

If you can’t find what you are looking for, call us at (206) 282-4500 or (800) 225-7620 or .
Plan Booklets and Summaries
- SoundPlus Plan PPO Summary Plan Description
- Sound Plan PPO Summary Plan Description
- Sound Plan - Medical Comparison
- SoundPlus Plan - Medical Comparison
- Sound Plan - Dental Comparison
- SoundPlus Plan - Dental Comparison
Other Plan Documents
- General COBRA Notice
- Notice of Privacy Practices - Sound Health & Wellness Trust
- Summary Annual Report - RCWT (now Sound Health & Wellness Trust)
Forms
- Certification of Spouse/Same Sex Domestic Partner
- Affidavit of Same Sex Domestic Partnership
- Subrogation Questionnaire
- Subrogation Agreement
- Medical claim form
- Time loss claim form
- HIPAA release form
- Request for waiver of waiting period
- Physical Therapy Pre-Authorization form
Pharmacy Information
- InformedMail mail order form
- List of custom network pharmacies
- Maintenance Drug list
- List of specialty drugs (Ascend program)
- Prescription Drug Pre-Authorization Form
Policies
- Bariatric Surgery Policy
- Procedures for Filing Claims and Appeals
- Physical Therapy Rehab Benefit Information - Sound PPO Plan
- Physical Therapy Rehab Benefit Information - SoundPlus PPO Plan
Brochures
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Sound Health & Wellness Trust
(206) 282-4500 or (800) 225-7620
Call Mon – Fri, 9:00 a.m. to 5:00 p.m.First Choice Health Network
(206) 268-2910 or (800) 843-5127
Call Mon – Fri, 8:00 a.m. to 5:00 p.m.Washington Dental Service
(800) 554-1907 (WDS Preferred)
(800) 650-1583 (DeltaCare)
Call Mon – Fri, 8 a.m. to 5 p.m.OptumHealth Behavioral Solutions—for Mental Health & Substance Abuse
(866) 763-0466
Call 24/7VSP
(800) 877-7195
Call Mon – Fri 8 a.m. to 10 p.m. EST
Sat 9 a.m. to 5:30 p.m. EST
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informedRX
(800) 456-4803
Call 24/7LiveWell Health Reimbursement Arrangement
(888) 590-SHWT (7498)
Call Mon – Fri, 5:00 a.m. to 8:00 p.m.LiveWell Nurse Line Plus
(Call also with questions about the Personal Health Assessment, Health Coaching, and Condition Management)
(877) 362-9969
Call 24/7LiveWell Quit For Life®
1.866.QUIT.4.LIFE (866.784.8454)
Call 5:00 a.m. – 12:00 a.m.
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