614 Division Street, MS-23A
Port Orchard, WA,  98366
FAX: 360-337-7187 

Kitsap County Benefits for Lieutenants

For further assistance with information found on this page, please contact Human Resources at 360.337.7185.
No changes to medical or dental plans in 2017.
See below for plans and summaries.
2017 Rates and Contributions
You will only need to complete new enrollment forms if you are making a plan change or adding or dropping dependents.

Exception: Flexible Spending Accounts (FSA's) must be enrolled each year!

FSA Enrollment Form

Premera Enrollment Form
Premera Other Coverage Questionnaire

Group Health Enrollment Form

WCIF Enrollment Form for dental coverage

If adding dependents to your coverage, please complete the
Addition of Dependent Coverage Form
in addition to the forms above.

Waiving Medical Form
Full-time Employee

Premera Blue Cross PPO Plans

2017 Plan Summaries
Premera Classic Plan
Premera Value Plan

Teladoc Option Flyer

Premera rates were increased by 4% in 2017. See rate sheet above.

Note: Kitsap County will be returning to the Heritage Plus network in 2017, which includes CHI Fransiscan and Providence/Swedish providers and clinics.  All Premera subscribers will receive a new ID card in 2017

More Information from Premera:
24 Hour Nurseline
Your Premera ID Card
Preventive Services
Choose an In-Network Doctor
Preparing for a Doctor Visit
Notice of Privacy Practices

Group Health HMO Plan

2017 Plan Summaries
Group Health Classic Plan
Group Health Value Plan

 Group Health rates were increased by 2% in 2017. See rate sheet above.

More Information from Group Health:
125 Things You Should Know About GH
GHC Brochure
Group Health CareNow
GH Mobile App
GH Onboarding
My Group Health
Perks with Group Health
Prescription Refills
Preventive Care

Please return to the main benefit page for dental, life and supplemental insurance information.

Last Updated:  December 19, 2016
For more information, contact the office at 360.337.7185 orEmail the Personnel Office email the web coordinator.

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