Committed to exemplary service, the Industry Health Trusts offered by Associated Industries provide Alaska employers comprehensive, reliable employee benefits. In the ever-changing business environment, our team and services provide stability to a company’s health benefits and connects you to a wide spectrum of tools and resources you can utilize to keep organizations adaptable and growing.


FORMS LIBRARY

This section will allow you to access forms including Enrollment Forms, Claim Forms, Administrative Forms, and other forms.

If you have any questions, please contact a Trust Sales Representative:

Nathan Edmondson at 206.602.3558or Nathan.Edmondson@advprofessionals.com
Tara Reynolds at 253-541-6538 or Tara.Reynolds@advprofessionals.com


Enrollment Forms & Additional Forms

2025 Plan Year: January 1, 2025 - December 31, 2025


2025 Trust Industries - Enrollment Forms  
Industry Enrollment Forms
  Alaska Commercial Construction Health Trust Download
  Alaska Business Services Health Trust Download
  Alaska Manufacturing Health Trust Download
  Alaska Health Industry Health Trust Download
  Alaska Retail Health Trust Download

Census Enrollment Template [Download]

 

 

Additional Forms  
  Associated Industries - Membership Application for Alaska
  - 2025 Application
 
  Employer Registration Form for Online Benefits Management Portal Download
  Moda Health: Late Submission Form
  - to be used after the 10th of the month prior to the effective date.
Download
  Life/AD&D Form Download
  ACH Authorization Form Download
  COBRA Voluntary Waiver Form Download

 

 

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