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.


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 the Trust Program Manager, Nathan Edmondson at 206-602-3558 or

Click here for 2017/2018 Forms Library >

Approved Census Enrollment Form (Vimly)

  • Census Import - Template Industry Health Trust (Download)
  • Census Import - Template Kaiser Permanente and Non-Medical (Download)


2019 Industry Specific Enrollment Forms

2019 BHT Enrollment Forms

  Premera Medical  
Industry Health Trust Enrollment Form
  Agriculture Download
  Business Services Download
  Community Service Organization Download
  Construction Download
  End-Line Manufacturing Download
  Information Technology Download
  Retail Download
  Wholesaling Download


  Premera Medical  
Industry Health Trust Enrollment Form
  Aerospace Download
  Healthcare Download
  Media Download
  Tourism Download
  Transportation Download


  Kaiser Permanente and Non-Medical  
Trust Enrollment Form
  Business Health Trust Download



2019 Insurance Carrier Forms


Other Forms



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