Open Enrollment is July 1-20

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This is your chance to:

  • Get health care coverage (for eligible caregivers).
  • Change your dental plan (for enrolled caregivers).
  • Learn about new benefits and how to use them.

Complete and return your Open Enrollment forms online or by mail on or before July 20.

New enrollees will receive coverage starting August 1. If you are currently enrolled and do not take action, you will continue to receive the same coverage you have now. The next time you will be able to make changes to your coverage will be July 2022*.

What You Get

For just $25 per month, you get the following benefits:

  • Medical
  • Free Doctor Visits
  • Dental
  • Orthodontia
  • Vision
  • Hearing
  • Fertility
  • Prescription Drug
  • Emotional Support

In addition to high-quality health and dental plans, you have access to many health and safety benefits designed just for you:

Enrollment is Easy

From July 1 to July 20, there are 2 options to enroll or change your coverage. 

Online with My Plan

You can now enroll in health coverage or make changes to your health coverage through My Plan. With the new and improved My Plan website, you can:

  • Enroll in benefits or make changes to your current coverage during Open Enrollment.
  • View hours and eligibility.
  • Get information on coverage and benefits.
  • Access forms, plan documents, self-pay invoices and payment history.

Learn more about how to create your account.

By Mail

You received a packet in the mail with forms to fill out and send in the mail (sent in mid-to-late June). Postage is required, but returning your enrollment forms is easy. Send them in an envelope with your return address to:

SEIU 775 Benefits Group
PO Box 24811
Seattle, WA 98124

If you do not receive confirmation of enrollment or plan changes within 45 days, call SEIU 775 Benefits Group Customer Service at 1-877-606-6705.

More Details

Eligibility: To qualify for coverage, you must work 80 hours each month for 2 months in a row and maintain 80 hours per month going forward for continuous coverage.

Plan changes are optional: If you are already enrolled and do nothing, you will continue receiving the same great health coverage. Changes made during the Open Enrollment period take effect August 1 for the August 2021 – July 2022 Plan Year.

*NEW For Individual Providers: Your enrollment window is changing! Before 2021, Individual Providers were able to enroll in health coverage or make changes to their coverage throughout the year. Starting July 2021, you will only be able to enroll in benefits or make changes to your coverage during Open Enrollment or if you have a qualifying life event.

Adding or removing dependents: If you are an Agency Provider (AP) you can enroll your dependent children in coverage if you pay the full premium through automatic payroll deduction. Full premiums range from $686-$766 per dependent per month. If you have questions please call 1-877-606-6705.

Dependent children, if covered, are covered through the age of 25 regardless of marital status, student status or eligibility for coverage under another plan.

Questions?

Call SEIU 775 Benefits Group Customer Service at 1-877-606-6705.

Open Enrollment packets

View 2021-2022 Open Enrollment packets below. Your medical plan is assigned based on your zip code. You can choose from Delta Dental or Willamette Dental for your dental plan. If you are eligible for or enrolled in health coverage, you should have also received these packets by mail.

Agency Providers (APs) and Individual Providers (IPs):

Aetna AP

KPWA HMO AP

KPNW AP

KPWA POS AP

 

 

 

 

 

Aetna IP

KPWA HMO IP

KPNW IP

KPWA POS IP