Status

Expired

Employer/Sponsor name

Evergreen Restaurant Group, LLC

Third Party Administrator name

Premera Blue Cross

Group ID#

4000619

Address

1180 NW Maple St., Suite 105
Issaquah, WA 98027
United States

Phone

425-918-4000

Email

natasha.atkins@premera.com

Opt-in duration

Plan Year

Beginning: 02/01/2020

Ending: 01/31/2021