Brokers
General Information & Forms
Medical Plans
Premera Blue Cross & Premera HMO
Note: PPO & HSA SBCs are not network specific.
2026–2027 Enrollment Year
2025–2026 Enrollment Year
2026-2027 Enrollment Year – Coming Soon!
2025-2026 Enrollment Year
Heritage Benefit – 80% PPO Plans
01-2025 WFB PPO 80% Plan 250 Heritage
02-2025 WFB PPO 80% Plan 500 Heritage
03-2025 WFB PPO 80% Plan 750 Heritage
04-2025 WFB PPO 80% Plan 1000 Heritage
05-2025 WFB PPO 80% Plan 1500 Heritage
06-2025 WFB PPO 80% Plan 2000 Heritage
07-2025 WFB PPO 80% Plan 2500 Heritage
08-2025 WFB PPO 80% Plan 3000 Heritage
09-2025 WFB PPO 80% Plan 4000 Heritage
10-2025 WFB PPO 80% Plan 5000 Heritage
Prime Benefit – 80% PPO Plans
01-2025 WFB PPO 80% Plan 250 Heritage Prime
02-2025 WFB PPO 80% Plan 500 Heritage Prime
03-2025 WFB PPO 80% Plan 750 Heritage Prime
04-2025 WFB PPO 80% Plan 1000 Heritage Prime
05-2025 WFB PPO 80% Plan 1500 Heritage Prime
06-2025 WFB PPO 80% Plan 2000 Heritage Prime
07-2025 WFB PPO 80% Plan 2500 Heritage Prime
08-2025 WFB PPO 80% Plan 3000 Heritage Prime
09-2025 WFB PPO 80% Plan 4000 Heritage Prime
10-2025 WFB PPO 80% Plan 5000 Heritage Prime
Heritage Benefit – 70% PPO Plans
11-2025 WFB PPO 70% Plan 1000 Heritage
12-2025 WFB PPO 70% Plan 1500 Heritage
13-2025 WFB PPO 70% Plan 2000 Heritage
14-2025 WFB PPO 70% Plan 2500 Heritage
15-2025 WFB PPO 70% Plan 3000 Heritage
16-2025 WFB PPO 70% Plan 4000 Heritage
17-2025 WFB PPO 70% Plan 5000 Heritage
18-2025 WFB PPO 70% Plan 6000 Heritage
19-2025 WFB PPO 70% Plan 8000 Heritage
Prime Benefit – 70% PPO Plans
11-2025 WFB PPO 70% Plan 1000 Heritage Prime
12-2025 WFB PPO 70% Plan 1500 Heritage Prime
13-2025 WFB PPO 70% Plan 2000 Heritage Prime
14-2025 WFB PPO 70% Plan 2500 Heritage Prime
15-2025 WFB PPO 70% Plan 3000 Heritage Prime
16-2025 WFB PPO 70% Plan 4000 Heritage Prime
17-2025 WFB PPO 70% Plan 5000 Heritage Prime
18-2025 WFB PPO 70% Plan 6000 Heritage Prime
19-2025 WFB PPO 70% Plan 8000 Heritage Prime
Heritage Benefit – 50 and 100% PPO Plans
20-2025 WFB PPO 100% Plan 5500 Heritage
21-2025 WFB PPO 100% Plan 8000 Heritage
22-2025 WFB PPO 50% Plan 50-50 Heritage
23-2025 WFB PPO 50% Plan 1000 Heritage
Prime Benefit – 50 and 100% PPO Plans
20-2025 WFB PPO 100% Plan 5500 Heritage Prime
21-2025 WFB PPO 100% Plan 8000 Heritage Prime
22-2025 WFB PPO 50% Plan 50-50 Heritage Prime
23-2025 WFB PPO 50% Plan 1000 Heritage Prime
Heritage HSA Plans
24-2025 WFB HSA 1700 Plan Heritage
25-2025 WFB HSA 2500 Plan Heritage
26-2025 WFB HSA 3500 Plan Heritage
27-2025 WFB HSA 5500 Plan Heritage
Prime HSA Plans
24-2025 WFB HSA 1700 Plan Heritage Prime
25-2025 WFB HSA 2500 Plan Heritage Prime
26-2025 WFB HSA 3500 Plan Heritage Prime
27-2025 WFB HSA 5500 Plan Heritage Prime
Sherwood HMO Plans
01-2025 WFB HMO 2000
02-2025 WFB HMO 3000
03-2025 WFB HMO 4000
04-2025 WFB HMO 5000
LifeWise (Clark County)
2025-2026 Enrollment Year
80% Copay Plans
1-10 2025 – LifeWise PPO 80 250 SBC
02-10 2025 – LifeWise PPO 80 500 SBC
03-10 2025 – LifeWise PPO 80 750 SBC
04-10 2025 – LifeWise PPO 80 1000 SBC
05-10 2025 – LifeWise PPO 80 1500 SBC
06-10 2025 – LifeWise PPO 80 2000 SBC
07-10 2025 – LifeWise PPO 80 2500 SBC
08-10 2025 – LifeWise PPO 80 3000 SBC
09-10 2025 – LifeWise PPO 80 4000 SBC
10-10 2025 – LifeWise PPO 80 5000 SBC
70% Copay Plans
11-10 2025 – LifeWise PPO 70 1000 SBC
12-10 2025 – LifeWise PPO 70 1500 SBC
13-10 2025 – LifeWise PPO 70 2000 SBC
14-10 2025 – LifeWise PPO 70 2500 SBC
15-10 2025 – LifeWise PPO 70 3000 SBC
16-10 2025 – LifeWise PPO 70 4000 SBC
17-10 2025 – LifeWise PPO 70 5000 SBC
18-10 2025 – LifeWise PPO 70 6000 SBC
19-10 2025 – LifeWise PPO 70 8000 SBC
100% and 50% Copay Plans
20-10 2025 – LifeWise PPO 100 5500 SBC
21-10 2025 – LifeWise PPO 50 50-50 SBC
22-10 2025 – LifeWise PPO 50 1000 SBC
HSA Plans
23-10 2025 – LifeWise HSA 1700 SBC
24-10 2025 – LifeWise HSA 2500 SBC
25-10 2025 – LifeWise HSA 3500 SBC
26-10 2025 – LifeWise HSA 5500 SBC
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
2025-2026 Enrollment Year
80% Copay Plans
01-10 2025 – LifeWise PPO 80 250 Benefit Highlights
02-10 2025 – LifeWise PPO 80 500 Benefit Highlights
03-10 2025 – LifeWise PPO 80 750 Benefit Highlights
04-10 2025 – LifeWise PPO 80 1000 Benefit Highlights
05-10 2025 – LifeWise PPO 80 1500 Benefit Highlights
06-10 2025 – LifeWise PPO 80 2000 Benefit Highlights
07-10 2025 – LifeWise PPO 80 2500 Benefit Highlights
08-10 2025 – LifeWise PPO 80 3000 Benefit Highlights
09-10 2025 – LifeWise PPO 80 4000 Benefit Highlights
10-10 2025 – LifeWise PPO 80 5000 Benefit Highlights
70% Copay Plans
11-10 2025 – LifeWise PPO 70 1000 Benefit Highlights
12-10 2025 – LifeWise PPO 70 1500 Benefit Highlights
13-10 2025 – LifeWise PPO 70 2000 Benefit Highlights
14-10 2025 – LifeWise PPO 70 2500 Benefit Highlights
15-10 2025 – LifeWise PPO 70 3000 Benefit Highlights
16-10 2025 – LifeWise PPO 70 4000 Benefit Highlights
17-10 2025 – LifeWise PPO 70 5000 Benefit Highlights
18-10 2025 – LifeWise PPO 70 6000 Benefit Highlights
19-10 2025 – LifeWise PPO 70 8000 Benefit Highlights
100% and 50% Copay Plans
20-10 2025 – LifeWise PPO 100 5500 Benefit Highlights
21-10 2025 – LifeWise PPO 50 50-50 Benefit Highlights
22-10 2025 – LifeWise PPO 50 1000 Benefit Highlights
HSA Plans
23-10 2025 – LifeWise HSA 1700 Benefit Highlights
24-10 2025 – LifeWise HSA 2500 Benefit Highlights
25-10 2025 – LifeWise HSA 3500 Benefit Highlights
26-10 2025 – LifeWise HSA 5500 Benefit Highlights
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
2026-2027 Enrollment Year – Coming Soon!
2025-2026 Enrollment Year
Delta Dental of Washington
WFB Plan 1 00085 2025-2026
WFB Plan 2 00086 2025-2026
WFB Plan 3 00087 2025-2026
WFB Plan 4 00088 2025-2026
WFB Plan 5 00089 Vol 2025-2026
WFB Plan 6 00097 Vol 2025-2026

