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.
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 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.
Form Details:
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.