Get Change Forms Previously Submitted - Hca Wa

Filling out the Change Forms Previously Submitted - Hca Wa online can streamline the process of making changes to your health coverage. This guide provides a step-by-step approach to ensure that all necessary details are accurately recorded and submitted.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering the subscriber’s personal details including their last name, first name, middle initial, and social security number in the designated fields.
3. Indicate whether you are making changes to an existing account by selecting 'Yes' or 'No.' If 'Yes,' specify what changes are being made from the options provided.
4. Fill in the date of the event or change and check the relevant boxes for the type of change (e.g., name change, address change, adding/removing dependents).
5. Complete Section 1, providing detailed information about the subscriber, including contact details and coverage choices, while making sure to fill it out clearly and accurately.
6. If applicable, complete Section 2 for spouse or registered domestic partner information, following the same instructions.
7. List any additional family members in Section 3 who you wish to cover or remove, complete the required fields for each individual.
8. In Sections 4 and 5, select your medical and dental plan preferences by checking one option from each section.
9. Proceed to Section 6 to review the declaration statement and sign the form, ensuring all information is true and complete.
10. Finally, save the changes, download the completed form, print it, or share it as needed.

Complete your Change Forms online today to ensure seamless coverage.