2020 forms

To view, fill out and print the forms on this page, you will need the latest version of Adobe Acrobat Reader, which can be downloaded. However, Adobe Acrobat Reader does not allow you to save your completed, or partially completed, forms to a disk or on your computer. For that expanded capability you will need to have the complete Adobe Acrobat software package, version 5.0 or later.

Enrollment/change of status/waiver of coverage forms

Oregon small groups

Choose your small group plan: 

Oregon large groups

Choose your large group plan:

Washington plans

Forms for all groups

Oregon small-group forms

View 2019 forms ›

Change forms for individual and family insurance plans

2020 Oregon plans

2019 Oregon plans

The Special Enrollment Period for 2019 is closed.

The only qualifying events left for 2019 coverage are birth, adoption, placement for adoption, foster care of a child or a court order. Use the link below to access the online and paper change forms to make changes applicable to these qualifying events.

2020 Washington plans

For changes to current 2020 coverage, visit WaHealthPlanFinder.org.

Enrollment forms for individual and family plans

2020 plans

Medicare forms

Secret shopper surveillance tools

Health information disclosure forms for all groups