Summary Plan Documents
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 medical  

   
Washington Counties Insurance Pool (WCIP)

 

Group Health Options, Inc.

 plan summaries  
   
  WCIP Standard Plan   Group Health Option A
  WCIP Budget Plan   Group Health Budget Plan
  WCIP Value Plan   Group Health $200 Select Plan
  WCIP AfFOURdable Plan   Group Health $500 Select Plan
  WCIP High Deductible Health Plan (HDHP)  
   
 certificates of coverage  
   
   WCIP Summary Plan Document    Group Health Option A Certificate
   WCIP Notice of Privacy Practices    Group Health Budget Plan Certificate
     Group Health Select $200 Plan Certificate
     Group Health Select $500 Plan Certificate
     Group Health Notice of Privacy Practices
   
 dental

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Washington Dental Service (WDS)



 
Willamette Dental

 plan summaries

 
   
  WDS Plan A   Willamette Dental Plan I
  WDS Plan B  
  WDS Plan C  
  WDS Plan D  
  WDS Incentive Plan  
   
 certificates of coverage  
   
  WDS Plan A Certificate of Coverage   Willamette Dental Certificate of Coverage
  WDS Plan B Certificate of Coverage   + Certificate Amendment, April 2010
  WDS Plan C Certificate of Coverage   Willamette Dental Notice of Privacy Practices
  WDS Plan D Certificate of Coverage  
  WDS Incentive Plan Certificate of Coverage  
  WDS Notice of Privacy Practices  

  Note: If your plan is not listed above please
  contact your WCIF/WCIP Account Executive.
 
 
 vision

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Vision Service Plan (VSP)

 

 plan summaries
 
  VSP Extended Plan
  VSP Standard Plan
  VSP Budget Plan
  Coverage Enhancements, 7-09
  Contact Lens Coverage Enhancements, 7-09
 
 certificates of coverage
 
  VSP Certificate of Coverage
  + Certificate Amendment, January 2008
  VSP Notice of Privacy Practices
 
 life

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The Standard Insurance Company

 

 plan summaries
 
  The Standard Basic Life (includes Accidental Death & Dismemberment rider)
  The Standard Voluntary Term Life (VTL)
  The Standard Voluntary Accidental Death & Dismemberment (VAD&D)
 certificates of coverage
 
  Basic Life Certificate | $12,000
  Basic Life Certificate | $15,000
  Basic Life Certificate | $20,000
  Basic Life Certificate | $24,000
  Basic Life Certificate | $36,000
  Basic Life Certificate | $40,000 (Stevens County)
  Basic Life Certificate | $48,000
  Basic Life Certificate | 1 x Annual Salary to $50K
  Basic Life Certificate | 1 x Annual Salary to $100K
  Basic Life Certificate | 1 x Annual Salary to $150K
  Voluntary Term Life (VTL) Certificate
  Voluntary Accidental Death & Dismemberment (VAD&D) Certificate
 
 disability

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The Standard Insurance Company

 

 plan summaries
 
  The Standard Voluntary Short Term Disability (VSTD)
  The Standard Base Long Term Disability (LTD)
  The Standard Buy-Up Long Term Disability
 
 certificates of coverage
 
  The Standard Short Term Disability Certificate of Coverage
  The Standard Long Term Disability Certificate of Coverage (Base Plan Only)
  The Standard Long Term Disability Certificate of Coverage (Base Plan + Buy-Up Plan)
 
 employee assistance

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Magellan Health Services

 

 plan summaries
 
  Magellan 6-1 Visit Plan
  Magellan Legal & Financial Services (included with 6-1 Visit Plan)
   
 retiree

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   see our Retiree Plans page >
 
 

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