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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 02-1854R
for the current year.
Form 02-1854R Retiree Health Dependent Change - Alaska
What Is Form 02-1854R?
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 02-1854R?
A: Form 02-1854R is used for retiree health dependent change in Alaska.
Q: Who can use form 02-1854R?
A: Retirees in Alaska can use form 02-1854R to make changes to their dependent coverage.
Q: What changes can be made using form 02-1854R?
A: Form 02-1854R allows retirees to add or remove dependents from their health coverage.
Q: Is there a deadline for submitting form 02-1854R?
A: It is important to check with the Alaska state agency for any specific deadlines regarding form 02-1854R submission.
Q: Are there any fees associated with form 02-1854R?
A: There may be fees associated with adding or removing dependents using form 02-1854R. Please refer to the instructions or contact the Alaska state agency for more information.
Form Details:
- Released on October 1, 2019;
- 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 02-1854R by clicking the link below or browse more documents and templates provided by the Alaska Department of Administration.
Download Form 02-1854R Retiree Health Dependent Change - Alaska
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