Health Care Authority, Washington State

State of Washington

Official Website: https://www.hca.wa.gov/

Forms & Documents

Browse all Health Care Authority, Washington State government forms

101 - 120 of 135 forms

Form Title Topics
Premium Payment Plan Election/Change form
Premium Surcharge Attestation Change form (SEBB) 2024
Premium Surcharge Change form
Privacy Notice
P&T Conflict of Interest Form
P&T/DUR stakeholder COI form
Removable prosthetic prior authorization form
Retiree Change Form (form E) 2024
Retiree Election Form (form A) 2024
Retiree Enrollment Guide
School Board Member Election/Change form 2024
School Employee Change form
School Employee Enrollment/Change form - Medical only groups
School Employee Enrollment form
School Employee Enrollment Guide
SEBB Appeals process map
SEBB Error Correction Guidelines
SEBB list bill process and guidelines
SEBB LTD Administration Manual
SEBB LTD Correction form

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions