Regence HSA Healthplan 3.0 “At a Glance”

• Regence HSA Healthplan 3.0 Product Page
• Summary of Benefits - Effective Date 01/01/12 and beyond
  • Traditional HSA 1200/1500/2500/3500 Ded. (PDF)
  • Embedded HSA 3000 Ded. (PDF)
  • HSA 100/80 Coins. 2000/3000/5000/5700 Ded (PDF)

How Regence HSA Healthplan 3.0 Works with an HSA

• Calculate Your Savings
• IRS Qualified Medical Expenses

Regence HSA Healthplan 3.0 Banking Partners

Preferred bank 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)

HealthEquity: Fully Integrated Partner

Banking integration with HealthEquity simplifies account set-up and management

When you choose HealthEquity as your HSA banking partner, you'll be able to take advantage of our streamlined account set-up. It makes administration simple by automatically creating member savings accounts at the time of enrollment. Integration of eligibility and claims files allows members to easily check balances and pay claims online.

• HealthEquity member & employer portal: 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

HSA Bank: Referral Partner

• HSA Bank Website
• Employer Overview:
• Macromedia flash overview of the choices, steps & options with HSA Bank and HSA Bank products
• Schedule of costs & fees

US Bank: Referral Partner

• US Bank Website
• Broker Sales Presentation
• Link to 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

• Network Overview Brochure (PDF)

Cross-Selling

Bundle Regence HSA Healthplan 3.0 with these products for potential benefit savings:

• Regence BluePoint Medical Plan
• Dental Plans: Encore^SM, Expressions^SM & Radiance^SM
• Vision Plans
• 100% coverage for annual eye exam
• Up to $150 in hardware annually
• Not subject to deductible
• Life & Disability: Regence Life & Health
• Employee Assistance Program
• Voluntary Critical Illness Protection
• Provides a lump sum cash payment upon diagnosis of a critical illness to pay for expenses the beneficiary chooses; including the full or partial HSA deductible and expenses not covered by medical plans.
• Voluntary Dental

Your Presentation

• Product Collateral
  Use this collateral with an employer.
  • Employer Collateral List
  • Order from your Sales representative
• Summary of Benefits - Effective Date 01/01/12 and beyond
  • Traditional HSA 1200/1500/2500/3500 Ded. (PDF)
  • Embedded HSA 3000 Ded. (PDF)
  • HSA 100% Coins. 2000/3000/5000/5700 Ded (PDF)
• 2012 Dual Option Matrix - HSA3.0/Innova/Engage for groups 10-50
• 2012 Dual Network Choice Product Options Groups 15+

Group Master Applications

• Groups 2-99 Employees
• Groups 100+ Employees
• Surepay Authorization Form

Guides and Checklists

• Spreadsheet Enrollment Procedure and Template (Groups 51-99 and 100+)
• Note: Online Enrollment and Spreadsheet Enrollment are not available to those groups using the Short Form Health Questionnaire.
• Benefit Administrator Guide (PDF)
  This guide answers general questions about enrollment, billing, and appeals procedures
• Online Enrollment Set-Up Checklist (PDF)
  Get your client set up on Employer Center so they can use Online Enrollment and eBilling. Groups of  51+ only.

Member Materials

• Summary of Benefits - Effective Date 01/01/12 and beyond
  • Traditional HSA 1200/1500/2500/3500 Ded. (PDF)
  • Embedded HSA 3000 Ded. (PDF)
  • HSA 100% Coins. 2000/3000/5000/5700 Ded (PDF)

Employee Forms

• Groups 2-50
  • Utah Small Employer Health Insurance Application
    • English (Fillable PDF)
    • Spanish (Fillable PDF)
      
  • Small Employer Application Cover Sheet (Fillable PDF) – Must accompany the form above for new hires in existing Regence groups and current members selecting continuation coverage.
• Groups 51+
  • Application for Enrollment/Change (Groups 51+)
  • Short Form Health Questionnaire and Medical History Statement
  • Short Form Health Questionnaire and Medical History Statement (Spanish)
• Waiver Forms
  • Waiver Form

 

• Affidavit of Qualifying Domestic Partnership (PDF)
• Affidavit of Qualifying Incapacitated Dependent Eligibility (PDF)

Bank Materials

HealthEquity

• HealthEquity member & employer portal: 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

HSA Bank

Find member applications in the Employer/Employer Forms section of this site.

• HSA Bank Website
• Investment Options: Overviews investment options available through HSA Bank

US Bank

Find a member enrollment guide and account applications in Employer/Communication Tools.

• US Bank Website
• Investment Guide: Investment education and guide to US Bank's options