Form BEN040 Retiree Health Continuation Enrollment Under a Qdro - Alaska

Form BEN040 Retiree Health Continuation Enrollment Under a Qdro - Alaska

What Is Form BEN040?

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 BEN040?A: Form BEN040 is a form used for retiree health continuation enrollment under a QDRO (Qualified Domestic Relations Order).

Q: Who uses Form BEN040?A: Form BEN040 is used by retirees in Alaska who are seeking to continue their health coverage after a QDRO is in effect.

Q: What is a QDRO?A: A QDRO is a legal order issued by a court that splits or divides a retirement plan or pension account between divorcing spouses.

Q: What is the purpose of Form BEN040?A: The purpose of Form BEN040 is to enroll in continued health coverage as a retiree under a QDRO.

Q: How can I obtain Form BEN040?A: You can obtain Form BEN040 by contacting your retirement plan administrator or the benefits office of your employer.

Q: Are there any fees associated with Form BEN040?A: There may be fees associated with enrolling in continued health coverage under a QDRO. You should contact your retirement plan administrator or benefits office for more information.

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Form Details:

  • Released on November 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 BEN040 by clicking the link below or browse more documents and templates provided by the Alaska Department of Administration.

Download Form BEN040 Retiree Health Continuation Enrollment Under a Qdro - Alaska

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