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Self-funded group health plans participating in the Balance Billing Protection Act

Participating plans
Employer/sponsor name Health plan name Third Party Administrator (TPA) name Group ID# Status
PotlatchDeltic Corporation Premera Blue Cross Premera Blue Cross 4018681 Active
Span Alaska Transportation, LLC Premera Blue Cross Premera Blue Cross 1037877 Active
Atlas Dental Group LLC Premera Blue Cross Premera Blue Cross 4020568 Expired
Smartsheet, Inc. Premera Blue Cross Premera Blue Cross 4012575 Active
Seattle Shellfish, LLC Premera Blue Cross Premera Blue Cross 4002151 Active
Coastal Community Bank Premera Blue Cross Premera Blue Cross 4016694 Expired
Clark Nuber, P.S. Premera Blue Cross Premera Blue Cross 4007244 Active
Tango Card, Inc. Premera Blue Cross Premera Blue Cross 4013285 Active
Parker, Smith & Feek, Inc. Premera Blue Cross Premera Blue Cross 4000229 Active
Raptor Enterprises, LLC dba Raptor Group Premera Blue Cross Premera Blue Cross 4025942 Active
SRM Development Premera Blue Cross Premera Blue Cross 4004476 Active
Kemper Development Company Premera Blue Cross Premera Blue Cross 1038545 Active
A&G Machine, Inc. Premera Blue Cross Premera Blue Cross 4022741 Active
Propel Insurance Agency, LLC Premera Blue Cross Premera Blue Cross 1027045 Active
Tethers Unlimited, Inc. Premera Blue Cross Premera Blue Cross 4014860 Active
Continental Mills Premera Blue Cross Premera Blue Cross 4012011 Active
Sea-Tac Lighting & Controls, LLC Premera Blue Cross Premera Blue Cross 4017066 Active
Catholic Charities of Spokane Premera Blue Cross Premera Blue Cross 4023911 Active
Roche Harbor Resort Premera Blue Cross Premera Blue Cross 4026087 Active
Sana Biotechnology, Inc. Premera Blue Cross Premera Blue Cross 4020791 Active
Botanical Designs, LLC Premera Blue Cross Premera Blue Cross 4012734 Active
Amplio Corporation dba Guidant Financial Premera Blue Cross Premera Blue Cross 4018905 Expired
Northwest Investment Consulting, Inc. Premera Blue Cross Premera Blue Cross 4018341 Active
Sound Premera Blue Cross Premera Blue Cross 1033262 Active
Transpo Group USA, Inc. Premera Blue Cross Premera Blue Cross 1038850 Active