Pam Golden, Benefits Specialist, 206.988.7217

 

Retiree Health Insurance

Per RCW 41.05.011, all district employees are eligible for Public Employees Benefits Board (PEBB) retiree medical insurance coverage.  PEBB has developed a Checklist to help you successfully apply and receive this valuable benefit.  There are strict requirements in the application process including that employees must apply within 60 days of loss of employer or COBRA insurance.  This and other requirements are described in the Checklist which is available at http://www.pebb.hca.wa.gov/retthinking.html

 
Benefit Fair, Friday, August 23, 2013, 11 am - 3 pm, ERAC Boardroom
Benefit Summary Booklet for 2012-13​
Notice of Pooling Change October 31, 2012​
Medical Rates and Employer Contribution Table for 2012-13 With Pooling​
  
Important Open Enrollment Dates for Benefits

Open Enrollment:  August 26, 2013 through September 30, 2013.
(Better to apply sooner than later to receive your new insurance cards in a
timely manner during this peak season.)
 
Coverage for all open enrollment changes will be effective November 1, 2013.
·         Insurance applications (Regence Blue Shield, Group Health Cooperative, United Concordia Dental and optional insurance plans) are to be turned into the Human Resources.
·         All changes to the WEA Select Premera Blue Cross medical plans or WEA Select Willamette Dental plan must be requested online only.  Visit Your Benefit Resources (YBR):  http://resources.hewitt.com/wea.             
 

 
Medical Plans  
 
Group Health Cooperative Enrollment and Change Form
Premera WEA Select Enrollment/Change Instructions and Williamette Dental    (HEA Only)
Regence Blue Shield Enrollment and Change Form (All Other Employee Groups)
Regence Group Portfolio
Voluntary Short-Term Disability Insurance ​
Voluntary Long-Term Disability Insurance​

  

Dental and Vision Plans ​

NBN Vision Claim Form
United Concordia Enrollment & Change Form (dental)
Williamette Enrollment and Change Online Instructions

 

Flexible Spending ​​

Flexible Spending Enrollment Information for 2013

Flexible Spending Enrollment Form for 2013​
Flexible Spending Claim Form for 2013​
Flexible ​Spending Arrangement Claim Form for 2012

 

 Forms 

Declaration of Domestic Partnership for Health Insurance
Short Term Disability Claim Form
VEBA Enrollment Kit​
VEBA Claim Form
Voluntary Short Term Disability Enrollment