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Plan Documents and Forms

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Plan Documents

Alliant 2020 Benefits Highlights Brochure
Alliant 2021 Benefits Highlight Brochure
Alliant Anthem BCBS CDHP SBC-2021
Alliant Anthem BCBS EPO SBC-2021
Alliant Anthem BCBS PPO SBC-2021
Alliant Kaiser SBC NCR-2021
Alliant Kaiser SBC SCR-2021
Alliant SMM-2016
Alliant SMM-2017
Alliant SMM-2018
Alliant SMM-2019

Health & Well-being

Alliant Medical Plan Comparison Chart
Alliant Vision Benefits Summary
Anthem Claim Form
CDHP Prescription Drug List
Delta Dental Patient Charge Schedule
ESI Standard Plus Preventive Medications-2021
Express Scripts Claim Form
FSA Claim Submission Instructions
FSA Direct Deposit Authorization Form
FSA Direct Deposit Enrollment Instructions
National Preferred Formulary Exclusion List-2021
Prescription Drug Formulary
Specialty Drug List-2021

Retirement and Financial Protection

Alliant Life Insurance EOI
International Business Travel FAQs

Voluntary Benefits

Bertelsmann MetLife Fee Schedule

Enrolling in Benefits

Enrollment Instructions

Required Notices

Alliant Legal Notices-2021
COBRA Continuation Coverage

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  • Health and Well-being
    • Medical Coverage
    • Prescription Drug Coverage
    • Dental Coverage
    • Vision
    • Flexible Spending Accounts
    • Health Advocate
    • Wellness
  • Retirement and Financial Protection
    • 401(k) Savings Plan
    • Health Savings Account
    • Disability Insurance
    • Life and AD&D Insurance
    • Business Travel Insurance
  • Voluntary Benefits
    • Accident Insurance
    • Critical Illness Insurance
    • Hospital Indemnity Insurance
    • Long-Term Care Insurance
    • Auto and Home Insurance
    • Pet Insurance
    • Legal Assistance
  • Work Life
    • Employee Assistance Program
    • Commuter Benefits
  • Enrolling in Benefits
    • Eligibility
    • Annual Enrollment
    • New Hires
    • Life Events
    • Payroll Deductions
    • Payroll Deduction Cost Calculator
    • COBRA
  • Resources
    • COVID-19 Support
    • Plan Documents and Forms
    • Contacts

This website provides the highlights of the benefits offered through the Company and does not describe many of the features, provisions, limitations, and exclusions of the plans. If there is any conflict or inconsistency between this website and the plan documents or contracts, the documents and contracts will govern. The Company reserves the right to change or discontinue these benefits at any time for any reason. Participation in the benefits program does not create or imply an employment contract with the Company.

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