Alaska Laborers Trust Funds



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• Enrollment and Claims
  • Authorization Agreement for Electronic Pension Benefit Deposit
  • Change of Address Form
  • Enrollment/Beneficiary Form - Spanish
  • Enrollment/Beneficiary Form
  • Medical, Dental, or Time Loss Claim Form
  • VSP Out-Of-Network Reimbursement Form (Only self submitted non-VSP network claims)
  • CVS - How To Submit a Digital Prescription Claim
  • CVS - Prescription Reimbursement Claim Form
• Privacy and Disclosures
  • Authorization for Disclosure of Protected Health Information
  • Health & Security Fund - Notice of Privacy Practices
  • Revocation of Protected Health Information Disclosure