Forms & publications

This form is to report to Regence if an injury or illness may be covered under a third party. You may need to use this form even if the incident is not subject to third party coverage.

This document is the Medical Preferred Drug List (PDL) for the Uniform Medical Plan (UMP). It lists prescription drugs covered by UMP under the medical benefit administered by Regence. This list applies to both PEBB and SEBB.

This form is to notify Regence that you have additional coverage under another medical plan.

This document lists wellness programs offered by the Uniform Medical Plan (UMP) in 2025. UMP medical benefits are administered by Regence BlueShield.

This is the Regence BlueShield fee schedule for providers.

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 2025, including what you'll pay for drugs. UMP prescription drug benefits are administered by ArrayRx.

Teladoc Health Mental Health is a self-guided health and resiliency online tool for UMP members age 13 and older. This Regence brochure explains how to sign up for the Teladoc Health Mental Health tool.

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2025 for School Employees Benefits Board (SEBB) Program members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by ArrayRx.

This document lists the 2024 and 2025 monthly premiums for Uniform Medical Plan (UMP) for School Employees Benefits Board (SEBB) Program members. UMP is administered by Regence BlueShield and ArrayRx under contract with the Washington State Health Care Authority.

This newsletter contains important information for Uniform Medical Plan (UMP) School Employees Benefits Board (SEBB) program members about benefit changes and new resources for 2025.