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Exhibit ExhibitTitle Source SectionA1 ESSB5940DataRequirements NonDatabaseA2a HealthPlanOptionsbyDistrict CarrierDataCall 8A2b HealthPlanCoveragePeriods CarrierDataCall 4A3 EnrollmentbyBenefitPackageandHealthPlan CarrierDataCall 8A4a EmployeeandDependentCountsbyDistrictforAllPlansCombinedAsReportedbytheCarriers CarrierDataCall 8A4b EnrollmentbyDistrictforAllPlansCombinedReportingDistrictsOnly DistrictDataCall 7and8A4c EnrollmentbyDistrictReportingDistrictsOnly DistrictDataCall 4,5,7A5a HealthPlanDesignComparisonOnePageSummary CarrierDataCall 4A5b HealthPlansbyActuarialValue CarrierDataCall 4A5c HealthPlanDesignComparisonDeductibles(PaidbyPlanParticipant) CarrierDataCall 4A5d HealthPlanDesignComparisonCoinsurance(PaidbyPlanParticipant) CarrierDataCall 4A5e HealthPlanDesignComparisonCoPayments(PaidbyPlanParticipant) CarrierDataCall 4A5f HealthPlanDesignComparisonOutofPocketMaximums(PaidbyPlanParticipant) CarrierDataCall 4A5g HealthPlanDesignComparisonPrescriptionDrugs(AtParticipatingPharmacies) CarrierDataCall 4A6a TotalCostsbyDistrictforDistrictSpecificHealthPlansCombinedSortedbyDistrict CarrierDataCall 8A6b TotalCostsbyDistrictforDistrictSpecificHealthPlansCombinedSortedbyTotalCostPMPMInDescendingCostOrder CarrierDataCall 8A7a AverageCostsandContributionsbyDistrictDifferentialbyEmployee/FamilyContributionsFullTimeEmployees DistrictDataCall 7A7b AverageCostsandContributionsbyDistrictDifferentialbyEmployee/FamilyContributionsPartTimeEmployees DistrictDataCall 7A8a FinancialPlanStructureandOverallPerformancebyBenefitPackageMonthlyEmployeeCounts CarrierDataCall 6A8b FinancialPlanStructureandOverallPerformancebyBenefitPackageMonthlyDependentCounts CarrierDataCall 6A8c FinancialPlanStructureandOverallPerformancebyBenefitPackageMonthlyClaims CarrierDataCall 6A8d FinancialPlanStructureandOverallPerformancebyBenefitPackageMonthlyPremiums CarrierDataCall 6A8e FinancialPlanStructureandOverallPerformancebyBenefitPackageLossRatios CarrierDataCall 6A8f FinancialPlanStructureandOverallPerformancebyBenefitPackage CarrierDataCall 6A9a ExperienceReportsbyBenefitPackagePremiumsandClaimsPaid CarrierDataCall 5A9b ExperienceReportsbyBenefitPackageClaimsPaidPerEmployeePerMonth CarrierDataCall 5A9c ExperienceReportsbyBenefitPackageClaimsPaidPerMemberPerMonth CarrierDataCall 6A9d ExperienceReportsbyBenefitPackageUtilization CarrierDataCall 6A9e ExperienceReportsbyBenefitPackageUtilizationPerUnitMeasure CarrierDataCall 6A9f ExperienceReportsbyBenefitPackageMonthly CarrierDataCall 6A9g ExperienceReportsbyBenefitPackagePerEmployeePerMonth CarrierDataCall 6A9h ExperienceReportsbyBenefitPackagePerMemberPerMonth CarrierDataCall 6A10 ListofLargeClaimsbyClaimant CarrierDataCall 9A11 DemographicsbyBenefitPackage CarrierDataCall 7A12a AnnualCarrierAdministrativeCostBreakdownbyBenefitPackagePerEmployeePerMonth CarrierDataCall 5A12b AnnualCarrierAdministrativeCostBreakdownbyBenefitPackagePerMemberPerMonth CarrierDataCall 5
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Exhibit ExhibitTitle Source SectionA12c SupplementalServicesFinancialSummarybyDistrict DistrictDataCall 1A12d SupplementalServicesFinancialSummarybyCarrier CarrierDataCall 1and7A12e DistrictAdministrativeCostsbyDistrictNotPaidThroughCarrierInsurancePremiums DistrictDataCall 1A12f DistrictAdministrativeCostsbyDistrictNotPaidbyInsuranceCarrierPremiumsPerEmployeePerMonth DistrictDataCall 1A12g DistrictAdministrativeCostsbyDistrictNotPaidbyInsuranceCarrierPremiumsPerMemberPerMonth DistrictDataCall 1A12h DistrictStaffCostsbyDistrict DistrictDataCall 1A13 PaidClaimsandRateReserves CarrierDataCall 3A14 SummaryofMonthlyPremiumRateswithCompositeCost CarrierDataCall 4and7A15 SummaryofTotalMonthlyPremiumRatesbyDistrictwithCompositeCostByDistrict DistrictDataCall 7A16 SummaryofMonthlyPayrollRatesbyDistrictwithCompositeCostByDistrict DistrictDataCall 7A17 SummaryofDistrictMonthlyContributionsbyDistrictwithCompositeCostByDistrict DistrictDataCall 7A18a SummaryofInnovativePlansFeaturesForAllPlansCombinedbyCarrierTable1 CarrierDataCall 1and2A18b SummaryofInnovativePlansFeaturesForAllPlansCombinedbyDistrictTable2 DistrictDataCall 1A19a EffortsandAchievementsbyCarrier CarrierDataCall 1A19b EffortsandAchievementsbyDistrict DistrictDataCallA20 GlossaryofAcronyms NonDatabaseA21a TraceabilityMatrixforCarriers NonDatabaseA21b TraceabilityMatrixforDistricts NonDatabaseA21c ColumnDefinitionsfortheTraceabilityMatrices NonDatabaseA22 ReportContributors NonDatabase
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ESSB5940Section4 LanguagefromLegislationSubsection(2) Schooldistrictsandtheirbenefitprovidersshallannuallysubmit,byadatedeterminedbytheofficeoftheinsurancecommissioner,the2.a Progressbythedistrictanditsbenefitproviderstowardgreateraffordabilityforfullfamilycoverage,healthcarecostsavings,andsignificantly2.b Compliancewiththerequirementtoprovideahighdeductiblehealthplanoptionwithahealthsavingsaccount2.c Anoverallplansummaryincludingthefollowing:2.c.i Thefinancialplanstructureandoverallperformanceofeachhealthplanincluding:2.c.i.A Totalpremiumexpenses2.c.i.B Totalclaimexpenses;2.c.i.C Claimsreserves;and2.c.i.D Planadministrationexpenses,includingcompensationpaidtobrokers2.c.ii Adescriptionoftheplan'suseofinnovativehealthplanfeaturesdesignedtoreducehealthbenefitpremiumgrowthandreduceutilizationof2.c.iii Datatoprovideanunderstandingoftheemployeehealthbenefitplancoverageandcosts2.c.iv Datanecessaryforschooldistrictstomoreeffectivelyandcompetitivelymanageandprocurehealthinsuranceplansforemployees.Thedata2.c.iv Describeeffortsandachievementstohelpdistrictstomanagetheirhealthbenefitsprograms2.c.iv.A Asummaryofbenefitpackagesofferedtoeachgroupofdistrictemployees,includingcoveredbenefits,employeedeductibles,coinsurance,2.c.iv.B Aggregatedemployeeanddependentdemographicinformation,includingagebandandgender,byinsurancetier,andbybenefitpackage2.c.iv.C Totalclaimpaymentsbybenefitspackage,includingpremiumspaid,inpatientfacilityclaimspaid,physicianclaimspaid,pharmacyclaims2.c.iv.D Totalpremiumspaidbybenefitspackage2.c.iv.E Alistoflargeclaims,definedasannualamountspaidinexcessofonehundredthousanddollars,includingtheamountpaid,thememberSubsection(3) Annually,schooldistrictsandtheirbenefitprovidersshalljointlyreporttotheOIContheirhealthinsurancerelatedeffortsandachievements3.a Significantlyreduceadministrativecostsforschooldistricts3.b Improvecustomerservice3.c Reducedifferentialplanpremiumratesbetweenemployeeonlyandfamilyhealthbenefitcoverage3.d ProtectaccesstocoverageforparttimeK12employees
WashingtonStateOfficeoftheInsuranceCommissioner
ESSB5940DataRequirements
K12SchoolDistrictDataCollectionProjectExhibitA1
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2012 2013AberdeenSchoolDistrict Plan280 PPO Y N
Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
AdnaSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
AlmiraSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
AnacortesSchoolDistrict Plan091 HMO Y NPlan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
ArlingtonSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan241 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
AsotinAnatoneSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
AuburnSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan031 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
BainbridgeIslandSchoolDistrict Plan018 HMO Y NPlan280 PPO Y NPlan325 PPO Y NPlan326 PPO Y NPlan327 PPO Y NPlan349 PPO Y NPlan264 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan027 HMO Y NPlan324 PPO Y N
BattleGroundSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan300 InN Y NPlan278 PPO Y NPlan279 PPO Y N
BellevueSchoolDistrict Plan220 HMO Y NPlan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
BellinghamSchoolDistrict Plan004 HMO Y NPlan023 HMO Y NPlan024 HMO Y NPlan201 HMO Y NPlan349 PPO Y NPlan348 PPO Y NPlan357 PPO Y NPlan358 PPO Y NPlan359 PPO Y NPlan360 PPO Y N
BengeSchoolDistrict Plan349 PPO Y NBethelSchoolDistrict Plan037 HMO Y N
Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan279 PPO Y NBickletonSchoolDistrict Plan351 PPO Y NBlaineSchoolDistrict Plan001 HMO Y N
Plan005 HMO Y NPlan357 PPO Y NPlan358 PPO Y NPlan359 PPO Y NPlan361 PPO Y NPlan360 PPO Y N
BoistfortSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
BremertonSchoolDistrict Plan338 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan032 HMO Y NPlan340 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan336 PPO Y NPlan342 PPO Y N
BrewsterSchoolDistrict Plan280 PPO Y NPlan349 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
BridgeportSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
BrinnonSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan278 PPO Y N
BurlingtonEdisonSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan204 HMO Y NPlan366 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan363 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y NPlan019 HMO Y N
CamasSchoolDistrict Plan280 PPO Y NPlan290 InN Y NPlan349 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CapeFlatterySchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CarbonadoSchoolDistrict Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CascadeSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CashmereSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
CastleRockSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan275 InN Y N
CentervilleSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y N
CentralKitsapSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan230 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan279 PPO Y NCentralValleySchoolDistrict Plan280 PPO Y N
Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan173 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan319 PPO Y NPlan320 PPO Y NPlan102 HMO Y NPlan103 HMO Y NPlan315 PPO Y N
CentraliaSchoolDistrict Plan040 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ChehalisSchoolDistrict Plan036 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CheneySchoolDistrict Plan113 HMO Y NPlan195 HMO Y NPlan280 PPO Y NPlan259 PPO Y NPlan349 PPO Y NPlan068 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan258 PPO Y NPlan194 HMO Y NPlan260 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan069 HMO Y N
ChewelahSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ChimacumSchoolDistrict Plan286 PPO Y NPlan287 HMO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan328 PPO Y NPlan329 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
ClarkstonSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CleElumRoslynSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan141 HMO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan346 PPO Y NPlan288 HMO Y N
CloverParkSchoolDistrict Plan017 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ColfaxSchoolDistrict Plan072 HMO Y NPlan155 HMO Y NPlan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan172 HMO Y NPlan278 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
CollegePlaceSchoolDistrict Plan280 PPO Y NPlan349 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan139 HMO Y N
ColtonSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan350 PPO Y N
Columbia(Stevens)SchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan171 HMO Y N
Columbia(WallaWalla)SchoolDistrict Plan122 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ColvilleSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ConcreteSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan366 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ConwaySchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CosmopolisSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CouleeHartlineSchoolDistrict Plan286 PPO Y NPlan287 HMO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
CoupevilleSchoolDistrict Plan013 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan365 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan368 PPO Y N
CrescentSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CrestonSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
CurlewSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
CusickSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
DammanSchoolDistrict Plan349 PPO Y NPlan351 PPO Y NPlan278 PPO Y N
DarringtonSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
DavenportSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
DaytonSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan279 PPO Y NPlan164 HMO Y NPlan097 HMO Y NPlan165 HMO Y N
DeerParkSchoolDistrict Plan111 HMO Y NPlan348 PPO Y NPlan158 HMO Y NPlan321 PPO Y NPlan322 PPO Y NPlan350 PPO Y NPlan176 HMO Y NPlan318 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan078 HMO Y NDieringerSchoolDistrict Plan223 HMO Y N
Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
DixieSchoolDistrict Plan196 HMO Y NPlan153 HMO Y N
EastValleySchoolDistrict(Spokane) Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan105 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan319 PPO Y NPlan320 PPO Y NPlan315 PPO Y N
EastValleySchoolDistrict(Yakima) Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan132 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
EastmontSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
EastonSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
EatonvilleSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan044 HMO Y N
EdmondsSchoolDistrict Plan045 HMO Y NPlan280 PPO Y NPlan349 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
EllensburgSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan174 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
ElmaSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan048 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
EndicottSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y NPlan166 HMO Y N
EntiatSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
EnumclawSchoolDistrict Plan047 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
EphrataSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
EvalineSchoolDistrict Plan280 PPO Y NPlan349 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y N
EverettSchoolDistrict Plan046 PPO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
EvergreenSchoolDistrict(Clark) Plan280 PPO Y NPlan291 InN Y NPlan312 InN Y NPlan313 InN Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan281 Clos Y NPlan283 Clos Y NPlan350 PPO Y NPlan310 InN Y NPlan301 InN Y NPlan278 PPO Y NPlan276 InN Y NPlan277 InN Y N
EvergreenSchoolDistrict(Stevens) Plan350 PPO Y NPlan279 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
FederalWaySchoolDistrict Plan234 HMO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
FerndaleSchoolDistrict Plan006 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan202 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan357 PPO Y NPlan358 PPO Y NPlan359 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan360 PPO Y N
FifeSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan266 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan163 HMO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
FinleySchoolDistrict Plan125 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
FranklinPierceSchoolDistrict Plan038 HMO Y NPlan333 PPO Y NPlan330 PPO Y NPlan348 PPO Y NPlan350 PPO Y N
FreemanSchoolDistrict Plan080 HMO Y NPlan145 HMO Y NPlan351 PPO Y NPlan354 PPO Y NPlan350 PPO Y NPlan106 HMO Y NPlan352 PPO Y NPlan279 PPO Y NPlan319 PPO Y NPlan320 PPO Y NPlan315 PPO Y NPlan079 HMO Y NPlan159 HMO Y N
GarfieldSchoolDistrict Plan349 PPO Y N
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2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
GlenwoodSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y N
GoldendaleSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y N
GrandCouleeDamSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
GrandviewSchoolDistrict Plan280 PPO Y NPlan129 HMO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan197 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
GrangerSchoolDistrict Plan120 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan177 HMO Y NPlan191 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan248 PPO Y N
GraniteFallsSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan366 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan362 PPO Y NPlan365 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan364 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan368 PPO Y N
GrapeviewSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
GreatNorthernSchoolDistrict Plan349 PPO Y NGreenMountainSchoolDistrict Plan280 PPO Y N
Plan349 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
GriffinSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan263 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
HarringtonSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan346 PPO Y NPlan288 HMO Y N
HighlandSchoolDistrict Plan130 HMO Y NPlan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
HighlineSchoolDistrict Plan243 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan366 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan362 PPO Y NPlan365 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan278 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan279 PPO Y NPlan369 PPO Y N
HockinsonSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan295 InN Y N
HoodCanalSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
HoquiamSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
IncheliumSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
IndexSchoolDistrict Plan349 PPO Y NPlan351 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
IssaquahSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan051 HMO Y N
KahlotusSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
KalamaSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan350 PPO Y NPlan307 InN Y N
KellerSchoolDistrict Plan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan279 PPO Y N
KelsoSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan297 InN Y N
KennewickSchoolDistrict Plan124 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
KentSchoolDistrict Plan089 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan052 HMO Y NPlan378 PPO Y NPlan379 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan380 PPO Y NPlan402 PPO Y NPlan404 PPO Y NPlan350 PPO Y NPlan381 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan382 PPO Y N
KettleFallsSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
KionaBentonCitySchoolDistrict Plan123 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
KittitasSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan346 PPO Y NPlan288 HMO Y N
KlickitatSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y N
LaCenterSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan296 InN Y N
LaConnerSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
LaCrosseSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan323 InN Y NPlan350 PPO Y NPlan161 HMO Y NPlan278 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
LakeChelanSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
LakeQuinaultSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
LakeStevensSchoolDistrict Plan056 HMO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan362 PPO Y NPlan365 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan368 PPO Y N
LakeWashingtonSchoolDistrict Plan280 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan054 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
LakewoodSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan365 PPO Y NPlan055 HMO Y NPlan350 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan368 PPO Y N
LamontSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan351 PPO Y NPlan279 PPO Y N
LibertySchoolDistrict Plan112 HMO Y NPlan143 HMO Y NPlan256 PPO Y NPlan257 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan350 PPO Y NPlan319 PPO Y NPlan320 PPO Y NPlan315 PPO Y N
LindSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
LongviewSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan309 InN Y NPlan278 PPO Y NPlan279 PPO Y N
LoonLakeSchoolDistrict Plan280 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
LopezSchoolDistrict Plan212 HMO Y NPlan349 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan350 PPO Y NPlan279 PPO Y N
LyleSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y N
LyndenSchoolDistrict Plan007 HMO Y NPlan357 PPO Y NPlan358 PPO Y NPlan359 PPO Y NPlan361 PPO Y NPlan200 HMO Y NPlan360 PPO Y N
MabtonSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
MansfieldSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
MansonSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
MaryMKnightSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
MaryWalkerSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
MarysvilleSchoolDistrict Plan206 HMO Y NPlan217 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
McClearySchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
MeadSchoolDistrict Plan104 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
MedicalLakeSchoolDistrict Plan071 HMO Y NPlan114 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan142 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan319 PPO Y NPlan320 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan315 PPO Y NPlan162 HMO Y N
MercerIslandSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan092 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
MeridianSchoolDistrict Plan008 HMO Y NPlan208 HMO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan357 PPO Y NPlan358 PPO Y NPlan359 PPO Y NPlan361 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y NPlan360 PPO Y N
MethowValleySchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
MillASchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y N
MonroeSchoolDistrict Plan093 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
MontesanoSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
MortonSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
MosesLakeSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
MossyrockSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan279 PPO Y N
MountAdamsSchoolDistrict Plan121 HMO Y NPlan249 PPO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan179 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan140 HMO Y NPlan178 HMO Y N
MountBakerSchoolDistrict Plan009 HMO Y NPlan090 HMO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan357 PPO Y NPlan358 PPO Y NPlan359 PPO Y NPlan350 PPO Y NPlan360 PPO Y N
MountPleasantSchoolDistrict Plan348 PPO Y NPlan351 PPO Y N
MountVernonSchoolDistrict Plan011 HMO Y NPlan203 HMO Y NPlan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan366 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan367 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
MukilteoSchoolDistrict Plan210 HMO Y NPlan214 HMO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan215 HMO Y NPlan348 PPO Y NPlan350 PPO Y NPlan389 PPO Y NPlan390 PPO Y NPlan218 HMO Y N
NachesValleySchoolDistrict Plan110 HMO Y NPlan133 HMO Y NPlan181 HMO Y NPlan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan250 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan180 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
NapavineSchoolDistrict Plan096 HMO Y NPlan280 PPO Y NPlan349 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
NaselleGraysRiverValleySchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan279 PPO Y N
NespelemSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
NewportSchoolDistrict Plan119 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan354 PPO Y NPlan350 PPO Y NPlan352 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
NineMileFallsSchoolDistrict Plan087 HMO Y NPlan147 HMO Y NPlan157 HMO Y NPlan115 HMO Y NPlan116 HMO Y NPlan354 PPO Y NPlan356 PPO Y NPlan148 HMO Y NPlan156 HMO Y N
NooksackValleySchoolDistrict Plan010 HMO Y NPlan205 HMO Y NPlan357 PPO Y NPlan358 PPO Y NPlan359 PPO Y NPlan361 PPO Y NPlan360 PPO Y N
NorthBeachSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
NorthFranklinSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan278 PPO Y NPlan279 PPO Y NPlan149 HMO Y N
NorthKitsapSchoolDistrict Plan349 PPO Y NPlan366 PPO Y NPlan362 PPO Y NPlan365 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan364 PPO Y NPlan368 PPO Y NPlan095 HMO Y N
NorthMasonSchoolDistrict Plan343 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan339 PPO Y NPlan341 PPO Y NPlan043 HMO Y NPlan337 PPO Y N
NorthRiverSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
NorthThurstonPublicSchools Plan280 PPO Y NPlan334 PPO Y NPlan335 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan331 PPO Y NPlan332 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan020 HMO Y NPlan050 HMO Y N
NorthportSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
NorthshoreSchoolDistrict Plan371 PPO Y NPlan373 PPO Y NPlan094 HMO Y NPlan372 PPO Y N
OakHarborSchoolDistrict Plan003 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan278 PPO Y NPlan279 PPO Y N
OakesdaleSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
OakvilleSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OceanBeachSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
OcostaSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OdessaSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
OkanoganSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
OlympiaSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan063 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan049 HMO Y N
OmakSchoolDistrict Plan030 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OnalaskaSchoolDistrict Plan280 PPO Y NPlan025 HMO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OnionCreekSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
OrcasIslandSchoolDistrict Plan213 HMO Y NPlan349 PPO Y NPlan366 PPO Y NPlan365 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OrchardPrairieSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
OrientSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
OrondoSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OrovilleSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OrtingSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan035 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
OthelloSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
PalisadesSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
PalouseSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan150 HMO Y N
PascoSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan126 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
PaterosSchoolDistrict Plan280 PPO Y NPlan349 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
PatersonSchoolDistrict Plan349 PPO Y NPlan350 PPO Y NPlan279 PPO Y N
PeEllSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
PeninsulaSchoolDistrict Plan028 HMO Y NPlan039 HMO Y NPlan366 PPO Y NPlan348 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan363 PPO Y N
PioneerSchoolDistrict Plan015 HMO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
PomeroySchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
PortAngelesSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
PortTownsendSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
PrescottSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan107 HMO Y NPlan199 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
ProsserSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan127 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
PullmanSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan354 PPO Y NPlan355 PPO Y NPlan356 PPO Y NPlan350 PPO Y NPlan175 HMO Y NPlan352 PPO Y NPlan193 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan151 HMO Y N
PuyallupSchoolDistrict Plan226 HMO Y NPlan227 PPO Y NPlan387 PPO Y NPlan388 PPO Y NPlan348 PPO Y NPlan383 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan386 PPO Y NPlan385 PPO Y NPlan350 PPO Y NPlan384 PPO Y N
QueetsClearwaterSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
QuilceneSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
QuillayuteValleySchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
QuincySchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
RainierSchoolDistrict Plan016 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
RaymondSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ReardanEdwallSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan278 PPO Y NPlan279 PPO Y N
RentonSchoolDistrict Plan222 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
RepublicSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
RichlandSchoolDistrict Plan280 PPO Y NPlan128 HMO Y NPlan349 PPO Y NPlan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
RidgefieldSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan308 InN Y N
RitzvilleSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
RiversideSchoolDistrict Plan146 HMO Y NPlan117 HMO Y NPlan354 PPO Y NPlan355 PPO Y NPlan356 PPO Y NPlan168 HMO Y NPlan352 PPO Y NPlan319 PPO Y NPlan320 PPO Y NPlan315 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
RiverviewSchoolDistrict Plan233 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
RochesterSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan053 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
RooseveltSchoolDistrict Plan349 PPO Y NRosaliaSchoolDistrict Plan154 HMO Y N
Plan349 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan137 HMO Y N
RoyalSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SanJuanIslandSchoolDistrict Plan014 HMO Y NPlan366 PPO Y NPlan362 PPO Y NPlan365 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan368 PPO Y N
SatsopSchoolDistrict Plan348 PPO Y NSeattlePublicSchools Plan221 PPO Y N
Plan224 HMO Y NPlan225 PPO Y NPlan344 PPO Y NPlan349 PPO Y NPlan345 PPO Y N
SedroWoolleySchoolDistrict Plan209 HMO Y NPlan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
SelahSchoolDistrict Plan108 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SelkirkSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
SequimSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ShawIslandSchoolDistrict Plan211 HMO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan280 PPO Y NPlan348 PPO Y N
SheltonSchoolDistrict Plan280 PPO Y NPlan022 HMO Y NPlan349 PPO Y NPlan366 PPO Y NPlan021 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan365 PPO Y NPlan350 PPO Y NPlan363 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan368 PPO Y N
ShorelineSchoolDistrict Plan216 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SkamaniaSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y NPlan299 InN Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
SkykomishSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SnohomishSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan235 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SnoqualmieValleySchoolDistrict Plan232 HMO Y NPlan236 PPO Y NPlan237 PPO Y NPlan238 PPO Y NPlan268 PPO Y N
SoapLakeSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
SouthBendSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SouthKitsapSchoolDistrict Plan366 PPO Y NPlan362 PPO Y NPlan365 PPO Y NPlan265 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan364 PPO Y NPlan368 PPO Y N
SouthWhidbeySchoolDistrict Plan231 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SouthsideSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan278 PPO Y NPlan279 PPO Y N
SpokaneSchoolDistrict Plan317 PPO Y NPlan262 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan098 HMO Y NPlan099 HMO Y NPlan101 HMO Y NPlan100 HMO Y NPlan247 PPO Y NPlan261 PPO Y NPlan246 PPO Y NPlan314 PPO Y N
SpragueSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
St.JohnSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan346 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan288 HMO Y NStanwoodCamanoSchoolDistrict Plan280 PPO Y N
Plan349 PPO Y NPlan366 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan365 PPO Y NPlan350 PPO Y NPlan367 PPO Y NPlan363 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan368 PPO Y NPlan026 HMO Y N
StarSchoolDistrict Plan319 PPO Y NPlan320 PPO Y NPlan315 PPO Y N
StarbuckSchoolDistrict Plan349 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
StehekinSchoolDistrict Plan351 PPO Y NSteilacoomHist.SchoolDistrict Plan280 PPO Y N
Plan348 PPO Y NPlan351 PPO Y NPlan033 HMO Y NPlan350 PPO Y NPlan278 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan279 PPO Y NSteptoeSchoolDistrict Plan286 PPO Y N
Plan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
StevensonCarsonSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y NPlan299 InN Y N
SultanSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan042 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SummitValleySchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
SumnerSchoolDistrict Plan029 HMO Y NPlan280 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
SunnysideSchoolDistrict Plan109 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
TacomaSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan034 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
TaholahSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
TahomaSchoolDistrict Plan280 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan349 PPO Y NPlan242 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
TekoaSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan160 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
TeninoSchoolDistrict Plan002 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ThorpSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan278 PPO Y NPlan279 PPO Y N
ToledoSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
TonasketSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ToppenishSchoolDistrict Plan057 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan251 PPO Y NPlan350 PPO Y NPlan131 HMO Y NPlan170 HMO Y NPlan182 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
TouchetSchoolDistrict Plan366 PPO Y NPlan152 HMO Y NPlan367 PPO Y NPlan363 PPO Y NPlan368 PPO Y NPlan167 HMO Y N
ToutleLakeSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan275 InN Y N
TroutLakeSchoolDistrict Plan270 PPO Y NPlan271 PPO Y NPlan272 PPO Y N
TukwilaSchoolDistrict Plan219 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
TumwaterSchoolDistrict Plan012 HMO Y NPlan280 PPO Y NPlan349 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
UnionGapSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan138 HMO Y N
UniversityPlaceSchoolDistrict Plan041 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan198 HMO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ValleySchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan169 HMO Y NPlan278 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan279 PPO Y NVancouverSchoolDistrict Plan280 PPO Y N
Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan302 InN Y NPlan278 PPO Y NPlan279 PPO Y N
VashonIslandSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan244 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
WahkiakumSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
WahlukeSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan062 HMO Y NPlan323 InN Y NPlan350 PPO Y NPlan192 HMO Y NPlan278 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
WaitsburgSchoolDistrict Plan135 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WallaWallaPublicSchools Plan136 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WapatoSchoolDistrict Plan348 PPO Y NPlan351 PPO Y NPlan252 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan183 HMO Y NPlan184 HMO Y NPlan058 HMO Y N
WardenSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan323 InN Y NPlan346 PPO Y NPlan288 HMO Y N
WashougalSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan308 InN Y N
WashtucnaSchoolDistrict Plan349 PPO Y NPlan351 PPO Y NPlan279 PPO Y N
WatervilleSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WellpinitSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WenatcheeSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WestValleySchoolDistrict(Spokane) Plan144 HMO Y NPlan280 PPO Y NPlan134 HMO Y NPlan349 PPO Y NPlan118 HMO Y NPlan348 PPO Y NPlan351 PPO Y NPlan253 PPO Y NPlan350 PPO Y NPlan185 HMO Y NPlan186 HMO Y NPlan278 PPO Y NPlan279 PPO Y NPlan319 PPO Y NPlan320 PPO Y NPlan315 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan059 HMO Y NWestValleySchoolDistrict(Yakima) Plan280 PPO Y N
Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
WhitePassSchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WhiteRiverSchoolDistrict Plan207 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan279 PPO Y NWhiteSalmonValleySchoolDistrict Plan270 PPO Y N
Plan271 PPO Y NPlan272 PPO Y N
WilburSchoolDistrict Plan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan323 InN Y NPlan350 PPO Y NPlan278 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
WillapaValleySchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
WilsonCreekSchoolDistrict Plan280 PPO Y NPlan286 PPO Y NPlan287 HMO Y NPlan347 PPO Y NPlan349 PPO Y NPlan351 PPO Y NPlan323 InN Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan346 PPO Y NPlan288 HMO Y N
WinlockSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WishkahValleySchoolDistrict Plan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y N
WishramSchoolDistrict Plan349 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
WoodlandSchoolDistrict Plan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y NPlan308 InN Y N
YakimaSchoolDistrict Plan060 HMO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan254 PPO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan376 PPO Y NPlan375 PPO Y NPlan377 PPO Y NPlan188 HMO Y NPlan350 PPO Y NPlan187 HMO Y NPlan278 PPO Y NPlan279 PPO Y N
YelmSchoolDistrict Plan267 HMO Y NPlan280 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan350 PPO Y NPlan278 PPO Y NPlan279 PPO Y N
ZillahSchoolDistrict Plan061 HMO Y NPlan255 PPO Y NPlan349 PPO Y NPlan348 PPO Y NPlan351 PPO Y NPlan189 HMO Y N
-
2012 2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanOptionsbyDistrictAllPlansOfferedinCalendarYear2012
PlanYearEndingDistrict HealthPlan PlanType
ExhibitA2a
Plan350 PPO Y NPlan190 HMO Y N
-
BeginDate EndDate BeginDate EndDatePlan001 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan002 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan003 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan004 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan005 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan006 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan007 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan008 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan009 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan010 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan011 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan012 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan013 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan014 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan015 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan016 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan017 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan018 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan019 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan020 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan021 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan022 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan023 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan024 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan025 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan026 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan027 10/1/2011 9/30/2012 10/1/2012 9/30/2013
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
-
BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan028 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan029 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan030 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan031 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan032 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan033 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan034 1/1/2012 12/31/2012Plan035 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan036 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan037 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan038 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan039 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan040 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan041 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan042 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan043 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan044 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan045 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan046 1/1/2012 12/31/2012Plan047 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan048 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan049 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan050 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan051 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan052 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan053 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan054 10/1/2011 9/30/2012 10/1/2012 9/30/2013
-
BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan055 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan056 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan057 1/1/2012 12/31/2012Plan058 1/1/2012 12/31/2012Plan059 1/1/2012 12/31/2012Plan060 1/1/2012 12/31/2012Plan061 1/1/2012 12/31/2012Plan062 1/1/2012 12/31/2012Plan063 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan064 10/1/2012 9/30/2013Plan065 10/1/2012 9/30/2013Plan066 10/1/2012 9/30/2013Plan067 10/1/2012 9/30/2013Plan068 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan069 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan070 10/1/2012 9/30/2013Plan071 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan072 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan073 10/1/2012 9/30/2013Plan074 10/1/2012 9/30/2013Plan075 10/1/2012 9/30/2013Plan076 10/1/2012 9/30/2013Plan077 10/1/2012 9/30/2013Plan078 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan079 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan080 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan081 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan082 10/1/2012 9/30/2013Plan083 10/1/2012 9/30/2013Plan084 10/1/2012 9/30/2013Plan085 10/1/2012 9/30/2013Plan086 10/1/2012 9/30/2013Plan087 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan088 10/1/2012 9/30/2013Plan089 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan090 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan091 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan092 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan093 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan094 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan095 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan096 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan097 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan098 1/1/2012 12/31/2012Plan099 1/1/2012 12/31/2012Plan100 1/1/2012 12/31/2012Plan101 1/1/2012 12/31/2012Plan102 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan103 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan104 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan105 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan106 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan107 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan108 10/1/2011 9/30/2012 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan109 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan110 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan111 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan112 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan113 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan114 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan115 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan116 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan117 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan118 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan119 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan120 1/1/2012 12/31/2012Plan121 1/1/2012 12/31/2012Plan122 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan123 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan124 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan125 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan126 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan127 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan128 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan129 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan130 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan131 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan132 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan133 1/1/2012 12/31/2012Plan134 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan135 10/1/2011 9/30/2012 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan136 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan137 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan138 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan139 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan140 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan141 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan142 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan143 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan144 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan145 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan146 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan147 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan148 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan149 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan150 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan151 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan152 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan153 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan154 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan155 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan156 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan157 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan158 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan159 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan160 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan161 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan162 10/1/2011 9/30/2012 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan163 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan164 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan165 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan166 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan167 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan168 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan169 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan170 1/1/2012 12/31/2012Plan171 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan172 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan173 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan174 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan175 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan176 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan177 1/1/2012 12/31/2012Plan178 1/1/2012 12/31/2012Plan179 1/1/2012 12/31/2012Plan180 1/1/2012 12/31/2012Plan181 1/1/2012 12/31/2012Plan182 1/1/2012 12/31/2012Plan183 1/1/2012 12/31/2012Plan184 1/1/2012 12/31/2012Plan185 1/1/2012 12/31/2012Plan186 1/1/2012 12/31/2012Plan187 1/1/2012 12/31/2012Plan188 1/1/2012 12/31/2012Plan189 1/1/2012 12/31/2012
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan190 1/1/2012 12/31/2012Plan191 1/1/2012 12/31/2012Plan192 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan193 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan194 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan195 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan196 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan197 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan198 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan199 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan200 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan201 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan202 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan203 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan204 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan205 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan206 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan207 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan208 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan209 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan210 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan211 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan212 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan213 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan214 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan215 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan216 10/1/2011 9/30/2012 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan217 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan218 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan219 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan220 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan221 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan222 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan223 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan224 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan225 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan226 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan227 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan228 10/1/2012 9/30/2013Plan229 10/1/2012 9/30/2013Plan230 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan231 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan232 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan233 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan234 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan235 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan236 10/1/2011 9/30/2012Plan237 10/1/2011 9/30/2012Plan238 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan239 10/1/2012 9/30/2013Plan240 10/1/2012 9/30/2013Plan241 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan242 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan243 10/1/2011 9/30/2012 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan244 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan245 10/1/2012 9/30/2013Plan246 1/1/2012 12/31/2012Plan247 1/1/2012 12/31/2012Plan248 1/1/2012 12/31/2012Plan249 1/1/2012 12/31/2012Plan250 1/1/2012 12/31/2012Plan251 1/1/2012 12/31/2012Plan252 1/1/2012 12/31/2012Plan253 1/1/2012 12/31/2012Plan254 1/1/2012 12/31/2012Plan255 1/1/2012 12/31/2012Plan256 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan257 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan258 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan259 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan260 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan261 1/1/2012 12/31/2012Plan262 1/1/2012 12/31/2012Plan263 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan264 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan265 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan266 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan267 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan268 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan269 11/1/2012 10/31/2013Plan270 11/1/2011 10/31/2012 11/1/2012 10/31/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan271 11/1/2011 10/31/2012 11/1/2012 10/31/2013Plan272 11/1/2011 10/31/2012 11/1/2012 10/31/2013Plan273 10/1/2012 10/31/2013Plan274 10/1/2012 10/31/2013Plan275 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan276 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan277 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan278 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan279 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan280 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan281 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan282 10/1/2012 9/30/2013Plan283 10/1/2011 9/30/2012Plan284 10/1/2012 9/30/2013Plan285 10/1/2012 9/30/2013Plan286 1/1/2012 12/31/2012Plan287 1/1/2012 12/31/2012Plan288 1/1/2012 12/31/2012Plan289 10/1/2012 9/30/2013Plan290 10/1/2011 9/30/2012Plan291 10/1/2011 9/30/2012Plan292 10/1/2012 10/31/2013Plan293 10/1/2012 10/31/2013Plan294 10/1/2012 10/31/2013Plan295 10/1/2011 9/30/2012Plan296 10/1/2011 9/30/2012Plan297 10/1/2011 9/30/2012
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan298 11/1/2012 10/31/2013Plan299 11/1/2011 10/31/2012Plan300 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan301 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan302 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan303 10/1/2012 10/31/2013Plan304 10/1/2012 10/31/2013Plan305 10/1/2012 10/31/2013Plan306 10/1/2012 10/31/2013Plan307 10/1/2011 9/30/2012Plan308 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan309 10/1/2011 9/30/2012Plan310 10/1/2011 9/30/2012 10/1/2012 10/31/2013Plan311 10/1/2012 10/31/2013Plan312 10/1/2011 9/30/2012Plan313 10/1/2011 9/30/2012Plan314 1/1/2012 12/31/2012Plan315 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan316 10/1/2012 9/30/2013Plan317 1/1/2012 12/31/2012Plan318 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan319 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan320 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan321 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan322 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan323 1/1/2012 12/31/2012Plan324 10/1/2011 9/30/2012 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan325 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan326 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan327 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan328 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan329 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan330 10/1/2011 9/30/2012Plan331 10/1/2011 9/30/2012Plan332 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan333 10/1/2011 9/30/2012Plan334 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan335 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan336 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan337 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan338 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan339 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan340 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan341 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan342 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan343 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan344 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan345 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan346 1/1/2012 12/31/2012Plan347 1/1/2012 12/31/2012Plan348 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan349 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan350 10/1/2011 9/30/2012 10/1/2012 9/30/2013Plan351 10/1/2011 9/30/2012 10/1/2012 9/30/2013
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BeginDate EndDate BeginDate EndDate
WashingtonStateOfficeoftheInsuranceCommissionerK12SchoolDistrictDataCollectionProject
HealthPlanCoveragePeriodsAllPlansOfferedinCalendarYear2012
PlanYearEndingin2012 PlanYearBeginningin2012HealthPlan
ExhibitA2b
Plan352 10