AlaskaCare Employee Forms and Publications Index
- Automatic Withdrawal Form
- Automatic Funds Withdrawal for COBRA and Direct Bill Premiums
- Brochures, Employee
- View and print brochures:
- Coordination of Benefits
- COBRA
- HFSA
- EAP
- Mail Order Pharmacy
- Claim forms
- Health Benefits Claim
- HFSA Reimbursement
- HFSA OTC Claim
- Managed Care Vision out-of-network VSP Reimbursement
- Direct Deposit Form
- Direct Deposit Form for HFSA
- Employee Insurance Information Booklet
- Comprehensive 204-page document detailing Select Benefits insurance information
- Health Care Tip Sheets
- Created by the International Foundation of Employee Benefit Plans (IFEBP), these downloadable sheets contain a wealth of pertinent health information.
- Health Claim Appeal Guide
- AlaskaCare members have the right to appeal denied health claims and precertifications
- Other forms
- Behavioral Health Outpatient Treatment Request
- Protected Health Information Disclosure Authorization
- Provider Nomination
- Periodicals
- Peruse archived and current issues of our periodicals
- Pharmacy forms
- Direct Member Reimbursement
- Mail Order Pharmacy
- Mail Order Profile
- Verification/Certification forms
- Other Health Insurance Verification
- Request for Certification of Incapacitated Dependent
- Student Status Verification Form
- Welcome Pack
- Important information about the AlaskaCare plans claims administration