This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of Form HCA51-0007 (E)?
A: The purpose of Form HCA51-0007 (E) is to make changes to PEBB retiree benefits in Washington.
Q: Who should use this form?
A: This form should be used by PEBB retirees in Washington who need to make changes to their benefits.
Q: What kind of changes can be made using this form?
A: Form HCA51-0007 (E) can be used to make changes to various PEBB retiree benefits, such as adding or removing dependents, changing coverage options, or updating contact information.
Q: Is this form specific to Washington state only?
A: Yes, this form is specific to PEBB retirees in Washington state.
Q: Are there any fees or costs associated with submitting this form?
A: No, there are no fees or costs associated with submitting Form HCA51-0007 (E).
Q: What should I do after completing this form?
A: After completing Form HCA51-0007 (E), you should submit it to your PEBB retiree benefits administrator for processing.
Q: Can I make changes to my benefits at any time using this form?
A: No, there are specific enrollment periods during which changes to PEBB retiree benefits can be made using this form. Check with your benefits administrator for more information.
Form Details:
Download a fillable version of Form HCA51-0007 (E) by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.