For Consumers

Premera Blue Cross

Status

Expired

Employer/sponsor name

Evergreen Restaurant Group, LLC

Third Party Administrator name

Premera Blue Cross

Group ID#

4000619

Address

1180 NW Maple St., Suite 105

City

Issaquah

State

Washington

Zip

98027

Phone

425-918-4000

Opt-in duration

Plan Year

Beginning: 02/01/2020

Ending: 01/31/2021