HR Documents, Forms and Schedules
Please see the links in the left-panel navigation for more Human Resources Topics.
UKG (timecards, paycheck stub, employee profile management, benefits, and more)
FY 2022 ALA Performance Appraisal Forms
FY 2022 performance review will be due to Human Resources by Friday, November 18, 2022.
Position Content Document Forms
Reimbursement for remote access to ALA systems
- Policy
- Remote access monthly reimbursement certificate
- Remote access conference reimbursement certificate
Benefit Plans 2025
Medical
- 2025 BCBS BAHMO SBC ALA 01-01-2025-12-31-2025
- 2025 BCBS HSA SBC (updated v 2024-12)
- 2025 OE Presentation BCBS Medical
- 2025 BCBS BA HMO PPO and HDHP HSA IL Enrollment Guide
- 2025 BCBS PPO and HDHP HSA Enrollment Guide
Dental
- 2025 BCBS Dental High PPO Plan (HL) EE
- 2025 BCBS DENTAL LOW PPO Plan (HL) EE
- 2025 OE Presentation BCBS Dental
Vision
Flexible Spending
Health Savings Account
Life Insurance and Disability
Other Options
- 2025 Allstate Identity Theft Protection
- 2025 ALLSTATE ID PROTECTION ENROLLMENT KIT
- 2025 Travel Accident Insurance CHUBB w ALA Travel and Medical Assistance Card 2024-25
- 2025 Guardian CI - Enrollment Kit 00543094
- 2025 Pet Benefit Solutions kit
- 2025 Transit CT Form
- 2025 Transit DC Form
- 2025 Transit IL Form
- 2025 Transit PA and Reimbursement form
- 2025 Transit Parking w Reimbursement Form
2025 Benefit Plan Documents
- 2025 Retiree Plan Contact Info
- 2023 ALA Benefits Summary Annual Report (SAR)
- 2024 Creditable Coverage Medicare Part D Notice ALA for 2025
- 2025 ERISA Wrap Document Summary Plan Description SPD
- Retirement Plan Summary Plan Discription spd ALA TIAA 2020
Resources
- 2025 BCBS DISABILITY RESOURCE SERVICES
- 2025 BCBS BENEFICIARY RESOURCE SERVICES
- 2025 BCBS Travel Resource Services
- 2025 ALA Policy Manual
- ALA Organization Chart FY 2025
- ALA 2025 HOLIDAY SCHEDULE
Retiree Plans
- 2025 BCBS MAPD 01Plan
- 2025 BCBS MAPD 02 Summary of Benefits
- 2025 BCBS MAPD 03 Annual Notice of Change
- 2025 BCBS MAPD 04 Extra Health and Wellness benefits
- 2025 BCBS MAPD ALA Group Enrollment Form
- 2025 Medicare and You Handbook
- 2025 Retiree Benefits Reference Information Packet
- 2025 EBCFlex Summary Plan Description FSA-2024
Benefit Plans 2024
- 2024 Employee Benefits Guide
- 2024 BCBS Medical and Dental OE Presentation
- 2024 Wex Flexible Spending OE Presentation
- 2024 Guardian Critical Incident Accident - Hospital - Illness OE Presentation
- 2024 Allstate Identity Theft Protection OE Presentation
Medical
- 2024 Employee Benefits Guide
- 2024 BCBS PPO Enrollment Guide
- 2024 BCBS PPO HMO Enrollment Guide
- 2024 BCBS HMO how to find a doctor
- 2024 BCBS SBC PPO_01-01-2024 to 12-31-2024_2016-01-01
- 2024 BCBS SBC BAHMO_01-01-2024 to 12-31-2024_2016-01-01
- 2024 BCBS SBC HMO Ill_01-01-2024 to 12-31-2024_2016-01-01
- 2024 BCBS BA HMO Certificate
- 2024 09 BCBS PPO Certificate
- 2024 BCBS HMO Illinois Certificate
Dental
Vision
Flexible Spending
Life Insurance and Disability
Other Options
- 2024 Allstate Identity Theft Protection kit
- 2024 Guardian CI Acc CIll Hosp- 2024 Enrollment kit
- 2024 Pet Benefit Solutions kit
- 2024 Transit CT Form
- 2024 Transit DC Form
- 2024 Transit IL Form
- 2024 Transit PA and Reimbursement form
- 2024 Transit Parking w Reimbursement Form
- 2024 Benefits Summary
- 2024 Benefit Contacts
- 2024 Benefits Election Form
- 2024 Medical Waiver form fillable
- 2024 Notice of Electronic Distribution of Benefit Documents
- AIP Enrollment form.pdf_fillable
- BCBS Life Insurance and Disability Enrollment Form Fillable
- BCBS enrollment form-fillable
- Guardian CI Acc CIll Hosp- Enrollment form fillable
- Wex FSA enrollment form fillable
2024 Benefit Plan Documents
- 2022 ALA Cafeteria Plan Summary Plan Description
- 2024 07 Benefits Summary Plans Description ERISA Wrap Document SPD
Resources
- 2024 BCBS Beneficiary Resource Services
- 2024 BCBS Disability Resource Services
- 2024 BCBS Travel Resource Services
Benefit Plans 2023
- 2023 Benefits Guide.pdf
- 2023 Benefits Summary
- 2023 OE BCBS BlueCare Dental Presentation
- 2023 OE Wex Flexible Spending Account Presentation
- 2023 OE Guardian Critical Incident Acc Hosp Ill Presentation
- Guardian CI Claim form Process Options - ACC CI HI
- 2023 OE Allstate Identity Protection Presentation
- 2023 ALA Benefits Summary Annual Report (SAR)
Health Plans
- 2023 BCBS PPO SBC
- 2023 BCBS HMO IL SBC
- 2023 BCBS BA HMO SBC
- 2023 BCBS HMO how to find a doctor
- 2023 BCBS BlueCare Dental
- 2023 EyeMed Vision Kit
- 2023 WEX - FSA and Dependent Care Enrollment Kit
Other Plans
- 2023 BCBS - Life Insurance Enrollment Kit
- 2023 BCBS - Life AD and D
- 2023 BCBS - Supplemental Life
- 2023 BCBS - Short Term Disability
- 2023 BCBS - Long Term Disability
- 2023 Guardian Critical Incident Plans - Enrollment Kit
- 2023 Pet Benefit Solutions
- 2023 Transit CT Form
- 2023 Transit DC Form
- 2023 Transit IL Form
- 2023 Transit PA and Reimbursement form
- 2023 Transit Parking w Reimbursement Form
Resources
- 2023 BCBS - EAP Employee Assistance Program Disability Resource Services
- 2023 BCBS - Beneficiary Resource Services
- 2023 BCBS - Travel Resource Services
Benefit Plan Documents 2023
- ALA Cafeteria Plan Summary Plan Description
- Retirement Plan Summary Plan Description
- 2023 ALA Retirement Plan Summary Annual Report SAR
Benefit Plans 2022
Medical
- 2022 BCBS PPO/HMO Enrollment Guide
- 2022 BCBS PPO Enrollment Guide
- 2022 BCBS PPO Certificate
- 2022 BCBS BA HMO SBC
- 2022 BCBS BA HMO Certificate
- 2022 BCBS BA HMO Vision Certificate
- 2022 BCBS HMO SBC IL
- 2022 BCBS HMO IL Certificate
- 2022 BCBS HMO IL Vision Certificate
- 2022 BCBS PPO SBC
- BCBS RXSS Lower Costs Flier 05 18 22
- BCBS RXSS Member FAQ BCBSIL 05 18 22
Dental
Vision
Flexible Spending Account
Life Insurance 2022
- 2022 BCBS Life and Disability Enrollment Kit
- 2022 BCBS Evidence of Insurability form
- 2022 BCBS Beneficiary Resource Services
- 2022 BCBS Life Disability Resource Services EAP
- 2022 BCBS Long Term Disability Insurance Plan
- 2022 BCBS Supplemental Life Insurance
- 2022 BCBS Group Term Life Insurance and AD and D Plan
- 2022 BCBS Short Term Disability Insurance Plan
- 2022 BCBS Life Travel Resource Services
Other Benefits
- Guardian CI 2022 05 Enrollment_Kit_ALA
- 2022 Pet Benefit Solutions Kit
- Allstate Identity Protection Pro-Plus-Paper Enrollment 2021 08 form ALA
- DC - Transit Form 2022
- IL - Transit Form 2022
- CT - Transit Form 2022
- PA - Transit Form 2022
- Parking Form and Reimbursement Form - All Locations
Retirement Plan
- New 2024 Retiree Benefit Reference Information Packet
- New 2024 Retiree Benefit Contacts
- New 2024 Medicare and You
- New 2024 BCBS MAPD 13 Proof of Insurance Insert
- New 2024 MAPD 10 IL 24-7 Nurseline Flyer
- New 2024 BCBS MAPD 09 IL TRUHEARING Flyer
- New 2024 BCBS MAPD 08 IL OTC FLYER
- New 2024 BCBS MAPD 07 IL Silver Sneakers Member Flier
- New 2024 BCBS MAPD 06 IL Virtual Visits Flier
- New 2024 BCBS MAPD 05 IL Blue 365 Flyer
- New 2024 BCBS MAPD 04 Summary of Benefits 04
- New 2024 BCBS MAPD 02 IL OPEN ACCESS PPO MAPD ENROLLMENT
- New 2024 BCBS MAPD Blue 365
- Retirement Plan Summary Plan Description SPD ALA TIAA 2020
- 2022 TIAA Fee Disclosure Notice Plan_Investment_Notice 07 12
2022 Benefit Plan Documents
- 2022 Notice of Electronic Distribution of Benefit Documents
- 2022 ALA Summary Plan Document Wrap
- 2022-ALA-Cafeteria-Plan-Summary-Plan-Description
- 2020 Creditable Coverage - Medicare Part D Notice ALA for 2021
- 2021 Benefit Plans Summary Annual Report SAR
Recruitment
Schedules
Other Human Resources links on Support
2025 ALA Employee Policy Manual
Staff Change Form (new hires, promotions, terminations etc...)
Ultipro (paycheck stub, employee profile management, benefits, and more)
