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Providence Health Benefits

Welcome to the Alaska benefits page. In the event you have questions, please call the Benefits Connection Line at 212-6453. 
2012 Summary Plan Description.pdf2012 Summary Plan Description
2012 Benefits Summary.pdf2012 Benefits Summary
Change of Benefits.pdfChange of Benefits
Certificate of Other Coverage.pdfCertificate of Other Coverage
SOH Supplemental Life Application.docSOH Supplemental Life Application
Delta Dental Claim Form.pdfDelta Dental Claim Form
Preventative Services - vaccination immunization schedule.pdfPreventative Services - vaccination immunization schedule
Benefit Plan Contacts.pdfBenefit Plan Contacts
FSA Wageworks.aspxFSA Wageworks
PHP Medical Claim Form.pdfPHP Medical Claim Form
PHP Rx Claim Form.pdfPHP Rx Claim Form
PHP Vision Claim Form.pdfPHP Vision Claim Form
PHP Rx Prior Authorization Form.pdfPHP Rx Prior Authorization Form

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