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Paying for benefits

You will pay the entire cost of SEBB Continuation Coverage, and, if they apply to you, you will be charged the tobacco use premium surcharge and spouse or state-registered domestic partner coverage premium surcharge in addition to your monthly premiums. 

When to submit first payment? You must submit your first payment and any applicable premium surcharges no later than 45 days after your election period ends. We will not enroll you until you submit forms to continue your SEBB coverage and make the first payment within the timelines provided.

When do I make my first payment?

You must submit your first payment and any applicable premium surcharges no later than 45 days after your election period ends. Your election period ends no later than 60 days from the date SEBB health plan coverage ended or from the postmark date on the SEBB Continuation Coverage Election Notice, whichever is later.

Real-world example

A SEBB subscriber’s employment ends on September 15, and they lose coverage on September 30. They choose SEBB Continuation Coverage (COBRA) on November 15. If they make the first payment in November, it must cover the premium and any applicable premium surcharges for October. If they make the first payment in December, it must cover premiums and applicable premium surcharges for October and November.

Make sure the amount of your first premium payment is correct.

To confirm the amount due, call 1-800-200-1004 TRS 711 and select the menu option to speak with Accounting.

The monthly premium amount may change January 1, each year. We will notify you of changes to premiums and benefits before the beginning of each year.

First payment: how much? Your first payment must cover the cost of continuation coverage from the time your SEBB coverage ends through the end of the previous month and must include applicable premium surcharges.

How do I make my first payment?

You must mail or bring in your first premium payment. Make checks payable to the Health Care Authority.

Mail to (for first payment only):
Health Care Authority
PO Box 42691
Olympia, WA 98504-2691

Or bring to:
Health Care Authority
626 8th Avenue SE
Olympia, WA 98501
8 a.m. to 4:30 p.m., Monday through Friday

How do I make payments?

After we receive your first full payment and applicable premium surcharges, you must pay all future continuation coverage premiums and applicable premium surcharges as they become due. Here are your payment options:

To set up automatic bank account withdrawals, submit a SEBB Electronic Debit Service (EDS) Agreement. You cannot make your first payment through EDS because approval takes six to eight weeks. In the meantime, continue to pay the total due each month as invoiced until you receive a letter from HCA with your EDS start date.

We will send you a monthly invoice after your first premium payment is made. Payments are due on the 15th of each month for that month of coverage. 

Send your payment to the address listed on the invoice. 


Depending on your payment method, you may or may not receive an invoice for your premium amount. You must pay your premiums on time, even if you do not receive an invoice.

Premiums and applicable premium surcharges are considered paid on the date you mailed or hand delivered your payment to HCA or submitted through EDS. If your check is returned due to insufficient funds, or any other reason, it is not considered paid.

After you make your first payment, ongoing payments are due on the 15th of the month for that month’s coverage. lf you make a monthly payment on or before the 15th day of the current month, your SEBB coverage will continue for that month.

If your premiums remain unpaid for 30 days, your payment will be delinquent and your account may be terminated depending on the amount owed.

You are allowed a 30-day grace period from the date your payment becomes delinquent to pay the unpaid balance.

If your payment remains unpaid for 60 days from the original due date, your coverage will be cancelled back to the last day of the month your payment was received.


The SEBB Program
Phone: 1-800-200-1004 (TRS: 711), Monday through Friday, 8 a.m. to 4:30 p.m.

HCA Support (secure, login portal with your personal account)
Send us a secure message through HCA Support, a secure website that allows you to log into your own account to communicate with us. You will need to set up a SecureAccess Washington (SAW) account to use this option.