- Automatic Withdrawal Agreement for Health Coverage Payment
- Change of Address Form
- Enrollment/Beneficiary Form
- Medical, Dental, or Time Loss Claim Form
- VSP Out-Of-Network Reimbursement Form (Only self submitted non-VSP network claims)
Preauthorization is required for all non-emergency hospital admissions and certain out-patient services providers must call Aetna at 1-888-632-3862.
For more information call WPAS: (855) 815-2323.
PPO Hospital in-patient and out-patient services in the municipality of Anchorage or the Mat-Su Borough are provided by Alaska Regional Hospital. If you do not use this PPO facility financial penalties will be assessed.
Where to send completed Medicare, Dental and Member Paid Claim formsAlaska Laborers Health & Security Fund
P.O. Box 34567
Seattle, WA 98124-1567
Mail all other completed formsAlaska Laborers Trusts
P.O. Box 93870
Anchorage, AK 99509-3870