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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HCA50-0027
for the current year.
Form HCA50-0027 Pebb Spousal Plan Calculator - Washington
What Is Form HCA50-0027?
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 HCA50-0027?
A: Form HCA50-0027 is a calculator specifically for the Pebb Spousal Plan in Washington.
Q: What is the Pebb Spousal Plan?
A: The Pebb Spousal Plan is a health insurance plan for the spouses of eligible Washington state employees.
Q: What does the Form HCA50-0027 calculator do?
A: The Form HCA50-0027 calculator helps determine the cost of the Pebb Spousal Plan based on the employee's benefit eligibility and the spouse's health-related risk factors.
Q: Who can use Form HCA50-0027?
A: Form HCA50-0027 can be used by Washington state employees who are eligible for the Pebb Spousal Plan and want to calculate the cost of coverage for their spouse.
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 HCA50-0027 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA50-0027 Pebb Spousal Plan Calculator - Washington
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