Regence Evolve “At a Glance”

• Regence Evolve Rates (PDF)
  • Oregon - Eff. October 1, 2011 (rates listed are good for Q4, Q1 AND Q2 renewal dates)
  • Clark County, WA - Eff. August 1, 2011
• Regence Evolve Pre-Sale Brochure (PDF)
• Oregon - Eff. May 1, 2012
• Clark County, WA
• Regence Evolve Comparison Brochure (PDF)
  • Oregon
  • Clark County, WA

Summary of Benefits

• Regence Evolve Core (PDF)
• Oregon (Core $1,000 is closed to new enrollment effective June 1, 2012)
• Clark County, WA
• Regence Evolve Plus (PDF)
  • Oregon (Plus plan is closed to new enrollment effective June 1, 2012)
• Clark County, WA
• Regence Evolve HSA Plan – 80/60/60 (PDF)
• Oregon
• Clark County, WA
• Regence Evolve HSA Plan – 50/50/50 (PDF)
  • Oregon
• Clark County, WA
• Regence Evolve HSA 100 Plan (PDF)
  • Oregon
• Clark County, WA

Rates

• Oregon - Eff. October 1, 2011 (rates listed are good for Q4, Q1 AND Q2 renewal dates) (Core $1,000 & Plus plans are closed to new enrollment effective June 1, 2012)
• Clark County, WA - Eff. April 1, 2012
• Rate archive »

Training Programs

• Regence Evolve Overview slides (PDF)

Preferred banking partners have dedicated HSA customer service and performance agreements to ensure a good member experience.

• Comparison of Regence HSA Partner Banks (PDF)
• Contact information for Regence HSA Partner Banks (PDF)

Health Equity

• HealthEquity Member & Employer Portal: Account login; enroll a new group or individual, view forms and documents.
• HealthEquity Sales Portal: Find pre-sale materials, open enrollment support materials, investment information and tutorials

US Bank

• US Bank Website
• Agent Sales Presentation
• Powerpoint presentation with HSA account overview, how to enroll in the US Bank HSA product, How to make contributions, Using HSA funds
• Schedule of costs & fees

HSA Bank

• HSA Bank Website
• Schedule of costs & fees

Individual forms

• Application (PDF)
  • Oregon - Eff. May 1, 2012
  • Clark County, WA
  Health Questionnaire (PDF) (Clark County, WA)
• EFT/Surepay Form  (PDF)
• Domestic Partner Affidavit (PDF)
  • Oregon
  • Clark County, WA
• Affidavit of Incapacitated Dependent (PDF) (Oregon)
• Non-smoker Certification Form (PDF) (Clark County, WA)
• Authorization to Continue Coverage (PDF)

Order materials

• Log into the Agent Center to order materials