Regence Evolve “At a Glance”

• Choosing Regence Individual and Family plans - presale brochure 2012 (PDF)
• Regence Individual and Family plans Comparison brochure 2012 (PDF)

Summary of Benefits

• Regence Evolve Core 2.0 (PDF)
• Regence RealValue (PDF)
• Regence Evolve HSA Plan 2.0 – 80/60 (PDF)
• Regence Evolve HSA Plan 2.0 – 60/50 (PDF)
• Regence Evolve HSA 100 Plan 2.0 (PDF)

Rates

• Regence Individual and Family plan rates Eff. 01/01/12
• Try the new online Rate Finder 2.0 New
• Rate Finder Tool (MS Excel) Eff. 01/01/12

Provider Networks

• Preferred BlueOption Network
• Preferred ValueCare Network
• Preferred FocalPoint Network

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) (Cover sheet, application and Authorization to Release Protected Health Information)
• Plan Change Form (PDF)
• EFT/Surepay Form (PDF)
• Domestic Partner Affidavit (PDF)
• Affidavit of Incapacitated Dependent (PDF)
• Authorization to Continue Coverage (PDF)
• Supplemental Health Questionnaires

• Current Utah Plan Change Grid Eff. 01/01/12