Open Enrollment Options

2009-10 Open Enrollment Health Benefits Fair
Monday, August 31, 2009
2:00-6:00 pm
Kulshan Middle School Commons

Benefits Information 2009-2010

This page will help you learn more about your benefits, review highlights of the available plans and make selections that fit you and your family’s needs.

Review the Summary of Health and Welfare Benefit Plans brochure, Summary of Benefits, and Benefit Allocation & Costs for your bargaining group below. BASE, SEIU (Food Service) and Teamster groups also have charts with the benefit dollars generated by hours worked per day.

If you wish to remain on your current plan, you do not need to take any action. You will automatically continue on the same plan for 2009-2010. If you want to change plans or covered dependents, you must print out, complete and submit an enrollment form, which is available below.

Completed enrollment forms must be returned to the Human Resources office by noon on Friday, September 4, 2009. Enrollment and plan changes are effective on October 1, 2009.

District Brochure:

Summary of Health and Welfare Benefits Plans

Bargaining Groups—Benefit & Out of Pocket Costs:

Compare Medical Plans:

• Major Changes for 2009-2010
• Regence Medical Benefit Plan Comparisons

Summary of Medical Plans:

• Group Health Traditional Plan
• Group Health Deductible Plan
• Premera Blue Cross PPO 1
• Premera Blue Cross PPO 2
• Regence Blue Shield Modified Co-Pay Plan
• Regence Blue Shield High Option Plan
• Regence Blue Shield Engage 80 Plan
• Regence Blue Shield Innova 500

Enrollment Forms:

• Medical Selection Form
• Group Health Enrollment Form
• Premera Blue Cross Enrollment Form
• Regence Blue Shield Enrollment Form
• Willamette Dental
• Washington Dental

For other benefit questions or enrollment forms:

• KKullas@bham.wednet.edu or leave a message at 676-6503
• MHolmgre@bham.wednet.edu or leave a message at 676-6478