Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Find information on the open enrollment page that’s right for you: PEBB retirees, PEBB employees and PEBB continuation coverage subscribers, and SEBB employees and SEBB continuation coverage subscribers.
In most cases, to enroll dependents under your SEBB health plan coverage, you will be required to provide proof they are your dependents. This page helps you find the documents you need to submit to verify and enroll your dependents when you enroll yourself.
"Dependent verification" is the process that requires you to verify your dependents are your dependents. This process ensures the SEBB Program only covers people who qualify.
There are two exceptions:
We will not enroll a dependent if we cannot verify their eligibility. We reserve the right to review eligibility at any time.
When you enroll a spouse, state-registered domestic partner, or children.
Birth certificates, adoption decrees, tax returns, and court-ordered parenting plans are among the types of documents you can use to prove eligibility.
All documents must be submitted in English. Documents written in a foreign language must include a translated copy prepared by a professional translator and certified with a notary public seal.
Along with your enrollment request, provide a copy of (choose one):
Along with your enrollment request, submit a SEBB Declaration of Tax Status (to indicate whether your state-registered domestic partner qualifies as a dependent for tax purposes), provide a copy of (choose one):
If you are enrolling a partner of a legal union also provide:
Additional dependent verification documents will be required within one year of the partner's enrollment for them to remain enrolled. More information can be found in SEBB Program Administrative Policy 33-1.
Along with your enrollment request, provide a copy of a (choose one):
You can submit one copy of your tax return as a verification document for several family members that require verification.
If the dependent is the subscriber's stepchild, the subscriber must also verify the spouse or SRDP in order to enroll the child, even if not enrolling the spouse or SRDP in SEBB coverage.
If you are enrolling the child of a state-registered domestic partner or other nonqualified tax dependent, submit the following form:
If you are enrolling an extended dependent submit the following forms:
If you are enrolling a dependent child, age 26 or older with a disability, also submit the following form:
It depends on your situation.
Upload dependent verification documents in Benefits 24/7, or provide documents to the SEBB Program.
Washington State Health Care Authority
SEBB Program
PO Box 42720
Olympia, WA 98504-2720
360-725-0771
Send a secure online message to SEBB Customer Service. Sign and date any forms you attach to a secure message.
To keep your personal information secure, you will need to register for an account (if you don't already have one) to submit your materials using this method.
Employees
Your payroll or benefits office
SEBB Continuation Coverage subscribers
The SEBB Program