Completing the Standard Health Questionnaire

You DO NOT need to complete the Standard Health Questionnaire for Washington State if you are in ANY ONE of these three circumstances:
  1. You have moved from one part of Washington State to another part of Washington State and
    • Had medical insurance with a health insurance carrier before moving, and
    • The same health insurance carrier does not offer health insurance where you live now and
    • You are applying for insurance with a new insurance carrier and
    • You have applied to the new insurance carrier no more than 90 days from the time that you moved.

  2. Your doctor or other care provider cannot treat you because they have stopped being a part of your insurance carrier's provider network for your individual health plan and
    • Your are applying for individual insurance with an insurance carrier, that does include the same care provider in its provider network and
    • You have seen the same care provider during the 12 months before the provider left your insurance carrier's network and
    • You are applying to the new insurance carrier within 90 days from the day your care provider left your current insurance carrier's network.

  3. You are applying for medical insurance because you have used up all of the time on your COBRA (group continuation) coverage, and
    • You have applied for individual insurance with a new insurance carrier within 90 days from the date that the group continuation coverage ended.

    Please note, to receive credit for prior coverage, you must apply within 63 days of losing coverage. If you are applying after the 63rd day, but before the 90th day of losing coverage, you will be subject to a 9 month pre-existing condition waiting period. Please refer to Pre-Exisitng Condition Waiting Period & Policy Exclusions for more information.