Status

Active

Employer/Sponsor name

Greensource Brand Apparel, Inc.

Third Party Administrator name

Premera Blue Cross

Group ID#

4024110

Address

500 Naches Ave SW Ste 210
Renton, WA 98057
United States

Phone

425-918-5845

Email

denny.mattison@premera.com

Opt-in duration

Automatic renewal - plan year 

opt-in date: 08/01/2025