Groups with 100 or more employees enrolled, please contact your Premera sales representative.
Completed enrollment materials must be received at Premera well in advance of the first of the month to ensure eligibility and receipt of ID cards by the plan start date.
Return completed enrollment materials to Senior Sales Manager Bradley.Olson@premera.com and Implementation Account Specialist Kayla.Koeckritz@premera.com.
Note: Additional forms will be provided for self-funded and Optiflex funding arrangements.
Completed renewal documents and written confirmation must be received at Premera well in advance of the first of the month to ensure eligibility and receipt of ID cards by the group's renewal date.
- Group verification report (provided by Premera with group's renewal proposal)
- Circled, signed and dated rate exhibit(s) to acknowledge group’s plan choice(s). For self-funded groups, this includes the admin and stop loss exhibits.
Return completed renewal documents to your designated Account Manager and Implementation Account Specialist.
Note: Additional forms will be provided for any groups moving to self-funded or Optiflex funding arrangements.