Edit by LM 11/9/26

AlaskaCare Employee
Open Enrollment

Learn what's new and how to make changes during the annual enrollment for AlaskaCare Employee Health Plan participants.
Effective as of January 1, .

Open Enrollment for the AlaskaCare Employee Health Plan through the Division of Retirement and Benefits occurs every November. Although only AlaskaCare employees are eligible to participate in the health plan Open Enrollment, most State of Alaska employees and employees of participating political subdivisions are eligible to participate in Open Enrollment for the Group Life and Voluntary Supplemental Benefits (VSB) webpage, which occurs concurrently with the AlaskaCare Open Enrollment period.

Who is Eligible to Participate in the AlaskaCare Open Enrollment?

All AlaskaCare Employee Health Plan members are eligible to participate during this Open Enrollment period for the 2027 plan year.

Choosing Your Health Plan Coverage

AlaskaCare allows you to create a personal benefit program from a range of benefits and levels of coverage. The options available include three medical plans, two dental plans, and a vision plan. To learn more about your options, you can visit the AlaskaCare Employee Health Plan page and visit the following sections:

You can also use the Health Plan Cost Comparison Tool excel xlsx file to help you make the best decision for you and your family.


Do I Need to Do Anything During This Open Enrollment Period?

It depends. Most health plan elections roll over from year to year, but there are exceptions. Opt-out elections (waivers of coverage for yourself and/or your family) and the Health Flexible Spending Account (HFSA) are the two elections that do not roll over and must be elected annually during Open Enrollment.

Examples of Elections That Will and Will Not Roll Over Automatically
Family Structure 2026 Elections If No Election During Open Enrollment (2027) Rollover Status
Bob Smith
Employee and family (spouse and child enrolled)
  • Standard Medical for Employee and Family
  • Economy Dental for Employee and Family
  • Managed Care Vision for Employee and Family
  • No HFSA election
  • Standard Medical for Employee and Family
  • Economy Dental for Employee and Family
  • Managed Care Vision for Employee and Family
  • No HFSA election
All current plans roll over automatically
Karen Smith
Employee and family (children enrolled)
  • No Medical (Opt-Out/Waiver)
  • Standard Dental for Employee and Family
  • Managed Care Vision for Employee Only
  • HFSA elected at $3,000 for 2026
Defaults to:
  • Economy Medical for Employee and Family
  • Standard Dental for Employee and Family
  • Managed Care Vision for Employee and Family
  • No HFSA
Only Dental rolls over automatically. All other benefits change.
Peter Smith
Employee Only (no dependents enrolled)
  • Standard Medical for Employee Only
  • Standard Dental for Employee Only
  • No Vision election
  • No HFSA election
Coverage remains the same:
  • Standard Medical-Employee Only
  • Standard Dental-Employee Only
  • No Vision
  • No HFSA
All current plans roll over automatically
Key Takeaway To ensure you have the benefits you need in 2027, please review your current elections online to determine if an Open Enrollment election is needed.

Important Documents for 2027

Asterisk information The “30% Dependents” Summaries of Benefits and Coverage (SBC) may apply if your spouse or children are covered by a State employee health trust. You can find more information in the Medical Plans at a Glance section webpage on the AlaskaCare Employee Health Plans webpage.


New in 2027

AlaskaCare Medical Plan Updates

Effective January 1, 2027, the individual and family deductible amounts, annual out-of-pocket limits, as well as the in-network Primary Care and Specialty Care office visit copays will change for the Economy and Standard medical plans.

2027 Medical Plan Provisions for ALL Employee Groups
Individual Deductible Family Deductible Coinsurance (Percentage of allowable amount paid by plan) Individual Annual Out-of-Pocket Limit Family Annual Out-of-Pocket Limit In-Network Primary Care Office Visit Copay In-Network Specialty Care Office Visit Copay
Standard Medical Plan $400 $800 80% $1,800 $3,600 $75 $100
Economy Medical Plan $600 $1,200 70% $2,800 $5,600 $75 $100
Consumer Choice Medical Plan $2,400 (first $750 offset by HRA) $4,800 (first $1,500 offset by HRA) 70% $5,400 $10,800 N/A N/A
Effective: January 1, 2027

Pharmacy Structure Updates

Effective January 1, 2027, the AlaskaCare pharmacy copays for pharmacy tiers 1-3 will be changing for the Economy and Consumer Choice medical plans.

2027 AlaskaCare Employee Health Plan Pharmacy Structure
Prescription Tier Tier Description Retail 1-30 Day Supply: Network Pharmacy
Standard Plan Economy Plan Consumer Choice Plan
Tier 1: Maintenance generic prescription drugs Low-cost maintenance medications that are therapeutically, and often chemically, identical to brand medications $5 copay per prescription $15 copay per prescription $25 copay per prescription
Tier 2: Generic prescription drugs Medications that are therapeutically, and often chemically, identical to brand medications $10 copay per prescription $20 copay per prescription $30 copay per prescription
Tier 3: Preferred brand-name prescription drugs Medications for which a generic is unavailable or medications that are offered at discounted prices $35 copay per prescription $45 copay per prescription $55 copay per prescription
Tier 4: Non-preferred brand-name prescription drugs Medications that have an equivalent generic or preferred brand drug covered under Tiers 1-3 65% coinsurance with $150 minimum / $300 maximum per prescription
Out of Network Pharmacy All drugs obtained from an out-of-network pharmacy are paid at this coinsurance level, regardless of tier. 60%

Use the Online Benefits Enrollment portals below throughout the year to review your elections or make changes due to a qualified status change. Beginning November 4, 2026, through November 25, 2026, you can use the portals below to make your Open Enrollment elections for the 2027 benefit year.

Enrollment Instructions

  1. Log in to myRnB:

    Navigate to myRnB website and log in using your myAlaska username and password.

  2. AlaskaCare Enrollment:

    On the left-hand side of the dashboard under Self-Service Tools, click on the AlaskaCare Health Benefits link, and accept the terms and conditions.

    During the Open Enrollment period, the link will be titled AlaskaCare Health Benefits Open Enrollment.

  3. Choose Coverage:

    Click on the Choose Coverage Reason drop down and select the relevant reason for the changes (for example: “Hire/Rehire”, “Change In Marital Status”). Then click on the Choose Coverage button to continue.

    You may skip this step if you do not need to update your elections. To update your dependents or add a new dependent without making new elections, click on the Manage button under the Dependents header.

  4. Verify Dependents:

    Here you are able to manage your dependents, if applicable.

    • If you do not have any dependent changes to make, click on the Next button.
    • If you do have dependent changes to make, click on the Manage Dependents button.
    • If you need to update your current dependents (edit or remove), click on their name under the Your Dependents header. Then click on the Edit or Terminate button to proceed.
    • If you need to add a new dependent, click on the Add Dependent button.

    Once your changes or additions are completed, click on the Print and Sign Verification button to download and print the dependent affidavit. Once signed, you must submit the form by email, mail, or fax. Additional documents, such as marriage certificates, birth certificates, etc., are also required.

    Once you are done managing your dependents, click on the Back to Benefits Enrollment link on the top left corner of the screen.

  5. Employment Info:

    The Coverage Reason drop down should reflect the reason elected in the previous page if no changes to your dependents were made. Otherwise, elect the Coverage Reason again and click the Next button. Enter the Event Date, Bargaining Unit, and Employment Type, then click on the Next button.

  6. Make Your Selections:

    Select your benefits: Make sure to click on EACH benefit section to make your selections (Medical, Dental, Vision, HFSA tabs) and choose your Coverage Level (Employee Only or Employee and Family). You can also choose to opt out or waive each benefit by clicking on the Opt-Out button.

    Click the Next button when you have made your selections. If you have opted out of coverage, a pop-up will appear. Please read the disclaimer carefully and click the Agree and Continue button to proceed.

  7. Review Your Selections:

    Review your benefits: Click Back to change your selections or Submit to confirm your benefit selections.

  8. Finish Enrollment:

    Congratulations! You have completed your benefit selections and enrollment. Remember to submit the signed dependent affidavit and supplemental documents outlined in step 4, if applicable. When you navigate back to the dashboard, you will see your updated information with your current and future benefit selections.


You are all set for your health elections for 2027! Don’t forget to update any voluntary benefits elections.

New Hire Instructions

If you are newly hired, or do not have a myAlaska or myRnB account, the enrollment process has an additional step.

  1. Navigate to myRnB and login or create a myAlaska account if you don’t already have one. Once you’ve logged in, follow the link that says "If you wish to enroll for benefits now, please click here."
  2. This will take you to your enrollment portal. Please fill out the appropriate "Employment Info" and return to the dashboard.
  3. You are now able to select "new hire" and begin your benefit selections following the steps on the previous page.
Page Last Modified: 11/09/26 08:26:01