Apply for Coverage

  • Apply by mail for coverage directly through Premera:

    1. Complete the paper application
    2. Provide five pieces of proof of residence, which means:

      • A valid Washington driver's license, state-issued identification card, tribal or military identification that includes the applicant's photograph and residential address.

      • Plus any four of the following documents:

      • Voter registration card
      • Home utility bill (such as gas, electricity, water, garbage, landline telephone, or cable) or hook-up work order dated within the past 60 days.
      • Credit card statement or bank statement showing your residential address
      • A filed property deed or title for your current residence
      • Current lease or rental agreement
      • Professional license (nurse, physician, engineer, etc.)
      • A professionally-filed tax return or filed copy sent to you by the IRS for the most recent tax filing year
      • IRS W-2 form for the most recent tax year

      • A complete copy of each document must be submitted. All documents must show the applicant's full name and current residential address. A post office or mail delivery address is not acceptable.

    3. Then mail the application and proof of residency to:
      Premera Blue Cross
      PO Box 327, MS 295
      Seattle, WA 98111-0327

    Applying for coverage through Washington Healthplanfinder?

    If your clients qualify for premium credit assistance, cost share reduction plans or American Indian/Alaska Native plans, they will want to enroll in a plan through Washington Healthplanfinder.

    Clients who do not qualify for assistance can also apply for coverage through Washington Healthplanfinder.

    Is your client eligible to apply?

    Individuals eligible to apply for a Premera plan if they are:

    • A resident of and have a principal residence in the state of Washington
    • Not entitled to Medicare A or B (including entitlement due to disability), or a Medicare Choice or Medicare Advantage plan.


    Eligible dependents that can enroll on a plan include:

    • Spouse or domestic partner
    • Natural or legally adopted child(ren), legal ward, or foster child(ren) under the age of 26

    Open enrollment period

    Open enrollment for 2016 runs November 1-2015 through January 31, 2016.

    Special enrollment periods and qualifying events

    If your client has experienced a qualifying event outside the open enrollment period, they must be eligible to apply for coverage in a special enrollment period.