R.L Evans Company, Inc.

For Insurance Purposes:
This communication is strictly intended for individuals and businesses residing in the state of Washington.

 

Premera Blue Cross has been providing health care coverage to Washington residents for more than 86 years. Serving more than 1.1 million members, they are one of the leading healthcare service providers in the State of Washington.  Of the 10 Medicare Supplement (Medigap) plan designs that are available on the market, Premera offers four of these (plans A, C, F and I) to State wide enrollees (except Clark County) who are over age 65 and enrolled on Medicare Parts A and B. If you are under age 65 and eligible for Medicare due to a disability, Plan A is the only option available to you.

Enrollment Forms & Instructions

  • Complete the Application for Supplement to Medicare.  If you are replacing another Medicare Supplement policy with this coverage you must also sign a Replacement Form.
     
  • Do not submit any money at this time.  You will be billed once your application has been approved.  Submit your enrollment form(s) to:
     

      • R. L. Evans Company, Inc.
      600 Stewart St., Suite 1210
      Seattle, WA  98101

Need Help? 206.448.7878 (or 1.800.987.8199)

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Plaza 600 Building : 600 Stewart Street : Suite 1210 : Seattle, WA 98101
Telephone 206.448.7878 : Facsimile 206.448.3589
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