How to Apply

To be eligible for the Evergreen Health Insurance Program, you must meet certain criteria including (but not limited to):

  • Living in Washington State.
  • Have a gross monthly income up to $4,047 (in 2018) or less for a single person, or 400% of the Federal Poverty Level.

To find out whether you qualify, contact us directly at the telephone numbers listed below.

If you meet EHIP's qualifications, download and print the Evergreen New Enrollment/New Payable application and then submit it to Evergreen.  You can mail or fax the completed application.  Evergreen's fax number is (206) 323-0158.  Evergreen's mailing address is:

Evergreen Health Insurance Program
P.O. Box  80547
Seattle, WA   98108-0547

When you are filling out the Evergreen application, you must tell us what insurance you have or want. Please see the Insurance section for information on how to apply for insurance.

If you need help at any time during this process, we at Evergreen are here for you.  Call us at 206-323-2834 (King County) or 1-800-945-4256 (toll-free, outside of King County).