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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PLAN SUMMARIES |
This page contains the Summary of Benefits and Coverage (SBC), Summary Plan Description (SPD), and booklets for all plans offered by the various Industry Trusts through Business Health Trust. If you have any questions, please contact the Trust Program Managers: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 |
- These documents are provided to assist employers in fulfilling their obligations to provide employees with SBC's within the time frame and circumstances required by the Affordable Care Act.
- The SBC is a standardized description of the benefits and coverage available under the group health plan. SBC's and Glossary of Health Coverage and Medical Terms must be provided to all participants and beneficiaries on or after September 23, 2013.
Premera Blue Cross Medical Plans
2020 Plan Year: January 1, 2020 - December 31, 2020
8 Industry Health Trusts: Agriculture, Business Services, Community Service Org., Construction, End-Line Manufacturing, Information Technology, Retail, and Wholesaling
Side by Side Comparison and Dual Choice Matrix
| 2020 Premera Blue Cross Side by Side Comparison – Sterling |
| 2020 Premera Blue Cross Side by Side Comparison – Titanium and HSA |
| 2020 Premera Blue Cross Dual Choice Matrix |
| Sterling Plans | SBC's | Benefit Highlights | |
| Premera Sterling $250 | SBC | Heritage | Heritage Prime |
| Premera Sterling $500 | SBC | Heritage | Heritage Prime |
| Premera Sterling $750 | SBC | Heritage | Heritage Prime |
| Premera Sterling $1000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $1500 | SBC | Heritage | Heritage Prime |
| Premera Sterling $2000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $2500 | SBC | Heritage | Heritage Prime |
| Premera Sterling $3000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $4000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $5000 | SBC | Heritage | Heritage Prime |
| Titanium Plans | SBC's | Benefit Highlights | |
| Premera Titanium $200 | SBC | Heritage | Heritage Prime |
| Premera Titanium $350 | SBC | Heritage | Heritage Prime |
| Premera Titanium $500 | SBC | Heritage | Heritage Prime |
| HSA Plans | SBC's | Benefit Highlights | |
| Premera HSA $1500 | SBC | Heritage | Heritage Prime |
| Premera HSA $2500 | SBC | Heritage | Heritage Prime |
| Premera HSA $3500 | SBC | Heritage | Heritage Prime |
| Premera HSA $5000 | SBC | Heritage | Heritage Prime |
2020-2021 Plan Year: July 1, 2020 - June 30, 2021
5 Industry Health Trusts: Aerospace, Healthcare, Media, Tourism and Transportation
Side by Side Comparison and Dual Choice Matrix
| 2020 July Premera Blue Cross Side by Side Comparison – Sterling |
| 2020 July Premera Blue Cross Side by Side Comparison – Titanium and HSA |
| 2020 July Premera Blue Cross Dual Choice Matrix |
| Sterling Plans | SBC's | Benefit Highlights | |
| Premera Sterling $250 | SBC | Heritage | Heritage Prime |
| Premera Sterling $500 | SBC | Heritage | Heritage Prime |
| Premera Sterling $750 | SBC | Heritage | Heritage Prime |
| Premera Sterling $1000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $1500 | SBC | Heritage | Heritage Prime |
| Premera Sterling $2000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $2500 | SBC | Heritage | Heritage Prime |
| Premera Sterling $3000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $4000 | SBC | Heritage | Heritage Prime |
| Premera Sterling $5000 | SBC | Heritage | Heritage Prime |
| Titanium Plans | SBC's | Benefit Highlights | |
| Premera Titanium $200 | SBC | Heritage | Heritage Prime |
| Premera Titanium $350 | SBC | Heritage | Heritage Prime |
| Premera Titanium $500 | SBC | Heritage | Heritage Prime |
| HSA Plans | SBC's | Benefit Highlights | |
| Premera HSA $1500 | SBC | Heritage | Heritage Prime |
| Premera HSA $2500 | SBC | Heritage | Heritage Prime |
| Premera HSA $3500 | SBC | Heritage | Heritage Prime |
| Premera HSA $5000 | SBC | Heritage | Heritage Prime |
Kaiser Permanente Medical Plans (AHP)
2020 Plan Year: January 1, 2020 - December 31, 2020
5 Industry Health Trusts: Aerospace, Healthcare, Media, Tourism, and Transportation
2020-2021 Plan Year: July 1, 2020 - June 30, 2021
6 Industry Health Trusts: Agriculture, Business Services, Community Services Org., Information Technology, Retail, and Wholesaling
Side by Side Comparison and Dual Choice Matrix
(Download) 2020-2021 KP AHP Side by Side Comparison(Download) 2019-2020 KP AHP Side by Side Comparison
(Download) 2020 KP AHP Dual Choice Matrix
| Aerospace | Healthcare | Media | Tourism | Transportation | ||||||
| SBC | Benefit Highlight |
SBC | Benefit Highlight |
SBC | Benefit Highlight |
SBC | Benefit Highlight |
SBC | Benefit Highlight |
|
| $200 HMO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $500 HMO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $750 HMO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $1,000 HMO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $2,000 HMO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $3,000 HMO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $5,000 HMO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $2,500 HMO HSA | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $4,500 HMO HSA | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $200 PPO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $500 PPO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $750 PPO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $1,000 PPO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $2,000 PPO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $3,000 PPO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $5,000 PPO | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $2,500 PPO HSA | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
| $4,500 PPO HSA | Click | Click | Click | Click | Click | Click | Click | Click | Click | Click |
Side by Side Comparison and Dual Choice Matrix
(Download) 2020-2021 KP AHP Side by Side Comparison(Download) 2019-2020 KP AHP Side by Side Comparison
(Download) 2020 KP AHP Dual Choice Matrix
Kaiser Permanente Medical Plans (Small Group/Community Rated)
2020 Plan Year: January 1, 2020 - December 31, 2020
(BHT Small Group / Community Rated)
2020 Plan Year: January 1, 2020 - December 31, 2020
Side by Side Comparison
| Kaiser Permanente Side by Side Comparison |
Kaiser Permanente Medical Plans
| Platinum Plan | Core VisitsPlus Platinum LX | SBC | Summary | Booklet |
| Platinum Plan | Access PPO VisitsPlus Platinum LX | SBC | Summary | Booklet |
| Platinum Plan | Elect PPO VisitsPlus Platinum LX | SBC | Summary | Booklet |
| Gold Plan | Core Gold | SBC | Summary | Booklet |
| Gold Plan | Core VisitsPlus Gold LX | SBC | Summary | Booklet |
| Gold Plan | Core VisitsPlus Gold LX - EO | SBC | Summary | Booklet |
| Gold Plan | Access PPO VisitsPlus Gold LX | SBC | Summary | Booklet |
| Gold Plan | Access PPO VisitsPlus Gold - HD LX | SBC | Summary | Booklet |
| Gold Plan | Core VisitsPlus Gold HD - LX | SBC | Summary | Booklet |
| Gold Plan | Elect PPO VisitsPlus Gold LX | SBC | Summary | Booklet |
| Silver Plan | Core Silver | SBC | Summary | Booklet |
| Silver Plan | Core Silver HSA | SBC | Summary | Booklet |
| Silver Plan | Core VisitsPlus Silver LX | SBC | Summary | Booklet |
| Silver Plan | Core VisitsPlus Silver LX - EO | SBC | Summary | Booklet |
| Silver Plan | Access PPO Silver HSA | SBC | Summary | Booklet |
| Silver Plan | Access PPO VisitsPlus Silver LX - EO | SBC | Summary | Booklet |
| Silver Plan | Access PPO VisitsPlus Silver LX | SBC | Summary | Booklet |
| Silver Plan | Access PPO VisitsPlus Silver LD LX | SBC | Summary | Booklet |
| Silver Plan | Elect PPO VisitsPlus Silver LX | SBC | Summary | Booklet |
| Bronze Plan | Core Bronze HSA | SBC | Summary | Booklet |
| Bronze Plan | Access PPO Bronze HSA | SBC | Summary | Booklet |
EO = employee only
HD = High Deductible
LX = Lab & X-ray
*SBC = Summaries of Benefits and Coverage
Non-Medical Plans
2020 Plan Year: January 1, 2020 - December 31, 2020
2020 Plan Year: January 1, 2020 - December 31, 2020
| Dental Plans | Summaries | Booklets |
| Delta Dental Side by Side Comparison | Download | |
| Delta Dental Plan 1 | Download | Download |
| Delta Dental Plan 2 | Download | Download |
| Delta Dental Plan 3 | Download | Download |
| Delta Dental Plan 4 | Download | Download |
| Delta Dental Plan 5 | Download | Download |
| Delta Dental Plan 6 | Download | Download |
| Delta Dental Plan 7 | Download | Download |
| Delta Dental Ortho Option - Child(ren) | Download | Download |
| Delta Dental Ortho Option - Family | Download | Download |
2020 Plan Year: January 1, 2020 - December 31, 2020
| LifeMap Basic Life and AD&D Plans | Summary | Booklet |
| Basic Life and AD&D Insurance Plan A: $15,000 | Download | Download |
| Basic Life and AD&D Insurance Plan B: $50,000 | Download | Download |
| Basic Life and AD&D Insurance Plan C: 1x Salary up to $100,000 | Download | Download |
| Basic Life and AD&D Insurance Plan D: 2x Salary up to $200,000 | Download | Download |
| LifeMap Voluntary Life Plans | Summary | |
| Voluntary Life (for Employers with 5 or More Employees) | Download | |
| If Voluntary Life is Elected | Booklet | |
| Basic Life and AD&D Insurance Plan A: $15,000 | Download | |
| Basic Life and AD&D Insurance Plan B: $50,000 | Download | |
| Basic Life and AD&D Insurance Plan C: 1x Salary up to $100,000 | Download | |
| Basic Life and AD&D Insurance Plan D: 2x Salary up to $200,000 | Download | |
| Long Term Disability Plans | Summary | Booklet |
| LTD Insurance Plan A: 90 Days - 60% - $3,000 | Download | Download |
| LTD Insurance Plan B: 180 Days - 60% - $3,000 | Download | Download |
| LTD Insurance Plan C: 90 Days - 60% - $6,000 | Download | Download |
| LTD Insurance Plan D: 180 Days - 60% - $6,000 | Download | Download |
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