Tongass Timber Trust

111 Stedman St., Suite 200 | Ketchikan, Alaska 99901 | Phone: 907-225-6114 | Fax: 907-225-5920 |

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Forms - documents are in PDF format
Enrollment Form Summary Plan Description Summary of Material Modifications Life and Accidental Death and Dismemberment Summary Plan Description Prescription Form Subrogation Accident Questionnaire Authorization for Release of Medical Information Other Coverage Questionnaire Medical Travel Benefit Form Cobra Forms Employers Notice of qualifying event Notice of Qualifying Event Notice of Second Qualifying Event Notice of Disability

Notices
Summary of Benefits and Coverage Buy-Up Plan Base Plan Retiree Plan Premera Buy-Up Plan Premera Base Plan GLossary of Health Coverage and Medical Terms Alaska Certificate of Authority HIPAA Policies & Procedures Medicare Part D Creditable Coverage Notice Notice Of Privacy Practices Rules for the Newborns and Mothers Health Protection Act of 1996 Women’s’ Health and Cancer Rights Act of 1998 Uniformed Services Employment and Reemployment Rights Act-(USERRA)