% Plan 5000
18-PPO 70% Plan 6000
100% and 50% PPO Plans
21-PPO 50% Plan 50-50
22-PPO 50% Plan 1000
23-PPO 50% Plan 2000
19-PPO 100% Plan 5500
20-PPO 100% Plan 8000
HSA Plans
24-HSA 1500
25-HSA 2500
26-HSA 3500
27-HSA 5500
Spanish Translated Summaries
01-WFB 2022 PPO 80% PLAN 750 SP TRANSLATED
02-WFB 2022 PPO 80% PLAN 1000 SP TRANSLATED
03-WFB 2022 PPO 80% PLAN 1500 SP TRANSLATED
04-WFB 2022 PPO 80% PLAN 2000 SP TRANSLATED
05-WFB 2022 PPO 80% PLAN 2500 SP TRANSLATED
06-WFB 2022 PPO 80% PLAN 3000 SP TRANSLATED
07-WFB 2022 PPO 80% PLAN 4000 SP TRANSLATED
08-WFB 2022 PPO 70% PLAN 2000 SP TRANSLATED
09-WFB 2022 PPO 70% PLAN 2500 SP TRANSLATED
10-WFB 2022 PPO 70% PLAN 3000 SP TRANSLATED
11-WFB 2022 PPO 70% PLAN 5000 SP TRANSLATED
12-WFB 2022 PPO 70% PLAN 6000 SP TRANSLATED
13-WFB 2022 PPO 50% PLAN 50-50 SP TRANSLATED
14-WFB 2022 PPO 100% PLAN 5500 SP TRANSLATED
15-WFB 2022 HSA 1500 SP TRANSLATED
16-WFB 2022 HSA 2500 SP TRANSLATED
17-WFB 2022 HSA 3500 SP TRANSLATED
18-WFB 2022 HSA 5500 SP TRANSLATED
2023-2024 Enrollment Year
Prime Benefit – 80% PPO Plans
01-10 2023 – Heritage Prime PPO 80 250 Benefit Highlights
02-10 2023 – Heritage Prime PPO 80 500 Benefit Highlights
03-10 2023 – Heritage Prime PPO 80 750 Benefit Highlights
04-10 2023 – Heritage Prime PPO 80 1000 Benefit Highlights
05-10 2023 – Heritage Prime PPO 80 1500 Benefit Highlights
06-10 2023 – Heritage Prime PPO 80 2000 Benefit Highlights
07-10 2023 – Heritage Prime PPO 80 2500 Benefit Highlights
08-10 2023 – Heritage Prime PPO 80 3000 Benefit Highlights
09-10 2023 – Heritage Prime PPO 80 4000 Benefit Highlights
10-10 2023 – Heritage Prime PPO 80 5000 Benefit Highlights
Prime Benefit – 70% PPO Plans
11-10 2023 – Heritage Prime PPO 70 1000 Benefit Highlights
12-10 2023 – Heritage Prime PPO 70 1500 Benefit Highlights
13-10 2023 – Heritage Prime PPO 70 2000 Benefit Highlights
14-10 2023 – Heritage Prime PPO 70 2500 Benefit Highlights
15-10 2023 – Heritage Prime PPO 70 3000 Benefit Highlights
16-10 2023 – Heritage Prime PPO 70 4000 Benefit Highlights
17-10 2023 – Heritage Prime PPO 70 5000 Benefit Highlights
18-10 2023 – Heritage Prime PPO 70 6000 Benefit Highlights
Prime Benefit – 50 and 100% PPO Plans
19-10 2023 – Heritage Prime PPO 100 5500 Benefit Highlights
20-10 2023 – Heritage Prime PPO 100 8000 Benefit Highlights
21-10 2023 – Heritage Prime PPO 50 50-50 Benefit Highlights
22-10 2023 – Heritage Prime PPO 50 1000 Benefit Highlights
23-10 2023 – Heritage Prime PPO 50 2000 Benefit Highlights
Prime HSA Plans
24-10 2023 – Heritage Prime HSA 1500 Benefit Highlights
25-10 2023 – Heritage Prime HSA 2500 Benefit Highlights
26-10 2023 – Heritage Prime HSA 3500 Benefit Highlights
27-10 2023 – Heritage Prime HSA 5500 Benefit Highlights
Prime HMO Plans
28-10 2023 – Heritage Prime HMO 2000 Benefit Highlights
29-10 2023 – Heritage Prime HMO 3000 Benefit Highlights
30-10 2023 – Heritage Prime HMO 4000 Benefit Highlights
31-10 2023 – Heritage Prime HMO 5000 Benefit Highlights
Heritage PPO 80 Plans
01-10 2023 – PPO 80 250 Heritage Benefit Highlights
02-10 2023 – PPO 80 500 Heritage Benefit Highlights
03-10 2023 – PPO 80 750 Heritage Benefit Highlights
04-10 2023 – PPO 80 1000 Heritage Benefit Highlights
05-10 2023 – PPO 80 1500 Heritage Benefit Highlights
06-10 2023 – PPO 80 2000 Heritage Benefit Highlights
07-10 2023 – PPO 80 2500 Heritage Benefit Highlights
08-10 2023 – PPO 80 3000 Heritage Benefit Highlights
09-10 2023 – PPO 80 4000 Heritage Benefit Highlights
10-10 2023 – PPO 80 5000 Heritage Benefit Highlights
Heritage PPO 70 Plans
11-10 2023 – PPO 70 1000 Heritage Benefit Highlights
12-10 2022 – PPO 70 1500 Heritage Benefit Highlights
13-10 2023 – PPO 70 2000 Heritage Benefit Highlights
14-10 2023 – PPO 70 2500 Heritage Benefit Highlights
15-10 2023 – PPO 70 3000 Heritage Benefit Highlights
16-10 2023 – PPO 70 4000 Heritage Benefit Highlights
17-10 2023 – PPO 70 5000 Heritage Benefit Highlights
18-10 2023 – PPO 70 6000 Heritage Benefit Highlights
Heritage PPO 50 & 100
22-10 2023 – PPO 50 1000 Heritage Benefit Highlights
23-10 2023 – PPO 50 2000 Heritage Benefit Highlights
21-10 2023 – PPO 50 50-50 Heritage Benefit Highlights
19-10 2023 – PPO 100 5500 Heritage Benefit Highlights
20-10 2023 – PPO 100 8000 Heritage Benefit Highlights
Heritage HSA Plans
24-10 2023 – HSA 1500 Heritage Benefit Highlights
25-10 2023 – HSA 2500 Heritage Benefit Highlights
26-10 2023 – HSA 3500 Heritage Benefit Highlights
27-10 2023 – HSA 5500 Heritage Benefit Highlights
Heritage HMO Plans
28-10 2023 – HMO 2000 Heritage Benefit Highlights
29-10 2023 – HMO 3000 Heritage Benefit Highlights
30-10 2023 – HMO 4000 Heritage Benefit Highlights
31-10 2023 – HMO 5000 Heritage Benefit Highlights
2022-2023 Enrollment Year
Prime Benefit – 80% PPO Plans
01-10 2022 – Heritage Prime PPO 80 250 Benefit Highlights
02-10 2022 – Heritage Prime PPO 80 500 Benefit Highlights
03-10 2022 – Heritage Prime PPO 80 750 Benefit Highlights
04-10 2022 – Heritage Prime PPO 80 1000 Benefit Highlights
05-10 2022 – Heritage Prime PPO 80 1500 Benefit Highlights
06-10 2022 – Heritage Prime PPO 80 2000 Benefit Highlights
07-10 2022 – Heritage Prime PPO 80 2500 Benefit Highlights
08-10 2022 – Heritage Prime PPO 80 3000 Benefit Highlights
09-10 2022 – Heritage Prime PPO 80 4000 Benefit Highlights
10-10 2022 – Heritage Prime PPO 80 5000 Benefit Highlights
Prime Benefit – 70% PPO Plans
11-10 2022 – Heritage Prime PPO 70 1000 Benefit Highlights
12-10 2022 – Heritage Prime PPO 70 1500 Benefit Highlights
13-10 2022 – Heritage Prime PPO 70 2000 Benefit Highlights
14-10 2022 – Heritage Prime PPO 70 2500 Benefit Highlights
15-10 2022 – Heritage Prime PPO 70 3000 Benefit Highlights
16-10 2022 – Heritage Prime PPO 70 4000 Benefit Highlights
17-10 2022 – Heritage Prime PPO 70 5000 Benefit Highlights
18-10 2022 – Heritage Prime PPO 70 6000 Benefit Highlights
Prime Benefit – 50 and 100% PPO Plans
19-10 2022 – Heritage Prime PPO 100 5500 Benefit Highlights
20-10 2022 – Heritage Prime PPO 100 8000 Benefit Highlights
21-10 2022 – Heritage Prime PPO 50 50-50 Benefit Highlights
22-10 2022 – Heritage Prime PPO 50 1000 Benefit Highlights
23-10 2022 – Heritage Prime PPO 50 2000 Benefit Highlights
Prime HSA Plans
24-10 2022 – Heritage Prime HSA 1500 Benefit Highlights
25-10 2022 – Heritage Prime HSA 2500 Benefit Highlights
26-10 2022 – Heritage Prime HSA 3500 Benefit Highlights
27-10 2022 – Heritage Prime HSA 5500 Benefit Highlights
Heritage PPO 80 Plans
01-10 2022 – PPO 80 250 Heritage Benefit Highlights
02-10 2022 – PPO 80 500 Heritage Benefit Highlights
03-10 2022 – PPO 80 750 Heritage Benefit Highlights
04-10 2022 – PPO 80 1000 Heritage Benefit Highlights
05-10 2022 – PPO 80 1500 Heritage Benefit Highlights
06-10 2022 – PPO 80 2000 Heritage Benefit Highlights
07-10 2022 – PPO 80 2500 Heritage Benefit Highlights
08-10 2022 – PPO 80 3000 Heritage Benefit Highlights
09-10 2022 – PPO 80 4000 Heritage Benefit Highlights
10-10 2022 – PPO 80 5000 Heritage Benefit Highlights
Heritage PPO 70 Plans
11-10 2022 – PPO 70 1000 Heritage Benefit Highlights
12-10 2022 – PPO 70 1500 Heritage Benefit Highlights
13-10 2022 – PPO 70 2000 Heritage Benefit Highlights
14-10 2022 – PPO 70 2500 Heritage Benefit Highlights
15-10 2022 – PPO 70 3000 Heritage Benefit Highlights
16-10 2022 – PPO 70 4000 Heritage Benefit Highlights
17-10 2022 – PPO 70 5000 Heritage Benefit Highlights
18-10 2022 – PPO 70 6000 Heritage Benefit Highlights
Heritage PPO 50 & 100
22-10 2022 – PPO 50 1000 Heritage Benefit Highlights
23-10 2022 – PPO 50 2000 Heritage Benefit Highlights
21-10 2022 – PPO 50 50-50 Heritage Benefit Highlights
19-10 2022 – PPO 100 5500 Heritage Benefit Highlights
20-10 2022 – PPO 100 8000 Heritage Benefit Highlights
Heritage HSA Plans
24-10 2022 – HSA 1500 Heritage Benefit Highlights
25-10 2022 – HSA 2500 Heritage Benefit Highlights
26-10 2022 – HSA 3500 Heritage Benefit Highlights
27-10 2022 – HSA 5500 Heritage Benefit Highlights
2022-2023 Enrollment Year
Plus Benefit – 80% PPO Plans
01-2022 WFB PPO 80% Plan 250 Heritage
02-2022 WFB PPO 80% Plan 500 Heritage
03-2022 WFB PPO 80% Plan 750 Heritage
04-2022 WFB PPO 80% Plan 1000 Heritage
05-2021 WFB PPO 80% Plan 1500 Heritage
06-2022 WFB PPO 80% Plan 2000 Heritage
07-2022 WFB PPO 80% Plan 2500 Heritage
08-2022 WFB PPO 80% Plan 3000 Heritage
09-2022 WFB PPO 80% Plan 4000 Heritage
10-2022 WFB PPO 80% Plan 5000 Heritage
Prime Benefit – 80% PPO Plans
01-2022 WFB PPO 80% Plan 250 Heritage Prime
02-2022 WFB PPO 80% Plan 500 Heritage Prime
03-2022 WFB PPO 80% Plan 750 Heritage Prime
04-2022 WFB PPO 80% Plan 1000 Heritage Prime
05-2022 WFB PPO 80% Plan 1500 Heritage Prime
06-2022 WFB PPO 80% Plan 2000 Heritage Prime
07-2022 WFB PPO 80% Plan 2500 Heritage Prime
08-2022 WFB PPO 80% Plan 3000 Heritage Prime
09-2022 WFB PPO 80% Plan 4000 Heritage Prime
10-2022 WFB PPO 80% Plan 5000 Heritage Prime
Plus Benefit – 70% PPO Plans
11-2022 WFB PPO 70% Plan 1000 Heritage
12-2022 WFB PPO 70 Plan 1500 Heritage
13-2022 WFB PPO 70% Plan 2000 Heritage
14-2022 WFB PPO 70 Plan 2500 Heritage
15-2022 WFB PPO 70% Plan 3000 Heritage
16-2022 WFB PPO 70% Plan 4000 Heritage
2022-2023 WFB Dental Booklet Plan 2
17-2022 WFB PPO 70 Plan 5000 Heritage
18-2022 WFB PPO 70% Plan 6000 Heritage
Prime Benefit – 70% PPO Plans
11-2022 WFB PPO 70% Plan 1000 Heritage Prime
12-2022 WFB PPO 70% Plan 1500 Heritage Prime
13-2022 WFB PPO 70% Plan 2000 Heritage Prime
14-2022 WFB PPO 70% Plan 2500 Heritage Prime
15-2022 WFB PPO 70% Plan 3000 Heritage Prime
16-2022 WFB PPO 70% Plan 4000 Heritage Prime
17-2022 WFB PPO 70% Plan 5000 Heritage Prime
18-2022 WFB PPO 70% Plan 6000 Heritage Prime
Plus Benefit – 50 and 100% PPO Plans
19-2022 WFB PPO 100% Plan 5500 Heritage
20-2022 WFB PPO 100% Plan 8000 Heritage
21-2022 WFB PPO 50% 50-50 Plan Heritage
22-2022 WFB PPO 50% Plan 1000 Heritage
23-2022 WFB PPO 50% Plan 2000 Heritage
Prime Benefit – 50 and 100% PPO Plans
19-2022 WFB PPO 100% Plan 5500 Heritage Prime
20-2022 WFB PPO 100% Plan 8000 Heritage Prime
21-2022 WFB PPO 50% 50-50 Plan Heritage Prime
22-2022 WFB PPO 50% Plan 1000 Heritage Prime
23-2022 WFB PPO 50% Plan 2000 Heritage Prime
Plus HSA Plans
24-2022 WFB HSA 1500 Plan Heritage
25-2022 WFB HSA 2500 Plan Heritage
26-2022 WFB HSA 3500 Plan Heritage
27-2022 WFB HSA 5500 Plan Heritage
Prime HSA Plans
24-2022 WFB HSA 1500 Plan Heritage Prime
25-2022 WFB HSA 2500 Plan Heritage Prime
26-2022 WFB HSA 3500 Plan Heritage Prime
27-2022 WFB HSA 5500 Plan Heritage Prime
Dental Plans
Delta Benefits Guide
2023-2024 Enrollment Year
Delta Dental of Washington
WFB Plan 1 00085 2023-2024
WFB Plan 2 00086 2023-2024
WFB Plan 3 00087 2023-2024
WFB Plan 4 00088 2023-2024
WFB Plan 5 00089 Vol 2023-2024
WFB Plan 6 00097 Vol 2023-2024
Delta Dental of Washington – Plans 1-4 – With Ortho
WFB Plan 1 00085 Ortho 2023-2024
WFB Plan 2 00086 Ortho 2023-2024
WFB Plan 3 00087 Ortho 2023-2024
WFB Plan 4 00088 Ortho 2023-2024
2022-2023 Enrollment Year
Delta Dental of Washington
WFB Plan 1 00085 2022-2023
WFB Plan 2 00086 2022-2023
WFB Plan 3 00087 2022-2023
WFB Plan 4 00088 2022-2023
WFB Plan 5 00089 Vol 2022-2023
WFB Plan 6 00097 Vol 2022-2023
Delta Dental of Washington – Plans 1-4 – With Ortho
WFB Plan 1 00085 Ortho 2022-2023
WFB Plan 2 00086 Ortho 2022-2023
WFB Plan 3 00087 Ortho 2022-2023
WFB Plan 4 00088 Ortho 2022-2023
Vision Plans
Exam Plus – VSP Vision Plan
Exam Plus
Exam Plus Spanish
Basic – VSP Vision Plan
Basic
Basic MBS- Spanish
Preferred – VSP Vision Plan
Preferred
Preferred MBS- Spanish
Enhanced – VSP Vision Plan
Enhanced
Enhanced MBS- Spanish
Life Plans
LifeMap Life AD&D $10k
$10k Life/AD&D Summary (Spanish)
$10k Life/ AD&D Summary
$10k Life/AD&D Certificate + Dependant Life
LifeMap Life AD&D $15k
$15k Life/AD&D Summary (Spanish)
$15k Life/AD&D Summary
$15k Life/AD&D Certificate + Dependent
LifeMap Life AD&D $25k
$25k Life/AD&D Summary (Spanish)
$25k Life/AD&D Summary
$25k Life/AD&D Certificate + Dependant Life
LifeMap Life AD&D $50k
$50 Life/AD&D Summary (Spanish)
$50k Life/AD&D Summary
W$50k Life/AD&D Certificate + Dependent Life
LifeMap $10k Certificate of Coverage
$10k Life and AD&D Benefit
WFB-Healthcare-LifeMap-Life-ADD-Plan-1-
LifeMap $15k Certificate of Coverage
$15k Life and AD&D Benefit
WFB-Healthcare-LifeMap-Life-ADD-Plan-2-
LifeMap $25 Certificate of Coverage
$25k Life and AD&D Benefit
WFB-Healthcare-LifeMap-Life-ADD-Plan-3-
LifeMap $50k Certificate of Coverage
W$50k Life and AD&D Benefit
WFB-Healthcare-LifeMap-Life-ADD-Plan-4