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Open Enrollment 2015

AlaskaCare and Optional Benefits for Active Employees

Open Enrollment Forms and Information

Open Enrollment 2015 is now closed.


AlaskaCare/Select Benefits for Active Employees

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 89K]
2015 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 182K]
A summary of what the Health Plan covers and what it costs

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Optional Benefits for Active Employees

What’s New
Find out what's new in Optional Benefits for the upcoming benefit year
Premium Card [PDF 80K]
2015 Premiums
Select Life Insurance Premiums
2015 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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