Green Financial
11930 Slater Ave. NE
Suite 100
800-877-8019
For quote, fill in zip code and
Kirkland, WA  98034
ages.  Complete boxes 1-8
425-821-1111
  2017 WA State Individual Health Plans Calculator:  Exchange & Non-Exchange      
xxxxxxxxxx xxxxxxxxx xxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx
1 Zip Code
Do you have any options to enroll in any 
6x employer group plans? 
Age on Eff Date Tobacco User
Is your household income
2 Applicant
7x  below this figure?
Spouse
3  Kids 20 % of Federal Poverty Level:
 & Under 
(enter each age)
Tobacco
4 Adult
  Are you Self-Employed and need
Children   
8x on-the-job coverage?
xxxx 21 through
age 25
# of Persons Claiming
5 on  Tax Return
Estimated Monthly Subsidy
Benefit Summary - Off Exchange Plans (Regence & Group Health)
Benefit Summary - Exchange Plans
.
Enroll
Enroll
Enroll
d
Enroll
b
The above represents the most common choices, however additional plans are available inside exchange for lower incomes.  Refer to plan summaries 
for complete benefit details.  Family members can choose different carriers and plans.  Final rates are dependent on ages of those enrolled as of 
January 1st.   Due to regulatory reasons, rates are the same regardless of agent or broker used.    Green Financial specializes only in the Washington
market and is the recommended Broker of the WAHealth.org network.
a If enrolling children under age 19, ACA law requires pediatric dental/vision to be added (some plans inlcude in rates, some don't).  By law, all plans include 
preventic care, maternity and prescription drug coverage.  These are not options.
b Lifewise is an Exclusive Provider Option (EPO) not PPO.  Unlike Premera, no out-of-state network. Lifewise is NOT recommended in or out of exchange.
d Kaiser Permanente does not cover on-the-job injuries.  This is important for those who are self-employed and have
elected out of WA State L&I (workers comp) coverage particularly if you are in a trade such as construction, mechanic, installer, etc.
f If your income is below 300% of FPL, you must remove childen age 18 and under for an accurate quote.  You have two choices, 1) enroll them in the
Washington Medicaid program known as Apple Health or, 2) if you don't want them on Medicaid, you have the option to enroll them outside of the exchange
as indiviuals on their own contract.  Please call if questions on this.
* Out-of-Pocket Maximum includes deductible, copays, coinsurance and prescription copays
** Health Savings Accounts (HSAs) have a combined family deductible, other plans have max of two deductibles per person.  HSAs allow for tax
deductible contributions into an HSA bank account to be used for qualified medical, dental & vision expenses.  If just two people enrolling in HSA
plan (husband & wife) then better to enroll in separate plans to avoid combined deductible
Call if Questions or to Receive Free Enrollment Kit (or simply enroll online)
  GreenFinancial.com        425-821-1111 or 800-877-8019      
  How to Enroll      
  Outside of Exchange:                  
Electronic Application: 
a) Refer to link on our website under the carrier of your choice
b) Call or email us and we will send you the link.
  Inside of Exchange (w Subsidy):                  
Two Options: 1)  Telephone Enrollment - Simply call us at 800-877-8019
We will need birth dates and social security numbers for all those enrolling.  
We will also need to know the plan you are choosing.
2)  Online Enrollment at WA Exchange
There are 17 electronic pages to work through, set aside about 30 minutes.
Please choose Green Financial from the broker field.  The premium cost is exactly
the same whether or not a broker is chosen.  We will be able to assist with any
questions or service needs if chosen as your broker.