Regence Evolve “At a Glance”

• Regence Evolve Presale Brochure (PDF)
• Regence Evolve Comparison Brochure (PDF)
• Individual Transfer Rules Grid (PDF)
• Summary of Benefits
  • Regence Evolve Core (PDF)
  • Regence Evolve HSA Plan – 80/60/60 (PDF)
  • Regence Evolve HSA Plan – 50/50/50 (PDF)
  • Regence Evolve HSA 100 Plan (PDF)

Rates

• Northern Rate Sheet—838xx Zip Codes (PDF)
• Southern Rate Sheet—832xx through 837xx Zip Codes (PDF)

Preferred banking partners have dedicated HSA customer service and performance agreements to ensure a good member experience.

• Comparison of Regence HSA Partner Banks (PDF)
• Contact Information for Regence HSA Partner Banks (PDF)

Health Equity

• HealthEquity Member & Employer Portal: Account login; enroll a new group or individual, view forms and documents.
• HealthEquity Sales Portal: Find pre-sale materials, open enrollment support materials, investment information and tutorials

US Bank

• US Bank Website
• Agent Sales Presentation
• Powerpoint presentation with HSA account overview, how to enroll in the US Bank HSA product, How to make contributions, Using HSA funds
• Schedule of costs & fees

HSA Bank

• HSA Bank Website
• Schedule of costs & fees

Individual forms

• Application: Individual Application Cover Sheet (PDF) and Idaho Individual Application (PDF)—both documents are required
• EFT/Surepay Form (PDF)
• Domestic Partner Affidavit (PDF)
• Affidavit of Incapacitated Dependent (PDF)
• Authorization to Continue Coverage (PDF)