Skip to main content
Home

Main navigation

  • 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
    • Plan Documents and Forms
    • Contacts

Plan documents and forms

Breadcrumb

  1. Home
  2. Resources
  3. Plan documents and forms

Plan Documents

Alliant 2020 Benefits Highlights Brochure
Alliant 2021 Benefits Highlight Brochure
Alliant 2022 Benefits Highlight Brochure
Alliant Anthem BCBS CDHP SBC-2022
Alliant Anthem BCBS EPO SBC-2022
Alliant Anthem BCBS PPO SBC-2022
Alliant Kaiser SBC NCR-2022
Alliant Kaiser SBC SCR-2022
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
Express Scripts Claim Form
FSA Claim Submission Instructions
FSA Direct Deposit Authorization Form
FSA Direct Deposit Enrollment Instructions
National Preferred Formulary Exclusion List-2022
Prescription Drug Formulary
Specialty Drug List-2022

Retirement and Financial Protection

Alliant Life Insurance EOI
International Business Travel FAQs

Voluntary Benefits

Accident Insurance Attestation
Accident Insurance Regulatory Disclosure Document
Bertelsmann MetLife Legal Plan Fee Schedule
Critical Illness Insurance Attestation
Critical Illness Insurance Regulatory Disclosure Document
Hospital Indemnity Insurance Attestation
Hospital Indemnity Insurance Regulatory Disclosure Document
MetLife Legal Plans Description
MetLife Legal Plans Product Overview

Enrolling in Benefits

Enrollment Instructions

Required Notices

Alliant Legal Notices-2021
Alliant Legal Notices-2022
COBRA Continuation Coverage
New York Disability and Paid Family Leave Notice

Footer Menu

  • 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
    • 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.

Copyright © 2022 Bertelsmann. All rights reserved.