Welcome to the Northwest Financial Associations’ (NWFA) Employee Benefits Trust! The Trust offers a full range of employee benefit programs and services to help meet the needs of your Financial Institution. In addition to our product offerings, we pride ourselves on providing excellent service to our clients and their employees.
TO REQUEST A QUOTE OR FOR MORE INFORMATION
Please contact the association team at DiMartino Associates:
DiMartino Associates
Phone: 206-623-2430
WASHINGTON
Benefits Program Information
Membership Information | 2023 Plan Menu | Quote Checklist | Quote Census Template
Non-Bank Membership Information | Contact List | SPD
New Groups Setup Paperwork
New Group Setup Checklist | 2023 Group Master Application
2023 Employee Enrollment Form | 2023 Voluntary Coverages
Enrollment Census Template | EFT Authorization Form | SIMON Access Request Form
Medical Plan Information | Premera
2023 Premera Dual Choice Matrix
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Medical Plan Highlights
Effective January 1, 2023 – December 31, 2023
Heritage Network
EPO 90|400 PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500
PPO 80|2000 PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000
PPO 70|5000 PPO 70|6000 HSA 80|1500 HSA 80|2500 HSA 80|5000 PPO 100|8550
Heritage Prime Network
PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500 PPO 80|2000
PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000 PPO 70|5000
PPO 70|6000 HSA 80|1500 HSA 80|2500 HSA 80|5000 PPO 100|8550
Medical Plan Summaries (SBCs)
Effective January 1, 2023 – December 31, 2023
Note: SBCs are not network specific
EPO 90|400 PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500
PPO 80|2000 PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000
PPO 70|5000 PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
Medical Plan Booklets
Effective January 1, 2023 – December 31, 2023
Plus Network
EPO 90|400 PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500
PPO 80|2000 PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000
PPO 70|5000 PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
Prime Network
PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500 PPO 80|2000
PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000 PPO 70|5000
PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
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Medical Plan Highlights
Effective January 1, 2022 – December 31, 2022
Plus Network
EPO 90|400 PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500
PPO 80|2000 PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000
PPO 70|5000 PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
Prime Network
PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500 PPO 80|2000
PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000 PPO 70|5000
PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
Medical Plan Summaries (SBCs)
Effective January 1, 2022 – December 31, 2022
Note: SBCs are not network specific
EPO 90|400 PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500
PPO 80|2000 PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000
PPO 70|5000 PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
Medical Plan Booklets
Effective January 1, 2022 – December 31, 2022
Plus Network
EPO 90|400 PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500
PPO 80|2000 PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000
PPO 70|5000 PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
Prime Network
PPO 80|400 PPO 80|600 PPO 80|850 PPO 80|1100 PPO 80|1500 PPO 80|2000
PPO 80|2600 PPO 80|3400 PPO 80|5500 PPO 70|3000 PPO 70|4000 PPO 70|5000
PPO 70|6000 HSA 80|1400 HSA 80|2500 HSA 80|5000 PPO 100|8550
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Medical Plan Information | Kaiser
Benefit Summaries
HMO 90|500 HMO 80|750 HMO 80|1000 HMO 80|1500 HMO 80|2000
HMO 80|3000 HMO HSA 80|1500 HMO HSA 80|2500 HMO HSA 80|4500
Summary of Benefit Coverages
HMO 90|500 HMO 80|750 HMO 80|1000 HMO 80|1500 HMO 80|2000
HMO 80|3000 HMO HSA 80|1500 HMO HSA 80|2500 HMO HSA 80|4500
Benefit Booklets
HMO 90|500 HMO 80|750 HMO 80|1000 HMO 80|1500
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2023 Dental Plan Information
Groups of 1-59 covered employees:
Employer may offer in any combination, 1 DDW plan* + the Willamette Dental plan.
Groups of 50+ covered employees:
Employer may offer in any combination, 2 DDW plans* + the Willamette Dental plan.
*If offering dual choice, a minimum of 10 employees must be enrolled in the DDW plan
2023 Delta Dental of Washington (DDW)
2023 Dental Summaries
Plan A (Incentive) Plan B (Incentive) Plan C Plan D Plan E Plan F
2023 Dental Summaries With Ortho
Plan A (Incentive)+Ortho Plan B (Incentive)+Ortho Plan C+Ortho
Plan D+Ortho Plan E+Ortho Plan F+Ortho
2023 Dental Booklets
Plan A Plan B Plan C Plan D Plan E Plan F
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2022 Dental Plan Information
Groups of 1-59 covered employees:
Employer may offer in any combination, 1 DDW plan* + the Willamette Dental plan.
Groups of 50+ covered employees:
Employer may offer in any combination, 2 DDW plans* + the Willamette Dental plan.
*If offering dual choice, a minimum of 10 employees must be enrolled in the DDW plan
2022 Delta Dental of Washington (DDW)
Dental Summaries
Plan A (Incentive) Plan B (Incentive) Plan C Plan D Plan E Plan F
Orthodontia Rider
2022 Dental Summaries With Ortho
Plan A (Incentive)+Ortho Plan B (Incentive)+Ortho Plan C+Ortho
Plan D+Ortho Plan E+Ortho Plan F+Ortho
Willamette Dental
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Vision | VSP
Vision Summaries
Vision Plan 1 Vision Plan 2 Vision Plan 3 Vision Plan 4
Employee Assistance Program
If the employer has selected medical coverage through The Trust, all employees are automatically enrolled in the First Choice EAP – 3 Visit model. An employer may elect to Buy-Up to the First Choice Enhanced EAP – 5 Visit model at an additional cost.
Group Life/AD&D, STD & LTD – Standard Insurance
100% of eligible employees must participate
Life/AD&D Summaries
Plan 1 – 1 X Annual Salary to $300K Plan 2 Plan 2.5 Plan 3 Plan 5 Plan 6 Plan 7
STD Plan Summaries
LTD Plan Summaries
Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
Voluntary Life/AD&D – Standard Insurance
Employee: 5 X Annual Salary to $300,000; Guarantee Issue $80,000
Spouse: 50% of Employee Election to $150,000; Guarantee Issue $20,000
Children: 50% of Employee Election: $5,000 or $10,000; All Guarantee Issue
Employee: 10 X Annual Salary to $500,000
If dependents are elected, the amount of insurance will be as follows:
Spouse Only: 50% of Employee amount
Children Only: 20% of Employee amount for each child
Spouse & Children: 50% of Employee for Spouse, 5% of Employee for each child