It’s easy. Your client can apply either online or by mail.
Your clients can apply using your own personal enrollment link. Applying online allows you to track your clients current status of their application.
If you do not have a personal enrollment link please call Producer Support at 877-205-9725, Option 5.
Download and complete the following forms:
2015 Individual and Family Application: One application per family.
Use the Application for the Addition of Family Members to an Individual or Group Conversion plan.
Sign and mail the application to:
Premera Blue Cross Blue Shield of Alaska2550 Denali Street, Suite 1404Anchorage, AK 99503-2753
Premera Blue Cross Blue Shield of Alaska offers an adult dental plan. Benefits Highlights & Rates.
To apply, complete the Preferred Adult Dental Plan Application.
Premera Blue Cross Blue Shield of AlaskaPO Box 91120Seattle, WA 98111-9220
If your clients qualify for premium credit assistance, cost share reduction plans or American Indian/Alaska Native plans, they will want to enroll in a plan through AlaskaFFM.
Individuals eligible to apply for a Premera plan must be:
The open enrollment period this year ended February 15, 2015. But if your client or their family have experienced one of the life events listed below, they may be able to apply for coverage now, in a special enrollment period.
Your clients currently enrollment in a Premera grandfathered or non-grandfathered plan can remain on that plan or enroll in a plan that complies with the Affordable Care Act during the next open enrollment period starting November 1, 2015.
For 2015 health plan options
Your Sales Executive and Producer Support are available to help answer any questions you might have about these plans.
Individuals are eligible to apply for coverage outside of the annual open enrollment period only when they have a qualifying event.
The birth, placement for adoption, or adoption of the applicant for whom coverage is sought; for Qualified Health Plans (QHPs), this also applies to children placed in foster care, legal wards, guardianship, or medical support orders
The COBRA coverage period ends (usually after 18 months) or the individual has exceeded the lifetime limit in the plan and no other COBRA coverage is available
Note: Voluntary termination of COBRA is not a qualifying event. If you terminate or stop paying for your COBRA, you must wait for the next Open Enrollment Period to apply.
Letter from the employer or COBRA administrator indicating that the loss of COBRA coverage is due to the individual's exhausting the COBRA period or exceeding the lifetime limit in the plan and that no other COBRA coverage is available
Marriage or entering into a domestic partnership, including eligibility as a dependent
Copy of marriage certificate, or a Declaration of Domestic Partnership (a Declaration of Domestic Partnership form can be found on our website at premera.com)
The loss of coverage as the result of dissolution of marriage or termination of a domestic partnership
Copy of divorce decree or annulment papers, a statement that includes the date that the Domestic Partnership ended, AND a letter from the prior health plan
Loss of minimum essential coverage, including loss of employer-sponsored insurance coverage (except for voluntary termination of health coverage, misrepresentation, or fraud)
Your COBRA offer letter or a letter from your employer listing each applicant who experienced a loss of coverage AND the reason for termination of health coverage
Loss of coverage as the result of the death of an employee
The COBRA offer letter or a letter from the employer indicating that the loss of coverage is due to the employee's death
Termination of employer contributions for coverage other than COBRA
Letter from employer indicating that the loss of coverage is due to termination of employer contributions
Loss of coverage as the result of a termination in employment or reduction in hours
Your COBRA offer letter or letter from your employer indicating that the loss of coverage is due to a termination in employment or a reduction in hours
A loss of Medicaid or other public program providing health benefits
Letter from Medicaid or other program indicating ineligibility or loss of coverage
A qualified individual or enrollee gains access to new Qualified Health Plans (QHPs) as a result of a permanent move
Utility bills from your prior address and new address from within the last 90 days
A situation in which a plan no longer offers benefits to the class of similarly situated individuals that includes the applicant
Letter from the prior health plan indicating loss of coverage is due to not being in a class of similarly situated individuals
Loss of coverage as a dependent on a group plan due to age
Letter from employer or insurance health plan indicating the loss of coverage is due to age
Loss of minimum essential coverage, including loss of employer sponsored insurance coverage; except for voluntary termination of health coverage, misrepresentation, or fraud
Your COBRA offer letter or a letter from your employer listing each applicant who experienced a loss of coverage AND reason for termination of health coverage