Employee Benefit Plans

Vigilant Manufacturers’ Trust (VMT)

Vigilant Manufacturers’ Trust (VMT) provides high quality, affordable employee benefits programs to employers in the manufacturing industry, located in Washington State.

Groups may choose from several medical plan options underwritten by Premera Blue Cross. Optional ancillary benefits include dental coverage through Delta Dental of Washington, vision through VSP and Life/AD&D through LifeMap Assurance Company. Participating groups must elect a medical plan(s), which includes mandatory $10,000 Life/AD&D coverage, in order to elect optional dental, vision or buy-up life coverage.

Benefit Plan Documents & Forms

General Information

Enrollment Forms

2022-2023 Group Master Application
2021-2022 Group Master Application
2022-2023 Employee Application and Spanish Enrollment Form
2021-2022 Employee Application and Spanish Enrollment Form
Census Enrollment Template
(right click to save as)

Medical Plan Highlights

Effective October 1, 2022 – September 30, 2023

Premera Blue Cross
80 Series, 70 Series, 50 Series, 100 Series, HSA Series

80 Series
Prime

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
Plus

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
70 Series
Prime

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
Plus

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
50 Series
Prime

PPO 0

PPO 500

PPO 1000
Plus

PPO 0

PPO 500

PPO 1000
100 Series
Prime

PPO 8000
Plus

PPO 8000
HSA Series
Prime

HSA 1500

HSA 2500

HSA 3500

HSA 5500
Plus

HSA 1500

HSA 2500

HSA 3500

HSA 5500

Medical Plan Highlights

Effective October 1, 2021 – September 30, 2022

Premera Blue Cross
80 Series, 70 Series, 50 Series, 100 Series, HSA Series

80 Series
Prime

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
Plus

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
70 Series
PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
50 Series
PPO 0

PPO 500

PPO 1000
PPO 0

PPO 500

PPO 1000
100 Series
PPO 8000
PPO 8000
HSA Series
HSA 1500

HSA 2500

HSA 3500

HSA 5500
HSA 1500

HSA 2500

HSA 3500

HSA 5500

Medical Plan Booklets

Effective October 1, 2022 – September 30, 2023

Premera Blue Cross
80 Series, 70 Series, 50 Series, 100 Series, HSA Series

80 Series
Prime

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
Plus

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
70 Series
Prime

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
Plus

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
50 Series
Prime

PPO 50-0

PPO 50-500

PPO 50-1000
Plus

PPO 50-0

PPO 50-500

PPO 50-1000
100 Series
Prime

PPO 8000
Plus

PPO 8000
HSA Series
Prime

HSA 1500

HSA 2500

HSA 3500

HSA 5500
Plus

HSA 1500

HSA 2500

HSA 3500

HSA 5500

Medical Plan Booklets

Effective October 1, 2021 – September 30, 2022

Premera Blue Cross
80 Series, 70 Series, 50 Series, 100 Series, HSA Series

80 Series
Prime

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
Plus

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
70 Series
Prime

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
Plus

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
50 Series
Prime

PPO 50-0

PPO 50-500

PPO 50-1000
Plus

PPO 50-0

PPO 50-500

PPO 50-1000
100 Series
Prime

PPO 8000
Plus

PPO 8000
HSA Series
Prime

HSA 1500

HSA 2500

HSA 3500

HSA 5500
Plus

HSA 1500

HSA 2500

HSA 3500

HSA 5500

Medical Plan Summaries

Effective October 1, 2022 - September 30, 2023

Premera Blue Cross - Heritage Plus & Heritage Prime
80 Series, 70 Series, 50 Series, 100 Series, HSA Series

80 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
70 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
50 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 50-50 0

PPO 50-50 500

PPO 50-50 1000
100 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 8000
HSA Series
Premera Blue Cross (Prime & Plus Networks)

HSA 1500

HSA 2500

HSA 3500

HSA 5500

Medical Plan Summaries

Effective October 1, 2021 - September 30, 2022

Premera Blue Cross - Heritage Plus & Heritage Prime
80 Series, 70 Series, 50 Series, HSA Series

80 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 250

PPO 500

PPO 750

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000
70 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 1000

PPO 1500

PPO 2000

PPO 2500

PPO 3000

PPO 4000

PPO 5000

PPO 6000
50 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 50-50 0

PPO 50-50 500

PPO 50-50 1000
100 Series
Premera Blue Cross (Prime & Plus Networks)

PPO 8000
HSA Series
Premera Blue Cross (Prime & Plus Networks)

HSA 1500

HSA 2500

HSA 3500

HSA 5500

Dental Plan Summaries

Delta Dental of Washington
Effective October 1, 2022 - September 30, 2023

Dental Plan Summaries

Delta Dental of Washington
Effective October 1, 2021 - September 30, 2022

Dental Plan Flyers

Delta Dental of Washington

Vision Plan Summaries

VSP

Life / AD&D Plan Summaries

Lifemap