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Welcome to AGC Health Benefit Trust
Oregon Columbia Chapter
2021 Part Two
(October 1st 2021-September 30th 2022)

Program Overview
Overview
Product Grid
Underwriting Guidelines
Member Contact Information
Vimly Administration Guide

Customer Service 
Autumn Schwerdfager – Program Manager
cell: 503.462.4041
direct: 503.977.5704
fax: 360.735.3144
toll-free: 800.735.8325
e: service@agchealthplansnw.com

Quoting & Submission Materials

Quoting Materials

Submission Materials

Dollar Bank

CDHP Administration Forms available upon request to: flexspending@vimly.com

Medical/RX – United Healthcare

Medical/RX – United Healthcare

Ancillary Benefits & Programs

Benefit & Program Summaries

  • Life/AD&D Benefit Summaries:
    • $10k
    • $20k
    • $25k
    • $30k
    • $50k
  • Voluntary Life Summary
  • Voluntary Accident Summary
  • Travel Assistance Brochure

Certificates

  • Life/AD&D Certificate (All Increments of Coverage)
  • Voluntary Life Certificate
  • Voluntary Accident Certificate

Forms

  • Voluntary Life & Accident Enrollment Form
  • Life Beneficiary Form
  • Life Claim Form
  • AD&D Claim Form

Flyers & Resources