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Evergreen Security Trust
FORMS & PLAN SUMMARIES
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For further information please contact our general agent:
DiMartino Associates, Inc.
1301 5th Avenue, Suite 3701
Seattle, WA 98101
Phone:   206-623-2430
Fax:       206-812-7550
Email:     Evergreen Security Trust

To request a quote, please click on the link below. (Note: to request a quote you must already be a Broker Partner.) Request a Quote

If you wish to become eligible for an EST quote, please click on the link below.
EST Eligibility
Forms & Plan Summaries

 MEDICAL

2008
PPO 250 - Benefit Summary
PPO 250a - Benefit Summary
PPO 350 - Benefit Summary
PPO 350a - Benefit Summary
PPO 500 - Benefit Summary
FF 750 - Benefit Summary
FF 1000 - Benefit Summary
PPO 50/50 - Benefit Summary
PPO 50/50 Ded - Benefit Summary
PPO 50/50 Ded (Waived RX) - Benefit Summary
Selections - Benefit Summary
HSA 1500 - Benefit Summary
Medical Plan Comparison 2008
Dual Choice Matrix
 

2007

Plan 1 - Benefit Summary

Plan 1a - Benefit Summary

Plan 2 - Benefit Summary
Plan 2a - Benefit Summary
Plan 3 - Benefit Summary
Plan 3a - Benefit Summary

Plan 4 - Benefit Summary

Plan 5 - Benefit Summary
Plan 6 - Benefit Summary
Medical Plan Comparison 2007
 DENTAL

Plan 1 - 2007 Benefit Summary

Plan 2 - 2006/07 Benefit Summary

Plan 3 - 2006/07 Benefit Summary
Plan 4 - 2006/07 Benefit Summary

Ortho Option All Plans - Benefit Summary

Domestic Partner Definition

Dental Plan Comparison 2007-2008
 
 LIFE

AD&D - Benefit Summary

AD&D $10,000 - Benefit Summary

AD&D $25,000 - Benefit Summary

 
 GENERAL
2008

Broker Manual

Administrators Guide

Master Application

Master Application - Asuris

Employee Application

Employee Application - Asuris

COBRA Agreement

Domestic Partner Agreement

Late Submission Letter

New Group Checklist
Forms & Plan Summaries