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.
Please choose a year or industry below to find information for various Trust Forms.

If you have any questions, please contact a BHT Sales Representative:

Nathan Edmondson at 206.602.3558 or 
Nathan.Edmondson@advprofessionals.com

Paul Baker at 206.899.1895 or Paul.Baker@advprofessionals.com
Amanda Weidman at 206.962.3583 or Amanda.Weidman@advprofessionals.com


Approved Census Enrollment Spreadsheet (Download)

 

Enrollment Forms: Industry Specific
(Premera, Kaiser Permanente)

Enrollment Forms: Business Health Trust
(Kaiser Permanente Small Group Medical / BHT Non-Medical)


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

 

  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

2022 Plan Year: Jan. 1, 2022 - Dec. 31, 2022

  Kaiser Permanente Small Group Medical / BHT Non-Medical
Trust Enrollment Form
  Business Health Trust Download

 


2021 Plan Year: Jan. 1, 2021 - Dec. 31, 2021

  Kaiser Permanente Small Group Medical / BHT Non-Medical  
Trust Enrollment Form
  Business Health Trust Download

 


2020 Plan Year: Jan. 1, 2020 - Dec. 31, 2020

  Kaiser Permanente Small Group Medical / BHT Non-Medical  
Trust Enrollment Form
  Business Health Trust Download

 

 

2019 Plan Year: Jan. 1, 2019 - Dec. 31, 2019

  Kaiser Permanente Small Group Medical / BHT Non-Medical  
Trust Enrollment Form
  Business Health Trust Download

 

 

Insurance Carrier Forms

 

Other Forms

 

 

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