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Form HCA20-0055 School Employee Enrollment Form - Washington
What Is Form HCA20-0055?
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.
FAQ
Q: What is the purpose of form HCA20-0055?
A: Form HCA20-0055 is the School Employee Enrollment Form for Washington.
Q: Who can use form HCA20-0055?
A: School employees in Washington can use form HCA20-0055.
Q: What information is required on form HCA20-0055?
A: Form HCA20-0055 requires personal information such as name, address, and contact details.
Q: Is form HCA20-0055 mandatory?
A: Yes, school employees in Washington must complete form HCA20-0055.
Q: Are there any fees associated with form HCA20-0055?
A: No, there are no fees associated with form HCA20-0055.
Q: What happens after I submit form HCA20-0055?
A: After submitting form HCA20-0055, you may be eligible for health care coverage as a school employee in Washington.
Q: Can I make changes to my enrollment information after submitting form HCA20-0055?
A: It depends on the specific policies of the health care authority. You should contact them for any changes.
Form Details:
- Released on August 1, 2021;
- The latest edition provided by the Washington State Health Care Authority;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HCA20-0055 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA20-0055 School Employee Enrollment Form - Washington
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