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Alaska Laborers Forms

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Select from the above categories.

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Mail completed CLAIM forms to:

Alaska Laborers Health & Security Fund
P.O. Box 34567
Seattle, WA 98124-1567

Mail all other completed forms to:

Alaska Laborers Trusts
P.O. Box 93870
Anchorage, AK 99509-3870

Preauthorization is required for all non-emergency hospital admissions or within 48 hours following an emergency admission. Certain procedures may require a second surgical opinion or surgery on an out-patient basis.

For more information call Qualis Health: (800) 783-8606.

PPO Hospital in-patient and out-patient services in Anchorage are provided by Alaska Regional Hospital. If you do not use this PPO facility financial penalties will be assessed.

Protected Health Information Notices and Forms can be found on the Privacy page.

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