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Form HCA20-0055 School Employee Enrollment - Additional Dependents - Washington
What Is Form HCA20-0055?
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 HCA20-0055?
A: Form HCA20-0055 is a form used for school employee enrollment for additional dependents in Washington.
Q: Who should use Form HCA20-0055?
A: Form HCA20-0055 should be used by school employees in Washington who want to enroll additional dependents in their health coverage.
Q: What is the purpose of Form HCA20-0055?
A: The purpose of Form HCA20-0055 is to provide information about additional dependents and their eligibility for health coverage.
Q: Are there any fees associated with Form HCA20-0055?
A: No, there are no fees associated with Form HCA20-0055.
Q: Are there any deadlines for submitting Form HCA20-0055?
A: Yes, the deadlines for submitting Form HCA20-0055 may vary depending on your school district. It is important to check with your employer or the Health Care Authority for specific deadlines.
Form Details:
- 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 HCA20-0055 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA20-0055 School Employee Enrollment - Additional Dependents - Washington
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