Open Enrollment 2014

Open Enrollment Forms and Information


AlaskaCare/Select Benefits

What’s New
Find out what's new in Select Benefits for the upcoming benefit year
Benefit Credits
Spend your dollars for benefits that better meet your needs
Premium Card [PDF 157K]
2014 Premiums
Enrollment Guide
This guide gives a summary of each available option
Beneficiary Forms
Designate your beneficiaries
To change your beneficiaries, use Form 5-301a [PDF 156K]
Health Dependent Information
Add, change or delete dependents covered under your health plan at any time
Basic and Select Life Insurance Enrollment or Change Form 5-301a [PDF 156K]
Use this to enroll for extra life insurance
Select Benefits Information Booklet [PDF 1.5M]
Comprehensive 204-page document detailing Select Benefits insurance information
Summary of Benefits and Coverage (SBC) [PDF 221K]
A summary of what the Health Plan covers and what it costs

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Optional Benefits

What’s New
Find out what's new in Optional Benefits for the upcoming benefit year
Premium Card [PDF 142K]
2014 Premiums
Select Life Insurance Premiums
2014 Select Life plus AD&D Premiums not included on the Premium Card
Enrollment Guide
This guide gives a summary of each available option
Beneficiary Forms
Designate your beneficiaries
Basic and Select Life Insurance Enrollment or Change Form 5-301a [PDF 156K]
Use this to enroll for extra life insurance
Optional Benefits Information Booklet [PDF 121K]
Comprehensive 57-page document detailing your available Optional Benefits

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