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PEBB contracted health plans

Plan name and address Tax ID
2011 - 2018
DeltaCare 
(administered by DeltaDental of Washington)
P. O. Box 75688
Seattle, WA 98125-0688
91-0621480
Kaiser WA Classic, Value, SoundChoice, and Medicare
601 Union St, Suite 3100
Seattle, WA 98101-1374
91-0511770
Kaiser WA CDHP
601 Union St, Suite 3100
Seattle, WA 98101-1374
91-1467158
Kaiser Permanente NW Classic, CDHP, and Medicare
500 NE Multnomah St. Suite 100
Portland, OR 97232-2099
93-0798039
Premera Blue Cross
7001 – 220th St. SW
Mountlake Terrace, WA 98043
91-0499247
Uniform Medical Plan (Classic, CDHP, UMP Plus and Medicare)
(administered by Regence Blue Shield)
P. O. Box 2998
Seattle, WA 98401-2998

91-0282080

Plan name and address Tax ID
2008 - 2010
Aetna Public Employee's Plan
1400 One Union Square
600 University St.
Seattle, WA 98101

91-1315815

Kaiser Permanente (Value)
500 NE Multnomah St. Suite 100
Portland, OR 97232-2099
93-0798039
Uniform Medical Plan
P. O. Box 34850
Seattle, WA 98124-1850
91-1412780
Plan name and address Tax ID
2007 and Prior
Aetna U.S. HealthCare of Washington, Inc.
(formerly NylCare)
600 University Street
Suite 1400
Seattle, WA 98101-1158

91-1662406

Aetna U.S. Healthcare, Inc.
(formerly Virginia Mason Health Plan)
601 Union Suite 800 Two Union Square
P.O. Box 91032
Seattle, WA 98111-9132
91-1315815
Group Health Options
320 Westlake Avenue N, Suite 100
Seattle, WA 98109-5233
91-1467158
Kitsap Physicians Service
400 Warren Avenue
P.O. Box 339
Bremerton, WA 98337
91-0540525
Northwest Washington Medical Bureau
(merged with Regence Blue Shield)
333 Gilkey Road
Burlington, WA 98233-2823
91-0365690
PacifiCare of Washington, Inc.
7525 SW 24th Street
Mercer Island, WA 98040
97-1312551
Premera HealthPlus
P. O. Box 327
Mailstop 215
Seattle, WA 98111-0327
91-0499247
Premera HealthPlus
(merged with Premera Blue Cross)
7001 – 220th Street SW
Mountlake Terrace, WA 98043
91-1135721
Providence Health Plans
(formerly SelectCare)
1338 Commerce, #300
P.O. Box 370
Longview, WA 98632
93-0835456
QualMed Health Plan
2331 130th Avenue NE, Suite 200
P.O. 3387
Bellevue, WA 98009-3387
91-1584790

Regence Classic
1800 Ninth Avenue
Seattle, WA 98101-1322

91-1135721

Regence BlueShield Columbia Dental
1800 Ninth Avenue
P.O. Box 21267
Seattle, WA 98111-3267

91-0282080