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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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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:
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Visit the website www.hca.wa.gov/pers-pay/add-newborn-or-adopted-child/add
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Fill in your personal information, including your name, address, and contact details.
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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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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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The wwwhcawagovperspayadd-newborn-or-adopted-childadd is a form used to add a newborn or adopted child to an employee's benefits.
Employees who have had a newborn or adopted a child and wish to add them to their benefits.
The form can be filled out online or on paper, and requires basic information about the child and the employee.
The purpose is to ensure that the newborn or adopted child is properly added to the employee's benefits and coverage.
The form typically requires information such as the child's name, date of birth, and social security number.
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