- Change of Address Form
- Dental Claim Form
- Eligibility Requirements For Participation In The Retiree Health Plan
- Enrollment/Beneficiary Form
- Medical/Time Loss
- Prescription Claim Form (SavRx)
- Vision Form
Most hospital stays, inpatient confinements, and surgeries require precertification of medical necessity. Effective April 1, 2016, Aetna will be the Plan's Utilization Review (UR) Coordinator providing precertification services.
For additional information on precertification, please refer to the Plan Amendment.
Mail completed CLAIM forms to:Administration Office
PO Box 34964
Seattle, WA 98124-1964
Mail all other completed forms to:Administration Office
PO Box 34203
Seattle, WA 98124-1203