PDF
Word
Form BEN035 Health Benefits Enrollment / Waiver for Retirees or Benefit Recipients Tiers II & Iii (With System-Paid Medical) - Alaska
What Is Form BEN035?
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 form BEN035?A: Form BEN035 is a document used for health benefits enrollment or waiver for retirees or benefit recipients in Tiers II & III with system-paid medical in Alaska.
Q: Who can use form BEN035?A: Form BEN035 is intended for use by retirees or benefit recipients in Tiers II & III with system-paid medical in Alaska.
Q: What is the purpose of form BEN035?A: The purpose of form BEN035 is to enroll in or waive health benefits for retirees or benefit recipients in Tiers II & III with system-paid medical in Alaska.
Q: What are Tiers II & III?A: Tiers II & III are categories of retirement or benefit recipients in the Alaska system.
Q: What is system-paid medical?A: System-paid medical refers to medical benefits provided by the Alaska system.
Form Details:
- Released on December 1, 2021;
- 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 printable version of Form BEN035 by clicking the link below or browse more documents and templates provided by the Alaska Department of Administration.
Download Form BEN035 Health Benefits Enrollment / Waiver for Retirees or Benefit Recipients Tiers II & Iii (With System-Paid Medical) - Alaska
1
2
