Apply for Coverage

  • It's easy. Your client can apply either online or by mail.

    Online Enrollment

    Your clients can apply using your own personal enrollment link. Applying online allows you to track your clients current status of their application.

    If you do not have a personal enrollment link please call Producer Support at 877-205-9725, Option 3.

    To Apply By Mail

    For effective dates starting January 1, 2015

    1. Download and complete the application form:
      2016 Individual and Family Application (Paper applications cannot be submitted or signed prior to November 1, 2015)
      2015 Individual and Family Application One application per family


    2. Then mail to:
      Premera Blue Cross
      PO Box 91120, MS 295
      Seattle, WA 98111-9220


    Applying 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.

    Is Your Client Eligible to Apply?

    Eligibility Considerations

    Individuals eligible to apply for a Premera plan must be:

    • A resident of and have a principal residence in the state of Washington
    • Not entitled to Medicare. If 65 or older but not eligible for Medicare, the applicant must submit a "Not eligible for Medicare" document from the Social Security Administration
    • Applying during an open enrollment period or due to a qualifying event

    Eligible dependents that can enroll on a plan include:

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

    Open Enrollment Periods

    The open enrollment period ended February 15, 2015, but if your client or their family have experienced a life events , they may be able to apply for coverage now, in a special enrollment period. 

    Your Sales Executive and Producer Support are available to help answer any questions you might have about these plans.

    Grandfathered plans

    Your clients can retain their grandfathered plans (established prior to March 23, 2010) or select a new plan during the next open enrollment period starting November 1, 2015.

    Qualifying Events

    Individuals are eligible to apply for coverage outside of the annual open enrollment period only when they have a qualifying event.