Your Care Begins with Health Insurance

Learn more about different health care options below, and find out if you qualify for health care through SEIU 775 Benefits Group.

Eligibility Criteria for Coverage Through SEIU 775 Benefits Group

To qualify for coverage through SEIU 775 Benefits Group, you must submit an application, work 80 hours each month for two months in a row and maintain 80 hours per month going forward for continuous coverage.

Not Eligible for Coverage Through SEIU 775 Benefits Group?

If you do not qualify for the SEIU 775 Benefits Group plan yet, you may still be able to find affordable health insurance through Washington Apple Health (Medicaid) or the Washington Health Plan finder.

Eligible and Interested in Enrolling in the SEIU 775 Benefits Group Plan? 

Eligible Individual Providers (IP) may enroll:

1. Any time after meeting the initial eligibility criteria.
2. Within 60 days of a qualifying life event (a change in your situation, loss of coverage elsewhere or getting married).

Eligible Agency Providers (AP) may enroll:

1. Within 60 days of becoming eligible for coverage.
2. During Open Enrollment.
3. Within 60 days of a qualifying life event (a change in your situation, e.g. having a baby or getting married).

Enrollment Is Easy!

Option 1: By Mail

Download and complete your enrollment form(s), which can be found below. Send the form(s) in an envelope with your return address and U.S. postage to:

Zenith American Solutions, Inc.
11724 NE 195th Street, Suite 300
Bothell, WA, 98011-3145

Option 2: By Email or Fax

Download and completed your enrollment form(s), which can be found below. Scan and return your form(s) electronically to SEIU 775 Benefits Group at:

Email: SEIU-HBT@zenith-american.com

Fax: 206-298-3424

Enrollment Forms

Not sure which enrollment form to fill out? Health plans will be assigned based on your zip code. Call the Member Resource Center at 1 (866) 371-3200, and please choose option 12.

KPWA and Aetna Forms

• KPWA Enrollment Form
• Aetna Enrollment Form
• Dependent Enrollment Form (AP only)
• Waive Coverage Form

KPNW Forms if You Live in Southern Washington

• KPNW Enrollment Form
• Waive Coverage Form

Questions?

Call the Member Resource Center at 1 (866) 371-3200.