Forms & publications

UMP (PEBB) (Regence) What's new for 2024

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2024 for Public Employees Benefits Board (PEBB) Program members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

UMP (PEBB) (WSRxS) Prescription drug benefits comparison for 2024

This is a summary of how prescription drug benefits work for Uniform Medical Plan (UMP) Classic, UMP Select, UMP CDHP, and UMP Plus (PEBB) for benefit year 2024, including what you'll pay for drugs. UMP prescription drug benefits are administered by Washington State Rx Services (WSRxS).

UMP (PEBB) monthly premiums comparison 2023-2024

This document lists the 2023 and 2024 monthly premiums for Uniform Medical Plan (UMP) members who are employees and retirees. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP (PEBB) Vision Service Plan Brochure 2024

This is a summary of how vision benefits work for UMP Classic, UMP Select, UMP CDHP, and UMP Plus (PEBB) for benefit year 2024, including what you'll pay for services and supplies and how to find providers. UMP vision benefits are administered by Vision Service Plan (VSP).

UMP (PPS) Prescription drug mail-order form

This form is to order prescription drugs from the UMP network mail-order pharmacy, Postal Prescription Services (PPS), which is a member of Washington State Rx Services (WSRxS).

UMP (Regence) Medical appeals and grievance form

This form may be included in an appeal or complaint, but is not required. It helps the member include all the necessary information for an appeal or complaint, and it includes the address and fax number where they should be submitted.