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.
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FORMS LIBRARY |
This section will allow you to access forms including Enrollment Forms, Claim Forms, Administrative Forms, and other forms. Nathan Edmondson at 206.602.3558or Nathan.Edmondson@advprofessionals.com Tara Reynolds at 253-541-6538 or Tara.Reynolds@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 January IHT's are currently pending.
| Premera Medical | |
| Industry Health Trust | Enrollment Form |
| Agriculture | Download |
| Business Services | Download |
| Community Service Org. | Download |
| Construction | Download |
| End-Line Manufacturing | Download |
| Information Technology | Download |
| Retail | Download |
| Wholesaling | Download |
| Kaiser Permanente AHP - Medical | |
| Industry Health Trust | Enrollment Form |
| Aerospace | Download |
| Healthcare | Download |
| Media | Download |
| Tourism | Download |
| Transportation | 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 |
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
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Medical |
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Life |
Vision |
Other Forms
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