Forms & publications

UMP Select (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2022

This document puts your health plan benefits for UMP Select in a standardized format to help you compare different plans. It includes common services, deductibles, normal cost shares such as copays, coinsurance, and out-of-pocket limits. It also tells you about limits to specific benefits, like a visit or dollar limit for certain services. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP Select (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2023

This document puts your health plan benefits for UMP Select in a standardized format to help you compare different plans. It includes common services, deductibles, and normal cost shares such as coinsurance and out-of-pocket limits. It also tells you about limits to specific benefits, like a visit or dollar limit for certain services. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

UMP Select (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2024

This document puts your health plan benefits for UMP Select in a standardized format to help you compare different plans. It includes common services, deductibles, and normal cost shares such as coinsurance and out-of-pocket limits. It also tells you about limits to specific benefits, like a visit or dollar limit for certain services. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

UMP Select (PEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP Select (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services (WSRxS) under contract with the Washington State Health Care Authority.

UMP Select (PEBB) Certificate of Coverage (COC) 2023

This book describes what is covered under UMP Select (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services (WSRxS) under contract with the Washington State Health Care Authority.

UMP Select (PEBB) Certificate of Coverage (COC) 2024

This book describes what is covered under UMP Select (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services (WSRxS) under contract with the Washington State Health Care Authority.

Uniform Dental Plan (PEBB) Certificate of Coverage (COC) 2024

This benefits book describes what is covered under Uniform Dental Plan, including dental services as well as specific services not covered by the plan, finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal and how to submit a claim.

Uniform Dental Plan (SEBB) Certificate of Coverage (COC) 2024

This benefits book describes what is covered under Uniform Dental Plan, including dental services as well as specific services not covered by the plan, finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. It also includes how to request an appeal and how to submit a claim.

UnitedHealthcare PEBB Balance Evidence of Coverage (EOC) 2024

This booklet gives you the details about your Medicare health care coverage from your UnitedHealthcare PEBB Balance (MAPD). It explains how to get coverage for the health care services you need. This is an important legal document.