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Contact type and description Contact information Continuation Coverage and retired employees of a former employer group: PEBB Program: 1-800-200-1004 (TRS: 711) Retirees: Call the PEBB Program: 1-800-200-1004 (TRS: 711) Monday–Friday: 8 a.m. to 4:30 p.m. (Pacific) Visit: hca.wa.gov/erb Medical policies that affect Visit: Policies that affect your care webpage at coverage or care ump.regence.com/pebb/benefits/policies Including preauthorization, Health Technology Clinical Committee (HTCC) information, clinical policies, and drugs covered under medical benefits 2024 UMP Plus–PSHVN (PEBB) Certificate of Coverage 3

UMP Plus–Puget Sound High Value Network (PSHVN) COC (2024) - Page 4 UMP Plus–Puget Sound High Value Network (PSHVN) COC (2024) Page 3 Page 5