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 206.602.3558 or Nathan.Edmondson@advprofessionals.com
Robin Roberts at 206.410.7107 or Robin.Roberts@advprofessionals.com


Enrollment Forms & Additional Forms

2024 Plan Year: January 1, 2024 - December 31, 2024


2024 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]


Group Master Applications
FOR DATA COLLECTION PURPOSES ONLY
GMA
  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

 

 

Additional Forms  
  Associated Industries - Membership Application for Alaska
  - 2024 Application      - 2024 AI Membership Pricing
 
  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

 

 

Copyright © 2024 Advanced Professionals. All rights reserved.