Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form HCA20-0060 for the current year.

Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington

What Is Form HCA20-0060?

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 HCA20-0060?
A: Form HCA20-0060 is the Sebb Continuation Coverage (Cobra) Election/Change form in Washington.

Q: What is Sebb Continuation Coverage?
A: Sebb Continuation Coverage is a program that provides temporary health insurance coverage to individuals who lose or change their job-based health insurance.

Q: Who is eligible for Sebb Continuation Coverage?
A: You may be eligible for Sebb Continuation Coverage if you lose your job-based health insurance due to certain qualifying events, such as job loss or reduction in hours.

Q: What is Cobra?
A: Cobra stands for Consolidated Omnibus Budget Reconciliation Act, which allows eligible individuals to continue their health insurance coverage for a limited time.

Q: How can I use form HCA20-0060?
A: You can use form HCA20-0060 to elect or make changes to your Sebb Continuation Coverage and enroll in or change individual health coverage.

ADVERTISEMENT

Form Details:

  • Released on October 1, 2022;
  • 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 HCA20-0060 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington

4.3 of 5 (23 votes)
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington

    1

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 2

    2

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 3

    3

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 4

    4

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 5

    5

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 6

    6

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 7

    7

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 8

    8

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 9

    9

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 10

    10

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 11

    11

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 12

    12

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 13

    13

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election/Change - Washington, Page 14

    14

  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 1
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 2
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 3
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 4
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 5
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 6
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 7
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 8
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 9
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 10
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 11
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 12
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 13
  • Form HCA20-0060 Sebb Continuation Coverage (Cobra) Election / Change - Washington, Page 14
Prev 1 2 3 4 5 ... 14 Next
ADVERTISEMENT