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This document serves as an application form for individuals residing in Washington State to enroll in health coverage provided by LifeWise. It requires detailed personal information, benefit plan
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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
Obtain the Washington Individual Enrollment Application form from the appropriate source.
02
Fill out your personal information at the top of the application, including your name, address, phone number, and email address.
03
Provide any required identification information, such as Social Security Number or driver's license number.
04
Complete the section regarding your current health insurance status.
05
Indicate your enrollment choices, including the type of coverage you are applying for.
06
Provide details about your household size and income if required.
07
Review all the information for accuracy.
08
Sign and date the application at the designated area.
09
Submit the application as instructed, either online, by mail, or in-person.

Who needs Washington Individual Enrollment Application?

01
Individuals seeking health insurance coverage under Washington's health plan options.
02
Residents of Washington State who do not have existing health insurance.
03
Individuals who are applying for coverage through Medicaid or other state-funded programs.
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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 by individuals to enroll in health insurance coverage in the state of Washington, typically for programs administered by the Washington Health Benefit Exchange.
Individuals who wish to obtain health insurance coverage through Washington's health care programs are required to file the Washington Individual Enrollment Application.
To fill out the Washington Individual Enrollment Application, individuals should provide personal information such as name, address, income details, household size, and other relevant data as required on the form. It's important to follow the instructions provided with the application.
The purpose of the Washington Individual Enrollment Application is to collect necessary information to determine eligibility for health insurance programs and to facilitate the enrollment process for individuals seeking coverage.
Information that must be reported on the Washington Individual Enrollment Application includes personal identification details, income information, household composition, and any other specific questions outlined in the application form.
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