Retirees who are not yet Medicare-eligible (under age 65), and have continued on Boise School District’s Regence Blue Shield of Idaho medical plan, must complete the Wellness Program requirements in order to qualify for the Wellness Medical Plan. For all details, including the requirements to qualify, refer to the District’s Wellness Program web page.
Enroll over the phone by calling Regence Customer Service at (888) 319-8904 (TTY: 711)
Or you can complete the paper Enrollment Form
Complete, sign and date the Enrollment Form
Mail the completed Enrollment Form to Regence at PO Box 1827, Medford, OR 97501, or fax it to (888) 335-2988.
To Enroll:
Complete, sign and date the Enrollment Form
Mail the completed Enrollment Form to Regence at PO Box 1106, MS-LC1NW, Lewiston, ID 83501-1106, or fax it to (877) 369-3418.
Complete, sign and date the Enrollment Form. Elect payment method (PERSI or direct bill).
Fax completed form to (866) 303-5117 or mail to PO BOX 1106, Lewiston, ID 83501 or you can email a scanned copy to Sharleen.Lohman@regence.com
Questions? Call customer service at (888)-370-6160
Complete, sign and date the Enrollment Form. Elect payment method (PERSI or direct bill).
Mail the completed Enrollment From to PO BOX 1827, Medford, OR 97501 or fax it to Regence at (888)-335-2988.
Questions? Call customer service at (888)-319-8904 (TTY: 711)
If you would like to cancel your coverage or drop any existing dependents from coverage, contact the applicable vendor(s) from this contact list.