ContractPebb Employer Group Interlocal Agreement • May 19th, 2023 • Washington
PEBB EMPLOYER GROUP INTERLOCAL AGREEMENT Restated Contract HCA Contract Number: K2049 HCA Contract Amendment Number: 1 Employer Group Agency Number: 924 Washington State Health Care Authority is the single state agency that administers the medical, dental, life, and disability insurance coverage for the Employees of the State of Washington and for contracted employer groups, as set forth in Title 41 RCW. THIS Interlocal Agreement made by and between Washington State Health Care Authority, hereinafter referred to as "HCA," and Intercity Transit, hereinafter referred to as the "Contractor." EMPLOYER NAMEIntercity Transit EMPLOYER doing business as (DBA) EMPLOYER GROUP ADDRESS PO Box 659Olympia, WA 98507 FEDERAL TAX ID #: 91-1119706 WA STATE UBI #: EMPLOYER BARGAINING GROUP:All Employees EMPLOYER CONTACTCraig Laslie EMPLOYER TELEPHONE(360) 561-1643 EMPLOYER E-MAIL ADDRESSclaslie@intercitytransit.com HCA PROGRAMPEB Outreach and Training HCA DIVISION/SECTIONEmployees and Retirees Benefits
