Status

Expired

Employer/Sponsor name

Evergreen Treatment Services

Third Party Administrator name

Premera Blue Cross

Group ID#

4012137

Address

4634 E. Marginal Way S., Suite C110
Seattle, WA 96134
United States

Phone

425-918-5560

Email

michelle.davis.MLT@premera.com

Opt-in duration

Automatic Renewal

Plan year

Opt-in Date: 07/01/2020