Medical and Dental
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Whitman College Benefit Change and Enrollment Form
Premera Member Enrollment and Change Application
Premera Claim Reimbursement Form
Express Scripts Mail Order Form
*If you want to add medical and/or dental coverage for yourself or an eligible family member, delete family medical coverage or waive medical coverage in 2018 you will need to complete the forms above.
Helpful Information for Premera's Website
Other Coverage Questionnaire Enrollment
Information on Mail Order Prescriptions