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.

PLAN SUMMARIES
& BOOKLETS

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.

 

> Click Here for 2021 Documents

 


Premera Blue Cross Medical Plans

2022 Plan Year: January 1, 2022 - December 31, 2022
8 Industry Health Trusts: Agriculture, Business Services, Community Service Org., Construction, End-Line Manufacturing, Information Technology, Retail, and Wholesaling


 

2022-2023 Plan Year: July 1, 2022 - June 30, 2023
5 Industry Health Trusts: Aerospace, Healthcare, Media, Tourism and Transportation



 

Side by Side Comparison and Dual Choice Matrix

Download   Premera Blue Cross: 2022 Side by Side Comparison
Download   Premera Blue Cross: 2022 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
 
Peak Care Plans SBC's Benefit Highlights
Premera Peak Care 300 SBC - Heritage Prime
Premera Peak Care 500 SBC - Heritage Prime
 
Premera Now Plans SBC's Benefit Highlights
Premera Now 1000 SBC - Heritage Prime
Premera Now 3000 SBC - Heritage Prime
Premera Now 5000 SBC - Heritage Prime


 

Side by Side Comparison and Dual Choice Matrix

Download   Premera Blue Cross: 2022 Side by Side Comparison
Download   Premera Blue Cross: 2022 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
 
Premera NOW Plans SBC's Benefit Highlights
Premera NOW $1000 SBC N/A Heritage Prime
Premera NOW $3000 SBC N/A Heritage Prime
Premera NOW $5000 SBC N/A Heritage Prime
 
Peak Care Plans SBC's Benefit Highlights
Peak Care $300 SBC Tahoma
Peak Care $500 SBC Tahoma

 


Kaiser Permanente Medical Plans (AHP)

2022 Plan Year: January 1, 2022 - December 31, 2022
5 Industry Health Trusts: Aerospace, Healthcare, Media, Tourism, and Transportation


*[Download] Nondiscrimination Notice and Taglines (applicable to all Industry Health Trusts)


 

2022-2023 Plan Year: July 1, 2022 - June 30, 2023
6 Industry Health Trusts: Agriculture, Business Services, Community Services Org., Information Technology, Retail, and Wholesaling

 

Side by Side Comparison and Dual Choice Matrix

(Download) 2022-2023 KP AHP Side by Side Comparison
(Download) 2022 KP AHP Multi Plan 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
$500 HMO Virtual Plus Click Click Click Click Click Click Click Click Click Click
$1,000 HMO Virtual Plus Click Click Click Click Click Click Click Click Click Click
$3,000 HMO Virtual Plus Click Click Click Click Click Click Click Click Click Click
$5,000 HMO Virtual Plus 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
$500 Summit PPO Click Click Click Click Click Click Click Click Click Click
$1,000 Summit PPO Click Click Click Click Click Click Click Click Click Click
$3,000 Summit PPO Click Click Click Click Click Click Click Click Click Click

 

Side by Side Comparison and Dual Choice Matrix

(Download) 2022-2023 KP AHP Side by Side Comparison
(Download) 2022-2023 KP AHP Multi Plan Matrix
  Agriculture Business
Services		 Community
Services		 Information
Technology		 Retail Wholesaling
  SBC Benefit
Highlight		 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 Click Click
$500 HMO Click Click Click Click Click Click Click Click Click Click Click Click
$750 HMO Click Click Click Click Click Click Click Click Click Click Click Click
$1,000 HMO Click Click Click Click Click Click Click Click Click Click Click Click
$2,000 HMO Click Click Click Click Click Click Click Click Click Click Click Click
$3,000 HMO Click Click Click Click Click Click Click Click Click Click Click Click
$5,000 HMO Click Click Click Click Click Click Click Click Click Click Click Click
$2,500 HMO HSA Click Click Click Click Click Click Click Click Click Click Click Click
$4,500 HMO HSA Click Click Click Click Click Click Click Click Click Click Click Click
$500 HMO Virtual Plus Click Click Click Click Click Click Click Click Click Click Click Click
$1,000 HMO Virtual Plus Click Click Click Click Click Click Click Click Click Click Click Click
$3,000 HMO Virtual Plus Click Click Click Click Click Click Click Click Click Click Click Click
$5,000 HMO Virtual Plus Click Click Click Click Click Click Click Click Click Click Click Click
$200 PPO Click Click Click Click Click Click Click Click Click Click Click Click
$500 PPO Click Click Click Click Click Click Click Click Click Click Click Click
$750 PPO Click Click Click Click Click Click Click Click Click Click Click Click
$1,000 PPO Click Click Click Click Click Click Click Click Click Click Click Click
$2,000 PPO Click Click Click Click Click Click Click Click Click Click Click Click
$3,000 PPO Click Click Click Click Click Click Click Click Click Click Click Click
$5,000 PPO Click Click Click Click Click Click Click Click Click Click Click Click
$2,500 PPO HSA Click Click Click Click Click Click Click Click Click Click Click Click
$4,500 PPO HSA Click Click Click Click Click Click Click Click Click Click Click Click
$500 Summit PPO Click Click Click Click Click Click Click Click Click Click Click Click
$1,000 Summit PPO Click Click Click Click Click Click Click Click Click Click Click Click
$3,000 Summit PPO Click Click Click Click Click Click Click Click Click Click Click Click


Kaiser Permanente Medical Plans (Small Group/Community Rated)

2022 Plan Year: January 1, 2022 - December 31, 2022

(BHT Small Group / Community Rated)

2022 Plan Year: January 1, 2022 - December 31, 2022

Kaiser Permanente: Side by Side Comparison

 

Kaiser Permanente Medical Plans

  Access PPO Bronze HSA  SBC Summary Booklet (EOC)
  Access PPO Silver HSA SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Gold HD LX SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Gold LX SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Platinum HD LX SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Platinum LX SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Silver HD SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Silver LD LX SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Silver LX SBC Summary Booklet (EOC)
  Access PPO VisitsPlus Silver LX - EO SBC Summary Booklet (EOC)
  Connect Virtual Plus Gold SBC Summary Booklet (EOC)
  Connect Virtual Plus Silver SBC Summary Booklet (EOC)
  Core Bronze HSA SBC Summary Booklet (EOC)
  Core Silver SBC Summary Booklet (EOC)
  Core Silver HSA SBC Summary Booklet (EOC)
  Core VisitsPlus Gold HD LX SBC Summary Booklet (EOC)
  Core VisitsPlus Gold LX SBC Summary Booklet (EOC)
  Core VisitsPlus Gold LX - EO SBC Summary Booklet (EOC)
  Core VisitsPlus Platinum LX SBC Summary Booklet (EOC)
  Core VisitsPlus Silver LX SBC Summary Booklet (EOC)
  Core VisitsPlus Silver LX - EO SBC Summary Booklet (EOC)

EO = employee only
HD = High Deductible
LX = Lab & X-ray

*SBC = Summaries of Benefits and Coverage
*EOC = Evidence of Coverage

 


Non-Medical Plans

2022 Plan Year: January 1, 2022 - December 31, 2022


2022 Plan Year: January 1, 2022 - December 31, 2022

 

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

 

 


2022 Plan Year: January 1, 2022 - December 31, 2022

 

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 Plan Summary Booklet
  Voluntary Life (for Employers with 5 or More Employees) Download 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

 


2022 Plan Year: January 1, 2022 - December 31, 2022

 

Vision Plans Summaries Booklets
  VSP Side by Side Comparison Download
  VSP Choice Plan A Download Download
  VSP Choice Plan B Download Download
  VSP Choice Plan C Download Download

 


2022 Plan Year: January 1, 2022 - December 31, 2022

 

  Wellspring EAP Benefit Flyer - 3 Visits Download
  Wellspring EAP Benefit Flyer - 6 Visits Download
  AIG Personal Accident Insurance Summary Download

 

 

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