Alaska Code § 21.55.310

Enrollment by an eligible person
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A person may enroll in a state plan by applying to the plan administrator. The application must include the following:
(1) name, address, age, and length of residency of the applicant;
(2) a designation of the plan desired, including deductible option chosen;
(3) information relevant to whether the person is a high risk or a federally defined eligible individual; and
(4) payment of the first premium.

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