At the Health Alliance for Technology (ALLtech), exceptional service is at the heart of everything we do. We provide Oregon employers with comprehensive, reliable employee benefits that bring stability in a fast-changing business world. And with a wide range of tools and resources at your fingertips, we make it easy for you to help your clients stay adaptable and keep growing.
Everything you need to keep your groups moving, from enrollment and claim forms to administrative documents and more. Simply select a year or industry below to find the right Trust forms.
Have questions? Your Trust Program Manager is happy to help.
Nathan Edmondson at 206-602-3558 or Nathan.Edmondson@advprofessionals.com
Raven Mencias at 206-410-7107 or Raven.Mencias@advprofessionals.com
2027 Plan Year: January 1, 2027 - December 31, 2027
GMA (For Data Collection Purposes Only) - Coming soon!
Enrollment and Change Form - Coming soon!
| Moda Health - Medical and Dental |
| Late Submission Form |
| Medical Claim Form |
| Dental Claim Form |
| Claim Reimbursement Completion Guide |
| Deductible Credit Form |
| Transition Checklist |
| Vision Service Plan |
| VSP - OON Reimbursement Form |
| AIMS - TPA |
| Employer + Producer Registration Form for Online Benefits Management Portal |
| ACH Authorization Form |
| COBRA Voluntary Waiver Form |
2026 Plan Year: January 1, 2026 - December 31, 2026
| Enrollment Forms | Industry |
| Download | ALLtech Oregon |
| Additional Forms | |
| Moda Health: Late Submission Form - to be used after the 10th of the month prior to the effective date. | Download |
| NEW Employer + Producer Registration Form for Online Benefits Management Portal | E-Form |
| Moda Medical Claim Form | Download |
| ADA Dental Claim Form | Download |
| Claim Reimbursement Completion Guide | Download |
| ACH Authorization Form | Download |
| COBRA Voluntary Waiver Form | Download |
| Transition Checklist | Download |
| ALLtech-OR Deductible Credit Form | Download |
| VSP - OON Reimbursement Form | |
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