Plan

Descriptions

Plan 

Overview

Quote Census Worksheet

TPM Trust Goals

• Quality coverage
• Reasonable price
• Strong relationships
• Superior customer service

Health Benefit Plan Enrollment Form 

(Spanish Version)

 Enrollment Change Form

(Spanish Version)

Notice to Terminate Benefits

COBRA-Notice of Qualified Event

Allegiance Benefit Plan Management, Inc. is the Trust's Third Party Administrator (TPA).

Their services include processing claims, billing, COBRA administration, flex benefits, and customer service. For customer service they can be reached on line at www.abpmtpa.com or by calling (800) 968-7406.

HIPAA Language

Employee Service

Claim Form

From this website, Allegiance Benefit Plan Management, Inc. has made it possible for individuals to look up information regarding their claims and the status of claims being processed. You can check claims, verify the balance in your flex account and more. You will need your Group ID plan number, password and your Social Security number to access this information.

TPM Trust works with Preferred Provider Networks in many regions. Participating plan members may look up which network and providers are on their plan by clicking on "Trust Preferred Providers" to the left. To view the website of any particular provider network, click on their links below.

Allegiance Direct Providers (USA)

Interwest Health Networks

Health Infonet (MT, WY)

Community Health Network (MT)

First Choice Health (WA, ID)

First Choice of the Midwest (SD, ND, IA, WY, CO, NE, MN, UT, ID)

Providence Preferred (OR)

Multiplan (USA)

Cofinity (CO)

Treasure State Health Net (MT)

Idaho Physician's Network (ID)

Americas PPO/ARAZ (ND, SD)

American Healthcare Alliance, LLC (SC)

Pharmacy Locator

Caremark

 Performance

 Drug List

Caremark

Mail Order Form

(Directions for Mail Order)

Caremark

Reimbursement Form

Caremark is the Pharmacy Benefit Manager for the TPM Trust health plan. Its prescription benefit services includes dispensing prescriptions and negotiating discounts with pharmaceutical companies. By offering a broad range of clinical, mail, claims processing, and member services we are able to provide high quality, cost effective programs that result in better outcomes and also lower prescription drug costs for TPM Trust plan participants.

Prescription drug Mail Order Forms should be mailed to:

Caremark Mail Service Inc.

PO Box 961066

Fort Worth, TX 76161-0066

Assurant Short Term coverage and Assurant Student Select coverage can meet your need for the "temporary" coverage often needed when an employee is between jobs, a student is at school or when a temporary layoff happens, etc.

Life Insurance Benefit Claim Form

In conjunction with medical benefits through the TPM Trust, Standard Insurance Company is the Trust’s partner in providing life insurance for plan participants and their dependents, including accidental death and dismemberment coverage. For more information, please call TPM at (509) 535-4646.

APS 

Healthcare

Our Employee Assistance Program is a valuable asset to companies that are proactive in retaining their workforce. TPM contracts with APS Healthcare to provide confidential couseling and support services to member companies' employees and their dependents in the follwoing areas:

• Alcohol Abuse
• Drug Abuse Marital Problems
• Stress Related Problems
• Parenting Problems
• Personal Problems
• Emotional Problems
• Behavioral Problems
• Legal Services*
• Financial Services**

*APS Healthcare provides referrals to meet with a lawyer in-person, and referrals are made to a law firm in your area. Referral lawyers have agreed to provide the initial half-hour consultation at no cost to the employee and 25% discount on rates if the services of the lawyer are needed further.

**Initial consultations are provided over the phone with a financial consultant. The consultant will review the client's past financial history, asses the current situation and problem solve with the client to develop a resolution strategy. If appropriate, local community referrals can be made for a specific concern.

Dan Johnson, Association Health Plan Manager

Steve Sharon, Licensed Agent

Dallas Hawkins, Licensed Agent

Shelly Dehn, Trust Administrative Assistant