Saturday, February 21, 2026

Health Care Documents

Announcements
Announcements
All Alaska Longshore Plan Update New Release 3.24.2020
Free Drive-up COVID-19 Testing in Anchorage Alaska
Express Scripts and COVID-19 3.30.2020
Health Care Recent Mailings
Health Care Recent Mailings
November 2018 SMM
Transporation Benefit
Privacy Notice
Express Scripts and COVID-19 3.30.2020
Express Scripts News Release COVID-19 3.19.2020
2023 Open Enrollment Notice
Health Care Forms
Health Care Forms
IBU Enrollment Form
All Alaska Beneficiary Form
Domestic Partner AutoPay Form
Domestic Partner Affidavit
Medical Claim Form
Dental Plan Claim Form
Vision Claim Form
Supplemental Claim Form
Timeloss
RX Mail Order form
Rx Claim Form
Rx Claim Form for Compounded Prescriptions
Authorization for Release of PHI
Transportation Claim Form
Health Care Amendments and Changes
Health Care Amendments and Changes
COMING SOON
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
All Alaska Longshore HW SPD through SMM 3.2020
All Alaska Longshore Self-Funded Retiree HW SPD through SMM 3.2020
Uniform Glossary of Health Coverage and Medical Terms
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Self-Funded Medicare Retiree SBC
2021 IBU Trust SBC
2022 IBU Trust SBC
2023 IBU Trust SBC