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WFBH Healthcare Key Contacts-List
WFBH Membership Dues
Welcome Brochure 2026 – Coming Soon!
Spanish Welcome Brochure 2026 – Coming Soon!
WFBH Dual Choice Matrix
WFBH LifeWise Dual Choice Matrix
2026-2027 WFBH Healthcare Benefits At A Glance – Plan Menu
2026-2027 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
2026-2027 WFBH Group Master Application
2026-2027 WFBH LifeWise Group Master Application
2026-2027 WFBH Employee Application
2026-2027 WFBH LifeWise Employee Application
2026-2027 WFBH Spanish Enrollment Form
Census Enrollment Spreadsheet
WFBH New Group Submission Checklist
WFBH Membership Application

2025 WFB – Med D – CREDITABLE Coverage Notice
Website Disclaimer
Website Legal Notice
WFBH SPD

Medical Plans

Premera Blue Cross & Premera HMO

2026-2027 Enrollment Year
Note: PPO & HSA Plan Highlights are not network specific

80% PPO Plans
01-PPO 80 250 Benefit Highlights
02-PPO 80 500 Benefit Highlights
03-PPO 80 750 Benefit Highlights
04-PPO 80 1000 Benefit Highlights
05-PPO 80 1500 Benefit Highlights
06-PPO 80 2000 Benefit Highlights
07-PPO 80 2500 Benefit Highlights
08-PPO 80 3000 Benefit Highlights
09-PPO 80 4000 Benefit Highlights
10-PPO 80 5000 Benefit Highlights

70% PPO Plans
11-PPO 70 1000 Benefit Highlights
12-PPO 70 1500 Benefit Highlights
13-PPO 70 2000 Benefit Highlights
14-PPO 70 2500 Benefit Highlights
15-PPO 70 3000 Benefit Highlights
16-PPO 70 4000 Benefit Highlights
17-PPO 70 5000 Benefit Highlights
18-PPO 70 6000 Benefit Highlights
19-PPO 70 8000 Benefit Highlights

50% and 100% PPO Plans
20-PPO 100 5500 Benefit Highlights
21-PPO 100 8000 Benefit Highlights
22-PPO 50 50-50 Benefit Highlights
23-PPO 50 1000 Benefit Highlights

HSA Plans
24-HSA 1700 Benefit Highlights
25-HSA 2500 Benefit Highlights
26-HSA 3500 Benefit Highlights
27-HSA 5500 Benefit Highlights

Sherwood HMO Plans
28-HMO 2000 Benefit Highlights
29-HMO 3000 Benefit Highlights
30-HMO 4000 Benefit Highlights
31-HMO 5000 Benefit Highlights


2025-2026 Enrollment Year
Note: PPO & HSA Plan Highlights are not network specific

80% PPO Plans
01-PPO 80 250 Benefit Highlights
02-PPO 80 500 Benefit Highlights
03-PPO 80 750 Benefit Highlights
04-PPO 80 1000 Benefit Highlights
05-PPO 80 1500 Benefit Highlights
06-PPO 80 2000 Benefit Highlights
07-PPO 80 2500 Benefit Highlights
08-PPO 80 3000 Benefit Highlights
09-PPO 80 4000 Benefit Highlights
10-PPO 80 5000 Benefit Highlights

70% PPO Plans
11-PPO 70 1000 Benefit Highlights
12-PPO 70 1500 Benefit Highlights
13-PPO 70 2000 Benefit Highlights
14-PPO 70 2500 Benefit Highlights
15-PPO 70 3000 Benefit Highlights
16-PPO 70 4000 Benefit Highlights
17-PPO 70 5000 Benefit Highlights
18-PPO 70 6000 Benefit Highlights
19-PPO 70 8000 Benefit Highlights

50% and 100% PPO Plans
20-PPO 100 5500 Benefit Highlights
21-PPO 100 8000 Benefit Highlights
22-PPO 50 50-50 Benefit Highlights
23-PPO 50 1000 Benefit Highlights

HSA Plans
24-HSA 1700 Benefit Highlights
25-HSA 2500 Benefit Highlights
26-HSA 3500 Benefit Highlights
27-HSA 5500 Benefit Highlights

Sherwood HMO Plans
28-HMO 2000 Benefit Highlights
29-HMO 3000 Benefit Highlights
30-HMO 4000 Benefit Highlights
31-HMO 5000 Benefit Highlights
2026-2027 Enrollment Year
Note: PPO & HSA Plan Highlights are not network specific

80% PPO Plans
01-PPO 80 250 Benefit Highlights
02-PPO 80 500 Benefit Highlights
03-PPO 80 750 Benefit Highlights
04-PPO 80 1000 Benefit Highlights
05-PPO 80 1500 Benefit Highlights
06-PPO 80 2000 Benefit Highlights
07-PPO 80 2500 Benefit Highlights
08-PPO 80 3000 Benefit Highlights
09-PPO 80 4000 Benefit Highlights
10-PPO 80 5000 Benefit Highlights

70% PPO Plans
11-PPO 70 1000 Benefit Highlights
12-PPO 70 1500 Benefit Highlights
13-PPO 70 2000 Benefit Highlights
14-PPO 70 2500 Benefit Highlights
15-PPO 70 3000 Benefit Highlights
16-PPO 70 4000 Benefit Highlights
17-PPO 70 5000 Benefit Highlights
18-PPO 70 6000 Benefit Highlights
19-PPO 70 8000 Benefit Highlights

50% and 100% PPO Plans
20-PPO 100 5500 Benefit Highlights
21-PPO 100 8000 Benefit Highlights
22-PPO 50 50-50 Benefit Highlights
23-PPO 50 1000 Benefit Highlights

HSA Plans
24-HSA 1700 Benefit Highlights
25-HSA 2500 Benefit Highlights
26-HSA 3500 Benefit Highlights
27-HSA 5500 Benefit Highlights

Sherwood HMO Plans
28-HMO 2000 Benefit Highlights
29-HMO 3000 Benefit Highlights
30-HMO 4000 Benefit Highlights
31-HMO 5000 Benefit Highlights


2025-2026 Enrollment Year
Note: PPO & HSA Plan Highlights are not network specific

80% PPO Plans
01-PPO 80 250 Benefit Highlights
02-PPO 80 500 Benefit Highlights
03-PPO 80 750 Benefit Highlights
04-PPO 80 1000 Benefit Highlights
05-PPO 80 1500 Benefit Highlights
06-PPO 80 2000 Benefit Highlights
07-PPO 80 2500 Benefit Highlights
08-PPO 80 3000 Benefit Highlights
09-PPO 80 4000 Benefit Highlights
10-PPO 80 5000 Benefit Highlights

70% PPO Plans
11-PPO 70 1000 Benefit Highlights
12-PPO 70 1500 Benefit Highlights
13-PPO 70 2000 Benefit Highlights
14-PPO 70 2500 Benefit Highlights
15-PPO 70 3000 Benefit Highlights
16-PPO 70 4000 Benefit Highlights
17-PPO 70 5000 Benefit Highlights
18-PPO 70 6000 Benefit Highlights
19-PPO 70 8000 Benefit Highlights

50% and 100% PPO Plans
20-PPO 100 5500 Benefit Highlights
21-PPO 100 8000 Benefit Highlights
22-PPO 50 50-50 Benefit Highlights
23-PPO 50 1000 Benefit Highlights

HSA Plans
24-HSA 1700 Benefit Highlights
25-HSA 2500 Benefit Highlights
26-HSA 3500 Benefit Highlights
27-HSA 5500 Benefit Highlights

Sherwood HMO Plans
28-HMO 2000 Benefit Highlights
29-HMO 3000 Benefit Highlights
30-HMO 4000 Benefit Highlights
31-HMO 5000 Benefit Highlights
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

Delta Benefits Guide

2026-2027 Enrollment Year

Delta Dental of Washington
WFB Plan 1 00085 2026-2027
WFB Plan 2 00086 2026-2027
WFB Plan 3 00087 2026-2027
WFB Plan 4 00088 2026-2027
WFB Plan 5 00089 Vol 2026-2027
WFB Plan 6 00097 Vol 2026-2027

Delta Dental of Washington – Plans 1-4 – With Ortho
WFB Plan 1 00085 Ortho 2026-2027
WFB Plan 2 00086 Ortho 2026-2027
WFB Plan 3 00087 Ortho 2026-2027
WFB Plan 4 00088 Ortho 2026-2027


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

Delta Dental of Washington – Plans 1-4 – With Ortho
WFB Plan 1 00085 Ortho 2025-2026
WFB Plan 2 00086 Ortho 2025-2026
WFB Plan 3 00087 Ortho 2025-2026
WFB Plan 4 00088 Ortho 2025-2026

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

WFB Plans 1-4 Optional Orthodontic Benefits

MySmile Paperless Flyer
Preventive Care Flyer
Text Messaging Flyer
EOBs Explained Flyer
Member Discount Program Flyer
Paperless Employer Flyer

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

USAble Life
$10k Life/ADD
$15k Life/ADD
$25k Life/ADD
$50k Life/ADD
Dependent Life

Usable Life – Spanish Translated
$10k Life/ADD SP Translated
$15k Life/ADD SP Translated
$25k Life/ADD SP Translated
$50k Life/ADD SP Translated
Dependent Life SP Translated

Employee Assistance Program (EAP)

First Choice Health
WFB Healthcare EAP Summary
EAP Brochure
EAP BenefitHub Discount Program Flyer
Help Texts Flyer
Talkspace Flyer