Forms & publications

UMP (SEBB) (Regence) What’s new for 2022

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2022 for School Employees Benefits Board (SEBB) members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

UMP (SEBB) (Regence) What’s new for 2023

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2023 for School Employees Benefits Board (SEBB) Program members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

UMP (SEBB) (WSRxS) Prescription drug benefits comparison for 2022

This is a summary of how prescription drug benefits work for UMP Achieve 1, UMP Achieve 2, UMP High Deductible, and UMP Plus for benefit year 2022, including what you'll pay for drugs and a partial list of network pharmacies. UMP prescription drug benefits are administered by Washington State Rx Services (WSRxS).

UMP (SEBB) (WSRxS) Prescription drug benefits comparison for 2023

This is a summary of how prescription drug benefits work for UMP Achieve 1, UMP Achieve 2, UMP High Deductible, and UMP Plus (SEBB) for benefit year 2023, including what you'll pay for drugs. UMP prescription drug benefits are administered by Washington State Rx Services (WSRxS).

UMP (SEBB) monthly premiums comparison 2021-2022

This document lists the 2021 and 2022 monthly premiums for Uniform Medical Plan (UMP) for School Employees Benefits Board (SEBB) Program members. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP (SEBB) monthly premiums comparison 2022-2023

This document lists the 2022 and 2023 monthly premiums for Uniform Medical Plan (UMP) for School Employees Benefits Board (SEBB) Program members. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP (SEBB) newsletter 2022

This newsletter contains important information for Uniform Medical Plan (UMP) members (SEBB) about benefit changes and new resources for 2022.

UMP (SEBB) Newsletter 2023

This newsletter contains important information for Uniform Medical Plan (UMP) School Employees Benefits Board (SEBB) program members about benefit changes and new resources for 2023.

UMP (WSRxS) Authorization for release of information

This form directs Washington State Rx Services (WSRxS) to communicate with you about your personal health information at the address you select. This form does not apply to your health care provider. You must give your provider separate, specific instruction about what health information they may share and with whom.

UMP (WSRxS) Chronic opioid attestation form

This Uniform Medical Plan (UMP) form is for provider use. Use of opioids for more than 42 days may be authorized in 12 month intervals when the prescriber signs this attestation form. If a prescriber wants an attestation to be authorized for less than 12 months, the prescriber can include a specific end date on the form. Washington State Rx Services (WSRxS) created this form.