• Apply for Coverage

    Open enrollment for 2014 ended March 31. The next open enrollment period will begin on November 15 for effective coverage starting January 1, 2015.

    Eligibility for Special Enrollment with a Qualifying Event

    There are certain life events (marriage, divorce, loss of employer coverage) that may qualify you to enroll or change those covered on a plan outside of the open enrollment period.

    If you’ve experienced a qualifying event, review the specific documentation requirements for the event that applies to you. Your completed application and supporting documentation must be received within 60 days of the life event.

    Apply Online

    Individuals with a qualifying event can enroll online. Choose a plan and follow the steps to complete and submit your application. Upon submission of your application you will receive confirmation of receipt and instruction for where to send your required support documents as evidence of your qualifying event.

    Apply by Mail

    Special enrollments may also be submitted by mail upon completion of the enrollment application. Completed applications and qualifying event support documentation should be mailed or faxed to:

    Premera Blue Cross Blue Shield of Alaska
    2550 Denali Street, Suite 1404
    Anchorage, AK 99503-2753

    Fax: 907-258-1619

    If you have any questions regarding special enrollment eligibility, qualifying events or how to enroll in a plan, Premera associates are available to help. Call 1-877-PREMERA.

    Add Adult Dental to an Existing Plan

    Individuals in Alaska who wish to add adult dental to their new 2014 health plan can do so during the special dental enrollment period May 1 to June 30, 2014. Applications will be available beginning May 1. For more information call 1-877-PREMERA or your producer.

    Apply for a Standalone Dental, Vision and Hearing Plan

    Premera offers both a Dental/Vision Plan and Dental/Vision/Hearing plan. Learn more in the Benefit Highlights and Rates brochure.

    To apply, complete the Alaska Dental/Vision/Hearing Plan Application 

    Sign and mail the application to:
    Premera Blue Cross Blue Shield of Alaska
    PO Box 91120
    Seattle, WA. 98111-9220