Alaska Carpenters Trust Funds

ADMINISTERED BY:
Welfare & Pension Administration Service, Inc.
and Labor Trust Services, Inc.
AGC
 

Alaska Carpenters Trust Funds - Forms

Select from the above categories.

Documents on this website are formatted in Adobe's Portable Document Format (PDF). To view these documents, you need the FREE Adobe Acrobat Reader. If you do not already have Acrobat, click on the icon below to download it.

Get Adobe Reader

Where to send completed forms

Medical and Vision claims for Active Members and Non-Medicare Retirees

Premera Blue Cross
PO Box 91080
Seattle, WA 98111-9180

Medicare Retiree Medical and Dental claims

Alaska Carpenters
P.O. Box 34687
Seattle, WA 98124-1687

All Other Forms

Administration Office
P.O. Box 34203
Seattle, WA 98124-1203

Pre-Authorization: Prior review of any hospital stay should be obtained. The plan will not pay for any hospital stays which are not medically necessary.

For prior authorization please contact Qualis Health at (800) 783-8606.

Protected Health Information Notices and Forms can be found on the Privacy page.

To access personal information online or reset your personal access number, please use the PIN Request Form.