Health Benefits Support

Get help with questions about coverage, eligibility, applying and more.

Below are some of the most common questions of our health benefits specialists. If you do not find the answer you are looking for, feel free to contact us.

Customer Service
1-877-606-6705

Speak to a health benefits specialist.

Call or email, at SEIU775BG-caregiver@magnacare.com,
They can be reached Monday through Friday from 8 a.m. to 6 p.m. Pacific Time.

 
You will be connected to a representative who speaks your language and can assist you.

Common Questions

Below are some of the most common questions about healthcare coverage.

Healthcare Coverage

Learn about healthcare coverage for caregivers.

Individual Coverage: You must work 80 hours or more a month for 2 months in a row to become eligible for individual coverage.
Coverage for Kids: You must work 120 hours or more a month to become eligible for Coverage for Kids.

Check your eligibility in your health benefits account.

You can apply when you become eligible for the first time, during Open Enrollment or if you have a Qualifying Life Event.

Learn more

The easiest way to apply or make changes to coverage is online in your Health Benefits Account.

To apply or make changes by mail or fax: If you received a printed Health Benefits Guide, you can use the Health Benefits Application included in your mailing. Mail or fax your completed application to the address or fax number listed on the Health Benefits Application. U.S. postage is required.

Your coverage start date will vary depending on when you submit your completed Health Benefits Application and when you meet eligibility criteria.

Newly Eligible: If you meet eligibility criteria and your completed application is received on or before the 15th of the month, your coverage will begin on the 1st of the following month. If your application is received between the 16th and 31st of the month, your coverage will begin on the 1st of the month after the following month.

  • Example: If an application is received between January 16 and January 31, coverage will begin on March 1.

Open Enrollment (July 1-20 every year): Your application and changes must be received on or before July 20 to be processed for coverage beginning August 1.

Qualifying Life Event: To enroll or make changes because of a Qualifying Life Event, contact SEIU 775 Benefits Group within 30 days.

  • Example: If you have a child on January 1, you have until January 31 to contact SEIU 775 Benefits Group about enrolling yourself and/or your children.

Your employer will automatically deduct your monthly co-premium deduction (the amount you pay each month) from your wages. If your employer is not able to make the deduction, you will receive a self-pay letter in the mail and by email directing you to pay your co-premium. You can pay by check, or using your online account.

If you are an IP with CDWA: Your first monthly payment will be a self-pay.

To keep individual coverage, you need to:

  • Work 80 hours or more per month.
  • Report your hours within 60 days of the month worked
  • Pay your $25 monthly co-premium deduction.

Once you have coverage, you must continue to work the required hours per month and pay your monthly co-premium deduction on time to maintain continuous coverage. Because individual coverage and Coverage for Kids have different hours requirements, you can lose Coverage for Kids but keep individual coverage. Learn more about how work hours affect your coverage.

If you lose healthcare coverage, you will get information about continuing coverage through COBRA.

COBRA: (Consolidated Omnibus Budget Reconciliation Act) helps caregivers and their children who have lost healthcare coverage. Through COBRA, when you lose your coverage or Coverage for Kids you can get continued healthcare coverage for a monthly payment. Your COBRA benefit is administered by Ameriflex. For questions about COBRA call customer service: 1-877-606-6705.

Other Healthcare Coverage Options: If you have stopped caregiving and need to find long-term healthcare coverage, visit wahealthplanfinder.org. You can find out if you are eligible for free Washington Apple Health or compare other healthcare options.

If you do not want to enroll in health coverage or would like to end your coverage and/or your child’s coverage, you can fill out the Waive Coverage form. If you choose to waive coverage, you will not be able to enroll again until the next Open Enrollment period (every year July 1-20) or if you have a Qualifying Life Event.

If you submit a waiver on or before the 15th of the month, your and/or your child’s coverage will end on the 1st of the next month. If you submit a waiver between the 16th and 31st of the month, your and/or your child’s coverage will end on the 1st of the second month.

  • Example: If you submit a waiver between January 1 and January 15, your coverage will end on February 1. If you submit a waiver between January 16 and January 31, your coverage will end on March 1.

Current waivers received before July 1, 2024, will be reset during Open Enrollment. If you have an application on file and it has been less than 12 months since you last had coverage, you will be reenrolled during Open Enrollment for August 2024 coverage. To keep your waived status, you must submit another Waive Coverage form.

Hours worked must be reported to your employer within 60 days of the date worked to be used in the calculation of benefit eligibility. Your employer will report your hours worked to SEIU 775 Benefits Group. If your hours are reported late, hours will be recorded but coverage will not be extended.

  • Example: Hours worked in January must be reported to your employer by March 31, and received by SEIU 775 Benefits Group from your employer no later than April 20 to ensure March coverage.

Coverage for Kids

Learn about Coverage for Kids.

You can add eligible children (through their 26th birthday). Some examples of qualified dependent children are biological children, adopted children, stepchildren and children of your domestic partner.

  • Work at least 120 hours per month. If you are not eligible now, you can complete an application during Open Enrollment and Coverage for Kids will begin when you start working 120 hours or more a month.
  • Fill out the Coverage for Kids section of the Health Benefits Application, online or by mail. You will need to choose a coverage option for your children (medical and dental or dental-only).
  • Submit Dependent Verification document(s) to verify your relationship to your child(ren) with your application.
  • Pay the monthly co-premium required for the coverage option you chose for your children

If you and your spouse both have coverage through SEIU Healthcare NW Health Benefits Trust, your child may only be enrolled on one parent’s plan. Your child’s coverage can be coordinated with other outside healthcare coverage. For more information, please call Customer Service at 1-877-606-6705.

No. If you enroll your children into coverage, they will be enrolled in the same plan that you are on.

You can apply when you become eligible for the first time, during Open Enrollment or if you have a Qualifying Life Event. When coverage begins is based on the date your completed application is received. Learn more.

The easiest way to apply or make changes to coverage is online in your Health Benefits Account.

To apply or make changes by mail or fax: If you received a printed Health Benefits Guide, you can use the Health Benefits Application included in your mailing. Mail or fax your completed application to the address or fax number listed on the Health Benefits Application. U.S. postage is required.

When you enroll your dependent children, you will need to verify your relationship with them before coverage can begin.

To do so, you must send a document for each child that you enroll. It is recommended that you submit your Dependent Verification document(s) with your completed Health Benefits Application.

Learn More

Once you have coverage, you must continue to work the required hours per month and pay your monthly co-premium deduction on time to maintain continuous coverage. Because individual coverage and Coverage for Kids have different hours requirements, you can lose Coverage for Kids but keep individual coverage. Learn more about how work hours affect your coverage.

To keep Coverage For Kids, you need to:

  • Work 120 hours or more per month.
  • Report your hours within 60 days of the month worked.
  • Pay the full monthly co-premium deduction for you and your dependent children.

If you lose healthcare coverage, you will get information about continuing coverage through COBRA.

COBRA: (Consolidated Omnibus Budget Reconciliation Act) helps caregivers and their children who have lost healthcare coverage. Through COBRA, when you lose your coverage or Coverage for Kids you can get continued healthcare coverage for a monthly payment. Your COBRA benefit is administered by Ameriflex. For questions about COBRA call customer service: 1-877-606-6705.

Other Healthcare Coverage Options: If you have stopped caregiving and need to find long-term healthcare coverage, visit wahealthplanfinder.org. You can find out if you are eligible for free Washington Apple Health or compare other healthcare options.

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Caregiver Learning Center System Maintenance

June 6 (Thursday) – June 10 (Monday)

You can log in, enroll and take your training in the Caregiver Learning Center during this time. 

If you complete training during the System Maintenance, it will be sent to your employer after June 10. 

Please contact your employer if you have questions about your training requirement, deadline or payment.