Alaska Public Employees Association (APEA) - Alaska Federation of Teachers (AFT) Health and Welfare Trust



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• Medical Forms
  • Claim Form – Prescription – CVS Caremark
  • Claim Form - FSA - Navia (APEA Employees)
  • Enrollment Form (APEA Employees)
  • Enrollment Form (JESS Employees)
  • Medical/Dental Claim Form
• Privacy and Disclosures
  • Authorization for Disclosure of Protected Health Information
  • Health Trust - Notice of Privacy Practices
  • Revocation of Protected Health Information Disclosure