Form BEN051 Health Benefits Enrollment / Waiver for Retirees or Benefit Recipients / Tier I - Alaska

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Form BEN051 Health Benefits Enrollment / Waiver for Retirees or Benefit Recipients / Tier I - Alaska

What Is Form BEN051?

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 BEN051 form?
A: The BEN051 form is the Health Benefits Enrollment/Waiver for Retirees or Benefit Recipients / Tier I - Alaska.

Q: Who can use the BEN051 form?
A: Retirees or benefit recipients in Tier I - Alaska can use the BEN051 form.

Q: What is the purpose of the BEN051 form?
A: The BEN051 form is used for enrolling in or waiving health benefits for retirees or benefit recipients in Tier I - Alaska.

Q: Is the BEN051 form specific to Alaska?
A: Yes, the BEN051 form is specific to Tier I - Alaska.

Q: What information do I need to provide on the BEN051 form?
A: You will need to provide personal information, such as your name, address, and contact details, as well as information about your health benefits selection or waiver.

Q: Can I change my health benefits selection after submitting the BEN051 form?
A: The ability to change health benefits selection may be limited. It's best to consult with your employer or benefits provider for details.

Q: How do I submit the BEN051 form?
A: Follow the instructions provided by your employer or benefits provider for submitting the BEN051 form. This may include mailing the form or submitting it electronically.

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Form Details:

  • Released on November 1, 2016;
  • 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 BEN051 by clicking the link below or browse more documents and templates provided by the Alaska Department of Administration.

Download Form BEN051 Health Benefits Enrollment / Waiver for Retirees or Benefit Recipients / Tier I - Alaska

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