Form HCA50-0136 Pebb Continuation Coverage (Cobra) Election / Change - Washington

What Is Form HCA50-0136?

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 HCA50-0136?
A: Form HCA50-0136 is the PEBB Continuation Coverage (COBRA) Election/Change form specific to Washington State.

Q: What is PEBB Continuation Coverage (COBRA)?
A: PEBB Continuation Coverage (COBRA) is a program that provides temporary health insurance coverage for individuals who have lost their job or experienced a reduction in work hours.

Q: What is the purpose of Form HCA50-0136?
A: Form HCA50-0136 is used to elect or make changes to PEBB Continuation Coverage (COBRA) in Washington State.

Q: Who should use Form HCA50-0136?
A: Form HCA50-0136 should be used by individuals who are eligible for PEBB Continuation Coverage (COBRA) in Washington State.

Q: Are there any deadlines for submitting Form HCA50-0136?
A: Yes, there are deadlines for submitting Form HCA50-0136. It is important to submit the form within 60 days of the loss of your job or reduction in work hours.

Q: What information is required on Form HCA50-0136?
A: Form HCA50-0136 requires personal information, employer information, and coverage election details.

Q: Can I make changes to my coverage after submitting Form HCA50-0136?
A: No, once you submit Form HCA50-0136, you generally cannot make changes to your coverage.

Q: Is there a cost for PEBB Continuation Coverage (COBRA)?
A: Yes, there is a cost for PEBB Continuation Coverage (COBRA). The premium will be higher than what you paid as an active employee.

Q: Can I continue PEBB Continuation Coverage (COBRA) for my dependents?
A: Yes, you can continue PEBB Continuation Coverage (COBRA) for your dependents if they were covered under your employer-sponsored plan.