Form HCA20-0190 Sebb Notification of Enrollment Extension for Supplemental Life Insurance - Washington

Form HCA20-0190 Sebb Notification of Enrollment Extension for Supplemental Life Insurance - Washington

What Is Form HCA20-0190?

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 HCA20-0190?
A: Form HCA20-0190 is a Sebb Notification of Enrollment Extension for Supplemental Life Insurance specifically for residents of Washington.

Q: What is Sebb?
A: Sebb stands for School Employees Benefits Board, which is responsible for providing benefits to eligible school employees in Washington.

Q: What does the Form HCA20-0190 do?
A: Form HCA20-0190 is used to notify eligible school employees in Washington about an extension of the enrollment period for supplemental life insurance.

Q: Who is eligible for supplemental life insurance through Sebb?
A: Eligible school employees in Washington are eligible for supplemental life insurance through Sebb.

Q: What is the purpose of the enrollment extension?
A: The enrollment extension allows eligible school employees in Washington to enroll in supplemental life insurance outside of the regular enrollment period.

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Form Details:

  • Released on July 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 HCA20-0190 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA20-0190 Sebb Notification of Enrollment Extension for Supplemental Life Insurance - Washington

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  • Form HCA20-0190 Sebb Notification of Enrollment Extension for Supplemental Life Insurance - Washington, Page 1
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