Applying for HIPP Benefits

There are three ways to apply for Alaska HIPP benefits!

Send the completed application and documents by:

Fax: 907-561-4435, or
Attn: HIPP Unit
4341 B Street Suite 100
Anchorage, Alaska 99503
Email application:

You must be able to provide the following Information:

  • Policyholder’s name, Social Security number and date of birth
  • Policy number and group number of the employee sponsored insurance
  • A copy of insurance card (front and back)
  • Employer and employee share of premium cost
  • Medicaid card and/or Identification Number Insurance card (front and back)
  • Benefit plan summary document. This can be provided from your employer.
  • Health insurance rate sheet that includes information such as: “Individual Only,” “Individual + Spouse,” “Individual + Child,” or “Family”. This can be provided from your employer.
  • A copy of the most recent pay stub or other form of premium payment verification
  • EOBs for all applicants currently covered under the employer sponsored health insurance for the past 12 months upon request