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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
Mainstream Electric Inc. Premera Blue Cross Premera Blue Cross 4022490 Active
Spokane Firefighters Pension Board Premera Blue Cross Premera Blue Cross 1022518 Active
E&E Foods, Inc. Premera Blue Cross Premera Blue Cross 4025958 Active
Appen Butler Hill Inc Premera Blue Cross Premera Blue Cross 4011306 Expired
Royal Ridge Fruit & Cold Storage, LLC Premera Blue Cross Premera Blue Cross 4024777 Active
Affirma, LLC Premera Blue Cross Premera Blue Cross 4020751 Active
OCULUS Holdings Premera Blue Cross Premera Blue Cross 4022456 Active
Snohomish County PUD #1 Premera Blue Cross Premera Blue Cross 1039248 Active
City of Spokane Police Relief and Pension Board Premera Blue Cross Premera Blue Cross 1022520 Active
TJ Croach LLP Premera Blue Cross Premera Blue Cross 4009177 Active
iSpot.tv, Inc. Premera Blue Cross Premera Blue Cross 4012853 Expired
The Food Co-op Premera Blue Cross Premera Blue Cross 1019577 Active
City of Bellevue Premera Blue Cross Premera Blue Cross 1016431 Active
Greensource Brand Apparel, Inc. Premera Blue Cross Premera Blue Cross 4024110 Active
Schenk Packing Co., Inc./ Lenz Enterprises, Inc. Premera Blue Cross Premera Blue Cross 4026059 Active
Inland Empire Paper Company Premera Blue Cross Premera Blue Cross 4020406 Active
Spokane Digestive Disease Center Premera Blue Cross Premera Blue Cross 4024668 Active
Seattle Theatre Group Premera Blue Cross Premera Blue Cross 4012330 Active
Northwest Orthopaedic Specialists Premera Blue Cross Premera Blue Cross 4019242 Active
Inland Imaging Associates, LLC dba Healthcare Associates Premera Blue Cross Premera Blue Cross 4000403 Active
The Insley Organization LLC Premera Blue Cross Premera Blue Cross 4024867 Active
Outreach Corporation Premera Blue Cross Premera Blue Cross 4006334 Active
Pierre Enterprises, Inc. Premera Blue Cross Premera Blue Cross 4019745 Active
Phoenix Processor Ltd Partnership Premera Blue Cross Premera Blue Cross 1036350 Expired
Igneous Systems Premera Blue Cross Premera Blue Cross 4006277 Expired