WA Alaska Laborers Health and Security Fund Medical/Dental/Time Loss Claim Form 2021-2025 free printable template

Medical / Dental / Time Loss Claim Form ALASKA LABORERS HEALTH AND SECURITY FUND A Refunded Health Plan. O. Box 34567, Seattle, WA 981241567 Instructions: Complete this form, attach all itemized bills,

How to fill out WA Alaska Laborers Health and Security

How to fill out WA Alaska Laborers Health and Security Fund

1. Obtain the WA Alaska Laborers Health and Security Fund application form from the official website or your union representative.
2. Fill out the personal information section, including name, address, and contact information.
3. Provide your employment details, including your employer's name and your job title.
4. Complete the healthcare coverage information section, detailing any previous insurance and current medical needs.
5. Attach any required documentation such as proof of employment, income statements, or previous health insurance information.
6. Review your application for accuracy and completeness before submission.
7. Submit the application form to the designated address provided in the instructions.

Who needs WA Alaska Laborers Health and Security Fund?

1. Laborers who are members of the Washington Alaska Laborers Union looking for health insurance coverage.
2. Individuals employed in construction or labor-intensive jobs who require access to healthcare benefits.
3. Workers seeking financial assistance for medical services under the health fund's provisions.

For pdfFiller’s FAQs

How do I make changes in WA Alaska Laborers Health and Security?

With pdfFiller, the editing process is straightforward. Open your WA Alaska Laborers Health and Security in the editor, which is highly intuitive and easy to use. There, you’ll be able to blackout, redact, type, and erase text, add images, draw arrows and lines, place sticky notes and text boxes, and much more.

How do I edit WA Alaska Laborers Health and Security in Chrome?

Adding the pdfFiller Google Chrome Extension to your web browser will allow you to start editing WA Alaska Laborers Health and Security and other documents right away when you search for them on a Google page. People who use Chrome can use the service to make changes to their files while they are on the Chrome browser. pdfFiller lets you make fillable documents and make changes to existing PDFs from any internet-connected device.

Can I create an electronic signature for signing my WA Alaska Laborers Health and Security in Gmail?

You can easily create your eSignature with pdfFiller and then eSign your WA Alaska Laborers Health and Security directly from your inbox with the help of pdfFiller’s add-on for Gmail. Please note that you must register for an account in order to save your signatures and signed documents.

What is WA Alaska Laborers Health and Security Fund?

The WA Alaska Laborers Health and Security Fund is a multi-employer health and welfare fund that provides health benefits and security assistance to eligible laborers and their families within the Washington and Alaska regions.

Who is required to file WA Alaska Laborers Health and Security Fund?

Employers who are signatories to a collective bargaining agreement with the Laborers' Union and have employees working under that agreement are required to file with the WA Alaska Laborers Health and Security Fund.

How to fill out WA Alaska Laborers Health and Security Fund?

To fill out the WA Alaska Laborers Health and Security Fund forms, employers need to accurately complete the required sections, providing information on employees' hours worked, wages, and contributions owed, and submit them in accordance with the guidelines provided by the fund.

What is the purpose of WA Alaska Laborers Health and Security Fund?

The purpose of the WA Alaska Laborers Health and Security Fund is to provide health care benefits, disability benefits, and other support to eligible members of the Laborers' Union and their families, ensuring access to necessary medical services and financial security.

What information must be reported on WA Alaska Laborers Health and Security Fund?

Employers must report information such as employee names, social security numbers, total hours worked, wages, health benefits contributions, and any other relevant details outlined in the reporting requirements of the fund.