Open Enrollment for 2023 Benefits

Open Enrollment is a once-a-year opportunity to review and update your coverage elections for health and life insurance benefits provided by Alliance Coal. Make sure your benefits coverage meets you and your family‚Äôs needs for 2023! The deadline for Open Enrollment is November 18, 2022.

The following links and video presentation provide the forms and information you need to complete enrollment. If you have questions, please see your local HR representative or contact Member Services.

 

Open Enrollment 2023 Video 

Open Enrollment Information

Enrollment brochure

Enrollment video (see above)

Optional Life Insurance Worksheet

Life Insurance Calculator (xls)

Forms

Benefit Election Form (log in to see your location's Benefit Election Form)

FSA Enrollment Form (also known as Salary Redirection Agreement [SRA])

Spousal Health Care Affidavit (required for everyone, even if you are single; form must be submitted for spouse to receive coverage) 

Other Health Plan Questionnaire (to help avoid delays if your dependents have health care claims)

PSSP Beneficiary Designation Form (note: for Life Insurance beneficiary designation, use the Benefit Election Form provided above)

Federally Required Notices

Summary of Benefits & Coverage (SBC) booklet

Annual Notices booklet

Profit Sharing & Savings Plan (PSSP): Automatic Contributions & Increases and Electronic Delivery of Statements

Profit Sharing & Savings Plan (PSSP) Participant Annual Notice