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This document provides instructions for completing an application for health coverage through Health Plan One in Washington state. It includes sections for applicant information, benefit plan selection,
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How to fill out washington individual enrollment application

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How to fill out Washington Individual Enrollment Application

01
Begin by obtaining the Washington Individual Enrollment Application form from the Washington Health Benefit Exchange website.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide your date of birth and Social Security number as required.
04
Indicate your household size and income to determine eligibility for health coverage.
05
Answer questions related to any existing health insurance coverage you have.
06
Review and confirm your information for accuracy.
07
Sign and date the application to validate your submission.
08
Submit the completed application online, by mail, or in person as instructed.

Who needs Washington Individual Enrollment Application?

01
Individuals seeking health insurance coverage in Washington.
02
Residents who qualify for financial assistance or subsidies for health plans.
03
People who have experienced significant life changes such as marriage, birth, or loss of coverage.
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People Also Ask about

2025 open enrollment The 2025 annual open enrollment period will run from Nov. 1, 2024, through Jan. 15, 2025. During open enrollment, you can enroll, renew and make changes to your individual health plan.
You can find a plan using the Washington Health Plan Finder. It's the marketplace for health plans with affordable rates and, for some, low- or no-cost coverage.
Online: Go to Washington Healthplanfinder - select the "Apply Now" button. Mobile app: Download the WAPlanfinder app​ – select “sign in” or “create an account”. Phone: Call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633. Paper: Submit an Application for health care coverage (18-001P).
Health insurance for everyone! Everyone who lives in Washington state can buy health and dental insurance through Washington Healthplanfinder™, regardless of immigration status.

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The Washington Individual Enrollment Application is a form used to enroll individuals in health insurance plans offered in the state of Washington.
Individuals who wish to obtain health insurance coverage through Washington State's health insurance marketplace are required to file the Washington Individual Enrollment Application.
To fill out the Washington Individual Enrollment Application, individuals need to provide personal information, such as their name, address, date of birth, income details, and any relevant household information, either online or through a paper application.
The purpose of the Washington Individual Enrollment Application is to collect necessary information to determine eligibility for health insurance coverage and to facilitate enrollment in available insurance plans.
The information that must be reported includes personal identification details, household composition, income level, citizenship status, and any current insurance coverage information.
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