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Newborn enrollment application A newborn child may be covered from the date of birth if the newborn is enrolled within 90 days of the date of birth. This form may be used to request enrollment of
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How to fill out wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or

How to fill out wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or
01
To fill out the www.hca.wa.gov/pers- pay/add-newborn-or-adopted-child/add a newborn or adopted child form, follow these steps:
02
Visit the website www.hca.wa.gov/pers-pay/add-newborn-or-adopted-child/add
03
Fill in your personal information, including your name, address, and contact details.
04
Provide information about the newborn or adopted child, such as their name, date of birth or adoption, and any relevant documentation.
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Submit the form online or print it out and mail it to the designated address.
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Wait for confirmation or further instructions from the appropriate authority regarding the addition of the newborn or adopted child to your benefits or coverage.
Who needs wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or?
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Anyone who has recently had a newborn or adopted a child and is eligible for benefits or coverage through www.hca.wa.gov/pers-pay may need to fill out the www.hca.wa.gov/pers-pay/add-newborn-or-adopted-child/add form. This includes state employees, retirees, and their eligible dependents. It is important to update your benefits or coverage information to ensure that the newborn or adopted child is included and eligible for any applicable benefits.
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What is wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or?
The wwwhcawagovperspayadd-newborn-or-adopted-childadd is a form used to add a newborn or adopted child to an employee's benefits.
Who is required to file wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or?
Employees who have had a newborn or adopted a child and wish to add them to their benefits.
How to fill out wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or?
The form can be filled out online or on paper, and requires basic information about the child and the employee.
What is the purpose of wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or?
The purpose is to ensure that the newborn or adopted child is properly added to the employee's benefits and coverage.
What information must be reported on wwwhcawagovperspayadd-newborn-or-adopted-childadd a newborn or?
The form typically requires information such as the child's name, date of birth, and social security number.
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