Plan Administrators

  • Changes to Long Term Care (LTC) Billing Process

    There is an upcoming billing process change for the WEA Select Long Term Care product. Today, the premiums for this product are collected through APA as part of the regular monthly billing statement. Beginning with the June payroll for July premiums, the premiums will be collected directly from the enrollee.

    The final payment through payroll will be in June (May payroll).

    If any of your employees have questions, please have them contact our Customer Service Department at 877-202-6044, Monday through Friday, between the hours of 8:30 AM and 6:00 PM EST.

  • These resources will help answer questions as you process your bill or your employees' WEA Select Medical and Vision Plans paperwork:

    Print Information
    WEA/APA Month-end Cut-off Calendar

    View cut-off dates for ancillary product billings and dues.

    WEA/APA Billing Guide Use this guide as you work on your district's monthly billing.
    Termination Notification Please complete if you have a subscriber termination outside of the regular billing, such as a reduction in force or layoffs.
    Open Enrollment Billing flyer Important open enrollment billing tips and reminders.
    The Center for Disease Control and Prevention's Healthier Worksite Initiative: Toolkits Find solutions to plan, implement and evaluate worksite wellness programs.

    Select “Medical” or “Vision” for additional materials, such as booklets and summaries. 

    District Forms and Information
    Participation Agreement Fill out all parts of the form, then print and sign. Return the original form to us by fax at 425-918-5057 or by mail to Premera Blue Cross, Attn: Public Sales and Marketing, MS 103, P.O. Box 327, Seattle, WA 98111-0327. If mailing, be sure to make a copy for your files and send us the original.
    Vision Summary of Benefits & Rates See an overview of the plans available to districts and bargaining units. For more information, please contact Aon Consulting at 206-467-4646.
    Supply Order Form You may fill out your order online for open enrollment supplies, print it and fax to 425-918-5057. Benefit books, summaries, provider directories, and preferred drug lists are online use the tabs on this page for links.
    Forms for Use with Employees
    COBRA Rates For WEA Select Medical and Vision plans.
    Declaration of Domestic Partnership For use with WEA Select Medical and Vision plans. This form should not be used to satisfy Aon Hewitt's Dependent Eligibility Verification Audit (DEVA).
    Unum Life Insurance Beneficiary Designation Form Employees should complete and return this form to their school district administrator as needed.
    Life Insurance Continuation Options Continuation of coverage options for WEA Select Group Term Life and AD&D Insurance, 9060, Plan 2.
    Benefits Information
    24-hour NurseLine flyer Information on the 24-hour NurseLine, staffed by registered nurses.