Form GEN041 Health Benefits Enrollment / Waiver for Retirees With Same-Sex Partners - Alaska

Form GEN041 Health Benefits Enrollment / Waiver for Retirees With Same-Sex Partners - Alaska

What Is Form GEN041?

This is a legal form that was released by the Alaska Department of Administration - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of form GEN041?
A: Form GEN041 is used for health benefits enrollment or waiver for retirees with same-sex partners in Alaska.

Q: Who can use form GEN041?
A: Retirees with same-sex partners in Alaska can use form GEN041.

Q: What does form GEN041 allow retirees to do?
A: Form GEN041 allows retirees to either enroll or waive health benefits for their same-sex partners.

Q: Is form GEN041 specific to Alaska?
A: Yes, form GEN041 is specific to retirees with same-sex partners in Alaska.

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Form Details:

  • Released on January 1, 2012;
  • The latest edition provided by the Alaska Department of Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form GEN041 by clicking the link below or browse more documents and templates provided by the Alaska Department of Administration.

Download Form GEN041 Health Benefits Enrollment / Waiver for Retirees With Same-Sex Partners - Alaska

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