Form HCA20-0127 Sebb Employee Change Form for Additional Dependents - Washington

What Is Form HCA20-0127?

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 Form HCA20-0127?
A: Form HCA20-0127 is the Sebb Employee Change Form for Additional Dependents in Washington.

Q: What is the purpose of Form HCA20-0127?
A: The purpose of Form HCA20-0127 is to add additional dependents to the Sebb employee's coverage in Washington.

Q: Who needs to fill out Form HCA20-0127?
A: Sebb employees in Washington who want to add additional dependents to their coverage need to fill out Form HCA20-0127.

Q: Are there any fees associated with Form HCA20-0127?
A: No, there are no fees associated with Form HCA20-0127.

Q: Is Form HCA20-0127 only for residents of Washington?
A: Yes, Form HCA20-0127 is only for residents of Washington who are enrolled in the Sebb program.

Q: What information do I need to provide on Form HCA20-0127?
A: You will need to provide information about the additional dependents you want to add, such as their names, dates of birth, and relationship to you.

Q: Is there a deadline for submitting Form HCA20-0127?
A: Yes, there is a deadline for submitting Form HCA20-0127. The exact deadline will be mentioned on the form or in the accompanying instructions.

Q: Who should I contact if I have questions about Form HCA20-0127?
A: If you have questions about Form HCA20-0127, you can contact the Washington Health Care Authority or the Sebb Program for assistance.