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PLAN SUMMARIES |
This page contains the Summary of Benefits and Coverages (SBCs), Summary Plan Descriptions (SPDs) and booklets for all plans offered by the various Industry Trusts through Omnitrade. If you have any questions, please contact Omnitrade Sales: |
- 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.
CleanTech Alliance
16 medical plans are offered with 16 Preferred Provider Plans (PPO) and 3 Health Savings Plans (HSA) underwritten by Premera Blue Cross.
- Dual Choice Matrix (Download)
- Premera Blue Cross Medical Side by Side Comparison
- Medical Plan Summary Plan Descriptions (SPD) (Download)
| Medical Plan | SBC | Heritage | Heritage Prime | ||
| Booklet | Summary | Booklet | Summary | ||
| Sustainable 200 | Click | Click | Click | Click | Click |
| Sustainable 250 | Click | Click | Click | Click | Click |
| Sustainable 300 | Click | Click | Click | Click | Click |
| Sustainable 500 | Click | Click | Click | Click | Click |
| Sustainable 750 | Click | Click | Click | Click | Click |
| Sustainable 1000 | Click | Click | Click | Click | Click |
| Sustainable 1500 | Click | Click | Click | Click | Click |
| Sustainable 2000 | Click | Click | Click | Click | Click |
| Sustainable 2500 | Click | Click | Click | Click | Click |
| Sustainable 3000 | Click | Click | Click | Click | Click |
| Sustainable 5000 | Click | Click | Click | Click | Click |
| Durable 500 | Click | Click | Click | Click | Click |
| Durable 1500 | Click | Click | Click | Click | Click |
| Durable 3500 | Click | Click | Click | Click | Click |
| Durable 6000 | Click | Click | Click | Click | Click |
| Durable 8000 | Click | Click | Click | Click | Click |
| Medical Plan HSA $2000 | Click | Click | Click | Click | Click |
| Medical Plan HSA $3000 | Click | Click | Click | Click | Click |
| Medical Plan HSA $5000 | Click | Click | Click | Click | Click |
- SBC = Summary of Benefits Covered
Life Science Washington
15 medical plans with 12 Preferred Provider Plans (PPO) and 3 Health Savings Plans (HSA) underwritten by Premera Blue Cross.
- Dual Choice Matrix (Download)
- Premera Blue Cross Medical Side by Side Comparison
- Medical Plan Summary Plan Descriptions (SPD) (Download)
| Medical Plan | SBC | Heritage | Heritage Prime | ||
| Booklet | Summary | Booklet | Summary | ||
| Medical Plan A | Click | Click | Click | Click | Click |
| Medical Plan B | Click | Click | Click | Click | Click |
| Medical Plan C | Click | Click | Click | Click | Click |
| Medical Plan D | Click | Click | Click | Click | Click |
| Medical Plan E | Click | Click | Click | Click | Click |
| Medical Plan F | Click | Click | Click | Click | Click |
| Medical Plan G | Click | Click | Click | Click | Click |
| Medical Plan H | Click | Click | Click | Click | Click |
| Medical Plan I | Click | Click | Click | Click | Click |
| Medical Plan J | Click | Click | Click | Click | Click |
| Medical Plan K | Click | Click | Click | Click | Click |
| Medical Plan L | Click | Click | Click | Click | Click |
| Medical Plan HSA $2000 | Click | Click | Click | Click | Click |
| Medical Plan HSA $3000 | Click | Click | Click | Click | Click |
| Medical Plan HSA $5000 | Click | Click | Click | Click | Click |
- SBC = Summary of Benefits Covered
Delta Dental of Washington underwrites the dental plan offerings for Omnitrade. PPO plans are offered with optional orthodontia riders for groups over 10.
2021 Plan Year: January 1, 2021 - December 31, 2021
| Delta Dental of Washington Side by Side | Download | |
| Delta Dental of Washington - Plan A | Summaries | Booklets |
| Delta Dental of Washington - Plan B | Summaries | Booklets |
| Delta Dental of Washington - Plan C | Summaries | Booklets |
| Delta Dental of Washington - Plan D | Summaries | Booklets |
| Delta Dental of Washington - Plan E | Summaries | Booklets |
| Delta Dental of Washington - Plan F | Summaries | Booklets |
| Delta Dental of Washington - Plan G | Summaries | Booklets |
| Delta Dental of WA - Child Orthodontia Rider - Option 1 | Summaries | Booklets |
| Delta Dental of WA- Family Orthodontia Rider - Option 2 | Summaries | Booklets |
VSP Vision Care Inc. underwrites the vision plan offered through Omnitrade. This plan includes an exam, hardware and a contact lens benefit.
2021 Plan Year: January 1, 2021 - December 31, 2021
| VSP - Side-by-Side Comparison | Download | |
| VSP - Plan A | Summaries | Booklets |
| VSP - Plan A - Safety Eyeware | Summaries | Booklets |
| VSP - Plan B | Summaries | Booklets |
| VSP - Plan B - Safety Eyeware | Summaries | Booklets |
| VSP - Plan C | Summaries | Booklets |
| VSP - Plan C - Safety Eyeware | Summaries | Booklets |
Unum underwrites the group Life/Accidental Death and Dismemberment (AD&D) offerings for Omnitrade. Plan options include flat benefit amounts as well as multiples of salary. A $20,000 basic life/AD&D plan is compulsory with all medical plans.
2021 Plan Year: January 1, 2021 - December 31, 2021
| Unum Basic Life & AD&D Side-by-Side | Download | |
| Unum Basic Life & AD&D Plan 1 - $20,000 | Summaries | Booklets |
| Unum Basic Life & AD&D Plan 2 - $50,000 | Summaries | Booklets |
| Unum Basic Life & AD&D Plan 3 - 1x Salary up to $100,000 | Summaries | Booklets |
| Unum Basic Life & AD&D Plan 4 - 1x Salary up to $200,000 | Summaries | Booklets |
| Unum Voluntary Life Plan | Summaries | Booklets |
Wellspring EAP manages the Employee Assistance Program through Omnitrade. Plan options include both a three- and six-visit model. Enrollment in the three-visit model is compulsory with all medical plans.
2021 Plan Year: January 1, 2021 - December 31, 2021
- 2021 Wellspring EAP Benefit Summary
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