On this page:

• What is required with an Evergreen application?
• Why do you need a copy of a bill from my insurance company? Why can't you just call them?
• How long does it take to process an application? I have a premium that is due right now.
• Do I need to renew my application to Evergreen every year?

What is required with an Evergreen application?

• A complete application, filled out in pen. Be sure to answer all eight questions in Section 4, read and sign sections 5, 6, and 7, and get your provider or case manager's signature on Section 8.
• Include two forms of ID. These can be Washington State driver’s license, Washington State identification card, Social Security card, student ID, or passport. You can also use a lease agreement or utility invoice with your name and current address, voter registration card, social security award letter, or paycheck or tax return showing your social security number.
• You must be a current client in EIP to be accepted to Evergreen. You can apply for both programs at the same time.
• A copy of the bill from your insurance company, COBRA paperwork, or a WSHIP application. We also need a copy of your Medicare card and/or your insurance card if applicable.

Why do you need a copy of a bill from my insurance company? Why can't you just call them?

• Although we try to talk to insurance companies when possible, many companies will only share information with you, the plan holder. The bill will also show us the exact information we need when sending the payments.

How long does it take to process an application? I have a premium that is due right now.

• We begin processing applications within 48 hours of receiving them. If the application is complete, your application will be processed within two weeks.
• If you have an urgent need, please let us know. We will make every effort to expedite your application. You can call to give us a heads up, or include a note with the application.
• It is very important that you follow all instructions carefully and send a complete application with all required materials. An incomplete application can delay processing time for several weeks or more.

Do I need to renew my application to Evergreen every year?

• No, although Evergreen may send out a short questionnaire asking you to update your information. You are required to renew your application with EIP each year or Evergreen cannot continue to pay your insurance premiums.