Recommended Broker: Green Financial 1-800-877-8019

Enrollment Instructions - Two Ways to Enroll

1. The fastest way to enroll is to apply online:

Click on the "Start Shopping" link. This will take you through a paperless enrollment process.

2. Or apply via mail by completing the Enrollment Application.  Mail your application to Green Financial. Do not send any money with the application.  Once approved, you will be billed on a monthly basis.

Mail or Deliver all forms to:
Green Financial
11930 Slater Ave NE, Ste 100
Kirkland, WA  98034


Effective Date Information:

Individuals may apply for enrollment in a Regence BlueShield plan during an open enrollment period. An open enrollment period is the timeframe set by the state of Washington when applicants can enroll. The current open enrollment period is from 11/1/2016 through 1/31/2017. The completed enrollment application must be postmarked or received electronically before the end of the open enrollment period. Effective dates are the 1st of the month. See application for further information on effective dates.

Applicants can apply outside of an enrollment period if they experience certain qualifying events.

If you prefer we can fax, mail, or e-mail these forms to you.  Either call us at 800-877-8019 or go to Home, Contact us and request. You'll need Acrobat Reader to display the PDF files.  If you don't have that program, you can download it free from Adobe.

Please call if any questions: 1-800-877-8019

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