Brokers
General Information & Forms
WFBH Healthcare Key Contacts-List
WFBH Membership Dues
Welcome Brochure 2024
Spanish Welcome Brochure 2024
Welcome Brochure 2023
Spanish Welcome Brochure 2023
WFBH Dual Choice Matrix
WFBH LifeWise Dual Choice Matrix
2024-2025 WFBH Healthcare Benefits At A Glance – Plan Menu
2023-2024 WFBH Healthcare Benefits At A Glance – Plan Menu
2024-2025 WFBH Healthcare Benefits At A Glance – Plan Menu – LifeWise
WFBH Membership Application
WFBH Quote Checklist
Rehn Employer Portal User Access Form
WFBH Authorization to Withdrawal Form
2024-2025 WFBH Employee Application
2023-2024 WFBH Employee Application
2024-2025 WFBH LifeWise Employee Application
2024-2025 WFBH Spanish Enrollment Form
2023-2024 WFBH Spanish Enrollment Form
2024-2025 WFBH Group Master Application
2023-2024 WFBH Group Master Application
2024-2025 WFBH LifeWise Group Master Application
Census Enrollment Spreadsheet
WFBH New Group Submission Checklist
WFBH Membership Application
Medical Plans
Premera Blue Cross & Premera HMO
2024-2025 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
19-PPO 70% Plan 8000
100% and 50% PPO Plans
22-PPO 50% Plan 50-50
23-PPO 50% Plan 1000
20-PPO 100% Plan 5500
21-PPO 100% Plan 8000
HSA Plans
24-HSA 1700
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
14-PPO 50% Plan 50-50 SP Translated
15-PPO 100% Plan 5500 SP Translated
08-PPO 70% Plan 2000 SP Translated
09-PPO 70% Plan 2500 SP Translated
10-PPO 70% Plan 3000 SP Translated
11-PPO 70% Plan 4000 SP Translated
09-PPO 70% Plan 5000 SP Translated
09-PPO 70% Plan 6000 SP Translated
01-PPO 80% Plan 750 SP Translated
02-PPO 80% Plan 1000 SP Translated
03-PPO 80% Plan 1500 SP Translated
04-PPO 80% Plan 2000 SP Translated
05-PPO 80% Plan 2500 SP Translated
06-PPO 80% Plan 3000 SP Translated
07-PPO 80% Plan 4000 SP Translated
20-WFB 2024 HMO 2000 SP Translated
21-WFB 2024 HMO 3000 SP Translated
22-WFB 2024 HMO 4000 SP Translated
23-WFB 2024 HMO 5000 SP Translated
16-WFB 2024 HSA 1700 SP Translated
17-WFB 2024 HSA 2500 SP Translated
18-WFB 2024 HSA 3500 SP Translated
19-WFB 2024 HSA 5500 SP Translated
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 SP Translated
13-PPO 2023 100% Plan 5500 SP 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
2024-2025 Enrollment Year
Prime 80% PPO Plans
01-10 2024 – Heritage Prime PPO 80 250 Benefit Highlights
02-10 2024 – Heritage Prime PPO 80 500 Benefit Highlights
03-10 2024 – Heritage Prime PPO 80 750 Benefit Highlights
04-10 2024 – Heritage Prime PPO 80 1000 Benefit Highlights
05-10 2024 – Heritage Prime PPO 80 1500 Benefit Highlights
06-10 2024 – Heritage Prime PPO 80 2000 Benefit Highlights
07-10 2024 – Heritage Prime PPO 80 2500 Benefit Highlights
08-10 2024 – Heritage Prime PPO 80 3000 Benefit Highlights
09-10 2024 – Heritage Prime PPO 80 4000 Benefit Highlights
10-10 2024 – Heritage Prime PPO 80 5000 Benefit Highlights
Prime 70% PPO Plans
11-10 2024 – Heritage Prime PPO 70 1000 Benefit Highlights
12-10 2024 – Heritage Prime PPO 70 1500 Benefit Highlights
13-10 2024 – Heritage Prime PPO 70 2000 Benefit Highlights
14-10 2024 – Heritage Prime PPO 70 2500 Benefit Highlights
15-10 2024 – Heritage Prime PPO 70 3000 Benefit Highlights
16-10 2024 – Heritage Prime PPO 70 4000 Benefit Highlights
17-10 2024 – Heritage Prime PPO 70 5000 Benefit Highlights
18-10 2024 – Heritage Prime PPO 70 6000 Benefit Highlights
19-10 2024 – Heritage Prime PPO 70 8000 Benefit Highlights
Prime 50% and 100% PPO Plans
20-10 2024 – Heritage Prime PPO 100 5500 Benefit Highlights
21-10 2024 – Heritage Prime PPO 100 8000 Benefit Highlights
22-10 2024 – Heritage Prime PPO 50 50-50 Benefit Highlights
23-10 2024 – Heritage Prime PPO 50 1000 Benefit Highlights
Prime HSA Plans
24-10 2024 – Heritage Prime HSA 1700 Benefit Highlights
25-10 2024 – Heritage Prime HSA 2500 Benefit Highlights
26-10 2024 – Heritage Prime HSA 3500 Benefit Highlights
27-10 2024 – Heritage Prime HSA 5500 Benefit Highlights
Heritage 80% PPO Plans
01-10 2024 – PPO 80 250 Heritage Benefit Highlights
02-10 2024 – PPO 80 500 Heritage Benefit Highlights
03-10 2024 – PPO 80 750 Heritage Benefit Highlights
04-10 2024 – PPO 80 1000 Heritage Benefit Highlights
05-10 2024 – PPO 80 1500 Heritage Benefit Highlights
06-10 2024 – PPO 80 2000 Heritage Benefit Highlights
07-10 2024 – PPO 80 2500 Heritage Benefit Highlights
08-10 2024 – PPO 80 3000 Heritage Benefit Highlights
09-10 2024 – PPO 80 4000 Heritage Benefit Highlights
10-10 2024 – PPO 80 5000 Heritage Benefit Highlights
Heritage 70% PPO Plans
11-10 2024 – PPO 70 1000 Heritage Benefit Highlights
12-10 2024 – PPO 70 1500 Heritage Benefit Highlights
13-10 2024 – PPO 70 2000 Heritage Benefit Highlights
14-10 2024 – PPO 70 2500 Heritage Benefit Highlights
15-10 2024 – PPO 70 3000 Heritage Benefit Highlights
16-10 2024 – PPO 70 4000 Heritage Benefit Highlights
17-10 2024 – PPO 70 5000 Heritage Benefit Highlights
18-10 2024 – PPO 70 6000 Heritage Benefit Highlights
19-10 2024 – PPO 70 8000 Heritage Benefit Highlights
Heritage PPO 50% and 100% PPO Plans
20-10 2024 – PPO 100 5500 Heritage Benefit Highlights
21-10 2024 – PPO 100 8000 Heritage Benefit Highlights
22-10 2024 – PPO 50 50-50 Heritage Benefit Highlights
23-10 2024 – PPO 50 1000 Heritage Benefit Highlights
Heritage HSA Plans
24-10 2024 – HSA 1700 Heritage Benefit Highlights
25-10 2024 – HSA 2500 Heritage Benefit Highlights
26-10 2024 – HSA 3500 Heritage Benefit Highlights
27-10 2024 – HSA 5500 Heritage Benefit Highlights
Sherwood HMO Plans
28-10 2024 – Sherwood HMO 2000 Heritage Benefit Highlights
29-10 2024 – Sherwood HMO 3000 Heritage Benefit Highlights
30-10 2024 – Sherwood HMO 4000 Heritage Benefit Highlights
31-10 2024 – Sherwood HMO 5000 Heritage Benefit Highlights
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
2024-2025 Enrollment Year
Heritage Benefit – 70% PPO Plans
11-2024 WFB PPO 70% Plan 1000 Heritage
12-2024 WFB PPO 70% Plan 1500 Heritage
13-2024 WFB PPO 70% Plan 2000 Heritage
14-2024 WFB PPO 70% Plan 2500 Heritage
15-2024 WFB PPO 70% Plan 3000 Heritage
16-2024 WFB PPO 70% Plan 4000 Heritage
17-2024 WFB PPO 70% Plan 5000 Heritage
18-2024 WFB PPO 70% Plan 6000 Heritage
19-2024 WFB PPO 70% Plan 8000 Heritage
Prime Benefit – 70% PPO Plans
11-2024 WFB PPO 70% Plan 1000 Heritage Prime
12-2024 WFB PPO 70% Plan 1500 Heritage Prime
13-2024 WFB PPO 70% Plan 2000 Heritage Prime
14-2024 WFB PPO 70% Plan 2500 Heritage Prime
15-2024 WFB PPO 70% Plan 3000 Heritage Prime
16-2024 WFB PPO 70% Plan 4000 Heritage Prime
17-2024 WFB PPO 70% Plan 5000 Heritage Prime
18-2024 WFB PPO 70% Plan 6000 Heritage Prime
19-2024 WFB PPO 70% Plan 8000 Heritage Prime
Heritage Benefit – 80% PPO Plans
01-2024 WFB PPO 80% Plan 250 Heritage
02-2024 WFB PPO 80% Plan 500 Heritage
03-2024 WFB PPO 80% Plan 750 Heritage
04-2024 WFB PPO 80% Plan 1000 Heritage
05-2024 WFB PPO 80% Plan 1500 Heritage
06-2024 WFB PPO 80% Plan 2000 Heritage
07-2024 WFB PPO 80% Plan 2500 Heritage
08-2024 WFB PPO 80% Plan 3000 Heritage
09-2024 WFB PPO 80% Plan 4000 Heritage
10-2024 WFB PPO 80% Plan 5000 Heritage
Prime Benefit – 80% PPO Plans
01-2024 WFB PPO 80% Plan 250 Heritage Prime
02-2024 WFB PPO 80% Plan 500 Heritage Prime
03-2024 WFB PPO 80% Plan 750 Heritage Prime
04-2024 WFB PPO 80% Plan 1000 Heritage Prime
05-2024 WFB PPO 80% Plan 1500 Heritage Prime
06-2024 WFB PPO 80% Plan 2000 Heritage Prime
07-2024 WFB PPO 80% Plan 2500 Heritage Prime
08-2024 WFB PPO 80% Plan 3000 Heritage Prime
09-2024 WFB PPO 80% Plan 4000 Heritage Prime
10-2024 WFB PPO 80% Plan 5000 Heritage Prime
Prime Benefit – 50 and 100% PPO Plans
20-2024 WFB PPO 100% Plan 5500 Heritage Prime
21-2024 WFB PPO 100% Plan 8000 Heritage Prime
22-2024 WFB PPO 50% Plan 50-50 Heritage Prime
23-2024 WFB PPO 50% Plan 1000 Heritage Prime
Heritage Benefit – 50 and 100% PPO Plans
20-2024 WFB PPO 100% Plan 5500 Heritage
21-2024 WFB PPO 100% Plan 8000 Heritage
22-2024 WFB PPO 50% Plan 50-50 Heritage
23-2024 WFB PPO 50% Plan 1000 Heritage
Heritage HSA Plans
24-2024 WFB HSA 1700 Plan Heritage
25-2024 WFB HSA 2500 Plan Heritage
26-2024 WFB HSA 3500 Plan Heritage
27-2024 WFB HSA 5500 Plan Heritage
Prime HSA Plans
24-2024 WFB HSA 1700 Plan Heritage Prime
25-2024 WFB HSA 2500 Plan Heritage Prime
26-2024 WFB HSA 3500 Plan Heritage Prime
27-2024 WFB HSA 5500 Plan Heritage Prime
Sherwood HMO Plans
01-2024 WFB HMO 2000
02-2024 WFB HMO 3000
03-2024 WFB HMO 4000
04-2024 WFB HMO 5000
2023-2024 Enrollment Year
Prime Benefit – 80% PPO Plans
01-2023 WFB PPO 80% Plan 250 Heritage Prime
02-2023 WFB PPO 80% Plan 500 Heritage Prime
03-2023 WFB PPO 80% Plan 750 Heritage Prime
04-2023 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
07-2023 WFB PPO 80% Plan 2500 Heritage Prime
08-2023 WFB PPO 80% Plan 3000 Heritage Prime
09-2023 WFB PPO 80% Plan 4000 Heritage Prime
10-2023 WFB PPO 80% Plan 5000 Heritage Prime
Heritage Benefit – 80% PPO Plans
01-2023 WFB PPO 80% Plan 250 Heritage
02-2023 WFB PPO 80% Plan 500 Heritage
03-2023 WFB PPO 80% Plan 750 Heritage
04-2023 WFB PPO 80% Plan 1000 Heritage
05-2023 WFB PPO 80% Plan 1500 Heritage
06-2023 WFB PPO 80% Plan 2000 Heritage
07-2023 WFB PPO 80% Plan 2500 Heritage
08-2023 WFB PPO 80% Plan 3000 Heritage
09-2023 WFB PPO 80% Plan 4000 Heritage
10-2023 WFB PPO 80% Plan 5000 Heritage
Prime Benefit – 70% PPO Plans
11-2023 WFB PPO 70% Plan 1000 Heritage Prime
12-2023 WFB PPO 70% Plan 1500 Heritage Prime
13-2023 WFB PPO 70% Plan 2000 Heritage Prime
14-2023 WFB PPO 70% Plan 2500 Heritage Prime
15-2023 WFB PPO 70% Plan 3000 Heritage Prime
16-2023 WFB PPO 70% Plan 4000 Heritage Prime
17-2023 WFB PPO 70% Plan 5000 Heritage Prime
18-2023 WFB PPO 70% Plan 6000 Heritage Prime
Heritage Benefit – 70% PPO Plans
11-2023 WFB PPO 70% Plan 1000 Heritage
12-2023 WFB PPO 70 Plan 1500 Heritage
13-2023 WFB PPO 70% Plan 2000 Heritage
14-2023 WFB PPO 70 Plan 2500 Heritage
15-2023 WFB PPO 70% Plan 3000 Heritage
16-2023 WFB PPO 70% Plan 4000 Heritage
17-2023 WFB PPO 70 Plan 5000 Heritage
18-2023 WFB PPO 70% Plan 6000 Heritage
Prime Benefit – 50 and 100% PPO Plans
19-2023 WFB PPO 100% Plan 5500 Heritage Prime
20-2023 WFB PPO 100% Plan 8000 Heritage Prime
21-2023 WFB PPO 50% 50-50 Plan Heritage Prime
22-2023 WFB PPO 50% Plan 1000 Heritage Prime
23-2023 WFB PPO 50% Plan 2000 Heritage Prime
Heritage Benefit – 50 and 100% PPO Plans
19-2023 WFB PPO 100% Plan 5500 Heritage
20-2023 WFB PPO 100% Plan 8000 Heritage
21-2023 WFB PPO 50% 50-50 Plan Heritage
22-2023 WFB PPO 50% Plan 1000 Heritage
23-2023 WFB PPO 50% Plan 2000 Heritage
Prime HSA Plans
24-2023 WFB HSA 1500 Plan Heritage Prime
25-2023 WFB HSA 2500 Plan Heritage Prime
26-2023 WFB HSA 3500 Plan Heritage Prime
27-2023 WFB HSA 5500 Plan Heritage Prime
Heritage HSA Plans
24-2023 WFB HSA 1500 Plan Heritage
25-2023 WFB HSA 2500 Plan Heritage
26-2023 WFB HSA 3500 Plan Heritage
27-2023 WFB HSA 5500 Plan Heritage
Sherwood HMO Plans
01-2023 WFB HMO 2000
02-2023 WFB HMO 3000
03-2023 WFB HMO 4000
04-2023 WFB HMO 5000
LifeWise (Clark County)
2024-2025 Enrollment Year
80% Copay Plans
1-10 2024 – LifeWise PPO 80 250 SBC
02-10 2024 – LifeWise PPO 80 500 SBC
03-10 2024 – LifeWise PPO 80 750 SBC
04-10 2024 – LifeWise PPO 80 1000 SBC
05-10 2024 – LifeWise PPO 80 1500 SBC
06-10 2024 – LifeWise PPO 80 2000 SBC
07-10 2024 – LifeWise PPO 80 2500 SBC
08-10 2024 – LifeWise PPO 80 3000 SBC
09-10 2024 – LifeWise PPO 80 4000 SBC
10-10 2024 – LifeWise PPO 80 5000 SBC
70% Copay Plans
11-10 2024 – LifeWise PPO 70 1000 SBC
12-10 2024 – LifeWise PPO 70 1500 SBC
13-10 2024 – LifeWise PPO 70 2000 SBC
14-10 2024 – LifeWise PPO 70 2500 SBC
15-10 2024 – LifeWise PPO 70 3000 SBC
16-10 2024 – LifeWise PPO 70 4000 SBC
17-10 2024 – LifeWise PPO 70 5000 SBC
18-10 2024 – LifeWise PPO 70 6000 SBC
19-10 2024 – LifeWise PPO 70 8000 SBC
100% and 50% Copay Plans
20-10 2024 – LifeWise PPO 100 5500 SBC
21-10 2024 – LifeWise PPO 50 50-50 SBC
22-10 2024 – LifeWise PPO 50 1000 SBC
HSA Plans
23-10 2024 – LifeWise HSA 1700 SBC
24-10 2024 – LifeWise HSA 2500 SBC
25-10 2024 – LifeWise HSA 3500 SBC
26-10 2024 – LifeWise HSA 5500 SBC
2024-2025 Enrollment Year
80% Copay Plans
01-10 2024 – LifeWise PPO 80 250 Benefit Highlights
02-10 2024 – LifeWise PPO 80 500 Benefit Highlights
03-10 2024 – LifeWise PPO 80 750 Benefit Highlights
04-10 2024 – LifeWise PPO 80 1000 Benefit Highlights
05-10 2024 – LifeWise PPO 80 1500 Benefit Highlights
06-10 2024 – LifeWise PPO 80 2000 Benefit Highlights
07-10 2024 – LifeWise PPO 80 2500 Benefit Highlights
08-10 2024 – LifeWise PPO 80 3000 Benefit Highlights
09-10 2024 – LifeWise PPO 80 4000 Benefit Highlights
10-10 2024 – LifeWise PPO 80 5000 Benefit Highlights
70% Copay Plans
11-10 2024 – LifeWise PPO 70 1000 Benefit Highlights
12-10 2024 – LifeWise PPO 70 1500 Benefit Highlights
13-10 2024 – LifeWise PPO 70 2000 Benefit Highlights
14-10 2024 – LifeWise PPO 70 2500 Benefit Highlights
15-10 2024 – LifeWise PPO 70 3000 Benefit Highlights
16-10 2024 – LifeWise PPO 70 4000 Benefit Highlights
17-10 2024 – LifeWise PPO 70 5000 Benefit Highlights
18-10 2024 – LifeWise PPO 70 6000 Benefit Highlights
19-10 2024 – LifeWise PPO 70 8000 Benefit Highlights
100% and 50% Copay Plans
20-10 2024 – LifeWise PPO 100 5500 Benefit Highlights
21-10 2024 – LifeWise PPO 50 50-50 Benefit Highlights
22-10 2024 – LifeWise PPO 50 1000 Benefit Highlights
HSA Plans
23-10 2024 – LifeWise HSA 1700 Benefit Highlights
24-10 2024 – LifeWise HSA 2500 Benefit Highlights
25-10 2024 – LifeWise HSA 3500 Benefit Highlights
26-10 2024 – LifeWise HSA 5500 Benefit Highlights
2024-2025 Enrollment Year
80% Copay Plans
01-10 2024 – LifeWise PPO 80 250 Plan Booklet
02-10 2024 – LifeWise PPO 80 500 Plan Booklet
03-10 2024 – LifeWise PPO 80 750 Plan Booklet
04-10 2024 – LifeWise PPO 80 1000 Plan Booklet
05-10 2024 – LifeWise PPO 80 1500 Plan Booklet
06-10 2024 – LifeWise PPO 80 2000 Plan Booklet
07-10 2024 – LifeWise PPO 80 2500 Plan Booklet
08-10 2024 – LifeWise PPO 80 3000 Plan Booklet
09-10 2024 – LifeWise PPO 80 4000 Plan Booklet
10-10 2024 – LifeWise PPO 80 5000 Plan Booklet
70% Copay Plans
11-10 2024 – LifeWise PPO 70 1000 Plan Booklet
12-10 2024 – LifeWise PPO 70 1500 Plan Booklet
13-10 2024 – LifeWise PPO 70 2000 Plan Booklet
14-10 2024 – LifeWise PPO 70 2500 Plan Booklet
15-10 2024 – LifeWise PPO 70 3000 Plan Booklet
16-10 2024 – LifeWise PPO 70 4000 Plan Booklet
17-10 2024 – LifeWise PPO 70 5000 Plan Booklet
18-10 2024 – LifeWise PPO 70 6000 Plan Booklet
19-10 2024 – LifeWise PPO 70 8000 Plan Booklet
100% and 50% Copay Plans
20-10 2024 – LifeWise PPO 100 5500 Plan Booklet
21-10 2024 – LifeWise PPO 50 50-50 Plan Booklet
22-10 2024 – LifeWise PPO 50 1000 Plan Booklet
HSA Plans
23-10 2024 – LifeWise HSA 1700 Plan Booklet
24-10 2024 – LifeWise HSA 2500 Plan Booklet
25-10 2024 – LifeWise HSA 3500 Plan Booklet
26-10 2024 – LifeWise HSA 5500 Plan Booklet
Dental Plans
Delta Benefits Guide
2024-2025 Enrollment Year
Delta Dental of Washington
WFB Plan 1 00085 2024-2025
WFB Plan 2 00086 2024-2025
WFB Plan 3 00087 2024-2025
WFB Plan 4 00088 2024-2025
WFB Plan 5 00089 Vol 2024-2025
WFB Plan 6 00097 Vol 2024-2025
Delta Dental of Washington – Plans 1-4 – With Ortho
WFB Plan 1 00085 Ortho 2024-2025
WFB Plan 2 00086 Ortho 2024-2025
WFB Plan 3 00087 Ortho 2024-2025
WFB Plan 4 00088 Ortho 2024-2025
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
2024-2025 Enrollment Year
Delta Dental of Washington
WFB Plan 1 00085 2024-2025
WFB Plan 2 00086 2024-2025
WFB Plan 3 00087 2024-2025
WFB Plan 4 00088 2024-2025
WFB Plan 5 00089 Vol 2024-2025
WFB Plan 6 00097 Vol 2024-2025
WFB Plans 1-4 Optional Orthodontic Benefits
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