Get the free WSHIP Enrollee Change Form 6.2014.xlsx

PO Box 1090 Great Bend, KS 67530 Fax: (620) 7931199 www.wship.org Questions? Call 18008775187 Presents? Teflon 18008775187November 2017IMPORTANT NOTICE Re: Premium Rate Change Effective January 1,

How to fill out wship enrollee change form

How to fill out wship enrollee change form

1. To fill out the wship enrollee change form, follow these steps: 1. Start by entering your personal details, such as your name, address, and contact information.
2. Provide your current enrollee information, including your current plan and coverage details.
3. Indicate the changes you want to make, whether it's updating your primary care physician, adding or removing dependents, or changing your coverage level.
4. If you are adding or removing dependents, provide their names and relevant information.
5. Review the form for accuracy and completeness.
6. Sign and date the form.
7. Submit the completed form according to the instructions provided by the wship program.

Who needs wship enrollee change form?

1. The wship enrollee change form is needed by individuals who are currently enrolled in the wship program and wish to make changes to their existing coverage.
2. This form is typically required for updating personal information, adding or removing dependents, changing coverage levels, or making adjustments to primary care physicians.

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What is wship enrollee change form?

The WSHIP Enrollee Change Form is a document used to report changes in the enrollee's circumstances or status within the Washington State Health Insurance Pool (WSHIP).

Who is required to file wship enrollee change form?

Any enrollee of the Washington State Health Insurance Pool (WSHIP) who experiences a change in their personal information, such as address, dependent status, or other relevant details, is required to file the WSHIP Enrollee Change Form.

How to fill out wship enrollee change form?

To fill out the WSHIP Enrollee Change Form, ensure that you provide accurate and complete information about your current enrollee status, any changes that have occurred, and your contact information. Follow the provided instructions on the form carefully.

What is the purpose of wship enrollee change form?

The purpose of the WSHIP Enrollee Change Form is to maintain up-to-date and accurate records for enrollees, ensuring that all changes are officially recognized and that the benefits received remain appropriate based on the enrollee's current situation.

What information must be reported on wship enrollee change form?

On the WSHIP Enrollee Change Form, enrollees must report information such as their name, contact details, changes in address, changes in dependent status, and any other relevant updates regarding their insurance status.