CurrentWashington State Health Care AuthorityPolicy 96-1

Verifying permanent residence address

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Establishes documentation requirements for verifying that a PEBB subscriber or dependent permanently resides within the health plan service area and for certain retirees returning to the United States.

Policy Summary

PayerWashington State Health Care Authority

PolicyVerifying permanent residence address

Policy CodePolicy 96-1

Change TypeNo material change

Effective DateJanuary 1, 2027

Next Review DateNot specified

Key ActionSubmit documents showing the subscriber's or dependent's name and meeting the acceptable-document requirements in Table 96-1 when residence verification is required.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

4Address verification triggers

2Returning retiree proof elements

1Acceptable proof document table

Proof of Permanent Residence Address

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CurrentWashington State Health Care AuthorityPolicy 96-1

Verifying permanent residence address

Customize your policy alerts

Sign up for Washington State Health Care Authority Policy 96-1 alerts

Get alerted when Policy 96-1 changes without checking for updates manually.

Monitor payer policy activity

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Policy Summary

PayerWashington State Health Care Authority

PolicyVerifying permanent residence address

Policy CodePolicy 96-1

Change TypeNo material change

Effective DateJanuary 1, 2027

Next Review DateNot specified

Key ActionSubmit documents showing the subscriber's or dependent's name and meeting the acceptable-document requirements in Table 96-1 when residence verification is required.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

4Address verification triggers

2Returning retiree proof elements

1Acceptable proof document table

Proof of Permanent Residence Address

Verification may be initiated when any of the following applies

The address is outside the health plan service area
Claims history may indicate that the subscriber or dependent is outside the health plan service area
United States Postal Service mail is returned as undeliverable
Submitted documents do not verify the subscriber’s or dependent’s identity

Certain returning retirees must provide both of the following

Proof of a permanent residence address in the United States
Proof that they currently reside in the United States within the required timeframe described in WAC 182-12-205(6)(f)
Applies when PEBB retiree insurance enrollment was deferred because the retiree permanently resided outside the United States or had a temporary absence exceeding the permitted federal-regulation timeframe.

Acceptable proof of permanent residence address

Provide one document from this group
- Current voter registration card
- Valid state driver’s license or state identification card
- Current property tax statement
- Most recent year’s federal income tax return, with financial information blacked out
Provide any two documents from this group
- Utility bill for water, sewer, garbage, or electricity issued within the last 60 days

Verify Permanent Residence Address

Documentation Required

Submit proof of permanent residence when requested

The PEBB Program may verify a subscriber’s or dependent’s permanent residence address at any time, including when the address is outside the health plan service area, claims history suggests residence outside the service area, USPS mail is returned as undeliverable, or submitted documents do not verify identity. When verification is required, submit acceptable proof from Table 96-1 showing the subscriber’s or dependent’s name; copies are acceptable.

For retirees returning to the United States after deferred enrollment due to residence outside the United States or an excessive temporary absence, submit proof of a permanent U.S. residence address and proof of current U.S. residence within the required timeframe.
Acceptable documents include a current voter registration card, valid state driver’s license or state ID, property tax statement, recent federal income tax return with financial information blacked out, and qualifying utility, telephone, mortgage, lease, rent, or insurance records.
Bills, mortgage statements, lease or rent records, and insurance documents must generally be from within the last 60 days, as specified in Table 96-1.

Policy Summary

PayerWashington State Health Care Authority

PolicyVerifying permanent residence address

Policy CodePolicy 96-1

Change TypeNo material change

Effective DateJanuary 1, 2027

Next Review DateNot specified

Key ActionSubmit documents showing the subscriber's or dependent's name and meeting the acceptable-document requirements in Table 96-1 when residence verification is required.

SourceLink

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