As Washington’s source for employee benefits, Business Health Trust (BHT) helps Washington’s business community thrive by providing the high-quality, affordable employee benefits growing companies need to be competitive.
| FORMS LIBRARY |
This section will allow you to access forms including Enrollment Forms, Claim Forms, Administrative Forms, and other forms. Nathan Edmondson at 206-602-3558 or Nathan.Edmondson@advprofessionals.com Tara Reynolds at 253-541-6538 or Tara.Reynolds@advprofessionals.com Raven Mencias at 206-410-7107 or Raven.Mencias@advprofessionals.com |
Approved Census Enrollment Spreadsheet: Download
Last updated 11/11/2025
Enrollment Forms: Industry Specific
(Premera, Kaiser Permanente)
Enrollment Forms: Business Health Trust
(Kaiser Permanente Small Group Medical / BHT Non-Medical)
| Kaiser Permanente AHP - Medical | |
| Enrollment Form | Industry Health Trust |
| Download | Aerospace |
| Download | Healthcare |
| Download | Media |
| Download | Tourism |
| Download | Transportation |
| Premera AHP - Medical | |
| Enrollment Form | Industry Health Trust |
| Download | Agriculture |
| Download | Business Services |
| Download | Community Service Org. |
| Download | Construction |
| Download | End-Line Manufacturing |
| Download | Information Technology |
| Download | Retail |
| Download | Wholesaling |
| Premera Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Service Org. | Download |
| Construction | Download |
| End-Line Manufacturing | Download |
| Healthcare | Download |
| Information Technology | Download |
| Media | Download |
| Retail | Download |
| Tourism | Download |
| Transportation | Download |
| Wholesaling | Download |
| Kaiser Permanente AHP - Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Healthcare | Download |
| Media | Download |
| Tourism | Download |
| Transportation | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Services Org. | Download |
| Information Technology | Download |
| Retail | Download |
| Wholesale | Download |
The enrollment forms for July IHT's are currently pending.
| Premera Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Service Org. | Download |
| Construction | Download |
| End-Line Manufacturing | Download |
| Healthcare | Download |
| Information Technology | Download |
| Media | Download |
| Retail | Download |
| Tourism | Download |
| Transportation | Download |
| Wholesaling | Download |
| Kaiser Permanente AHP - Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Services Org. | Download |
| Healthcare | Download |
| Information Technology | Download |
| Media | Download |
| Retail | Download |
| Tourism | Download |
| Transportation | Download |
| Wholesaling | Download |
| Premera Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Service Org. | Download |
| Construction | Download |
| End-Line Manufacturing | Download |
| Healthcare | Download |
| Information Technology | Download |
| Media | Download |
| Retail | Download |
| Tourism | Download |
| Transportation | Download |
| Wholesaling | Download |
| Kaiser Permanente AHP - Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Services Org. | Download |
| Healthcare | Download |
| Information Technology | Download |
| Media | Download |
| Retail | Download |
| Tourism | Download |
| Transportation | Download |
| Wholesaling | Download |
| Premera Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Service Org. | Download |
| Construction | Download |
| End-Line Manufacturing | Download |
| Healthcare | Download |
| Information Technology | Download |
| Media | Download |
| Retail | Download |
| Tourism | Download |
| Transportation | Download |
| Wholesaling | Download |
| Kaiser Permanente AHP - Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Agriculture | Download |
| Business Services | Download |
| Community Services Org. | Download |
| Healthcare | Download |
| Information Technology | Download |
| Media | Download |
| Retail | Download |
| Tourism | Download |
| Transportation | Download |
| Wholesaling | Download |
| Kaiser Permanente Small Group Medical / BHT Non-Medical | |
| Trust | Enrollment Form |
| Business Health Trust | Download |
| Kaiser Permanente Small Group Medical / BHT Non-Medical | |
| Trust | Enrollment Form |
| Business Health Trust | Download |
2024 Plan Year: Jan. 1, 2024 - Dec. 31, 2024
| Kaiser Permanente Small Group Medical / BHT Non-Medical | |
| Trust | Enrollment Form |
| Business Health Trust | Download |
2023 Plan Year: Jan. 1, 2023 - Dec. 31, 2023
| Kaiser Permanente Small Group Medical / BHT Non-Medical | |
| Trust | Enrollment Form |
| Business Health Trust | Download |
2022 Plan Year: Jan. 1, 2022 - Dec. 31, 2022
| Kaiser Permanente Small Group Medical / BHT Non-Medical | |
| Trust | Enrollment Form |
| Business Health Trust | Download |
Insurance Carrier Forms
|
Medical |
|
Dental |
Life |
Vision |
Other Forms
AIG Beneficiary Designation Form
AIG Personal Accident Enrollment Form
Ameriflex Intake Form
Vimly EFT Authorization Form
Late Submission Form
COBRA Waiver Form
COBRA Administration agreement (Kaiser Permanente plans)
Life/AD&D, EAP and Theft Form
SIMON Access Form
TELUS Health EAP Reimbursement Form
AIG Beneficiary Designation Form
AIG Personal Accident Enrollment Form
Ameriflex Intake Form
Vimly EFT Authorization Form
Late Submission Form
COBRA Waiver Form
COBRA Administration agreement (Kaiser Permanente plans)
Life/AD&D, EAP and Theft Form
SIMON Access Form
TELUS Health EAP Reimbursement Form
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