Benefit Resource Hub

2019 Group Master Application & Enrollment Forms

2019 Trust Industries Group Master Application and Enrollment Forms
2019 Plan Year Information and Forms: Effective Year: January 1, 2019 - December 31, 2019
Industry Group Master Application Enrollment Forms
Associated Employers Commercial Construction Health and Welfare Trust Regence 
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Regence
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Pacific Business Resource Benefits Trust Regence
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Regence 
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Greater Columbia Manufacturing Benefits Trust Regence
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Regence
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Greater Northwest Health Industry Benefits Trust Regence
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Regence
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Columbia Retail Benefits Trust Regence
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Regence
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AIMS-Approved New Group Enrollment Census Click Here

Additional Forms
New / Renewing Group Late Submission Form Click Here
ACH - Authorization for Electronic Funds Transfer (EFT) Form Click Here
Electronic Funds Transfer (EFT) Guide - Business Click Here
Electronic Funds Transfer (EFT) Guide - Construction Click Here
Electronic Funds Transfer (EFT) Guide - Healthcare Click Here
Electronic Funds Transfer (EFT) Guide - Manufacturing Click Here
Electronic Funds Transfer (EFT) Guide - Retail Click Here
COBRA Carryover Form Click Here
Owner Verification Form Click Here