AGC - International Union of
Operating Engineers Local 701
Trust Funds

ADMINISTERED BY:
Welfare & Pension Administration Service, Inc.
 

Operating Engineers - Forms

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Where to send completed forms

  • ACTIVE AND NON-MEDICARE RETIREES
    • Medical and Vision Claims
      • PPO Services Obtained in Oregon mail claims to:
        Regence BlueCross BlueShield of Oregon
        PO Box 30805
        Salt Lake City, UT 84130-0805

      • PPO Services Obtained in Washington & Alaska mail claims to:
        Premera Blue Cross
        PO Box 91080
        Seattle, WA 98111-9180

      • All Other Areas mail claims to:
        Local BlueCard Plan

    • Member Paid Claims, Dental Claims, and Time Loss Claims mail to:
      AGC IUOE Local 701 H&W
      PO Box 34687
      Seattle, WA 98124-1687

  • MEDICARE RETIREES
    • Mail ALL claims to:
      AGC IUOE Local 701 H&W
      PO Box 34687
      Seattle, WA 98124-1687

  • ALL OTHER COMPLETED FORMS:
    Administration Office
    15 82nd Drive, Suite 200
    Gladstone, OR 97027

 

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