Benefit Forms
We've gathered all the benefit forms we thought you may need in one place to ensure they are easily accessible and all of them can be downloaded with a click of a button.
Prescription Brand Penalty Exception Form
This is the form you need when you want to change prescriptions.
This form is used to remove or add individuals to your healthcare coverage.
Active Dependent Enrollment
United Concordia Dental Claim Form
Use this form if you went out of network for dental work and are trying to get reimbursed.
2026 Wellness Verification Form
This is the form you take with for your wellness checkup.
Health Reimbursement Arrangement Claim Form
This is the (HRA) claim form used for manual reimbursements and not online.
Prudential Beneficiary Form Active Cliffs Employees
This form is used to designate a beneficiary for active members only.
This form is used to designate a beneficiary for active members only.
MetLife Beneficiary change form for Active ArcelorMittal Research Facility Only
ArcelorMittal 2026 Health Awareness Initiative Form Research Facility Only
This is the form for ArcelorMittal employees to take to their check up.
Highmark Out of Network Claim Form
This is the form is used for insurance reimbursement claims.
Program of Insurance Benefits for Active ArcelorMittal O&T
This is a summary of insurance benefits for active ArcelorMittal O&T.
Program of Insurance Benefits for Active Cliffs Employees
This is a summary of Insurance benefits for active Cliffs employees.
This is a summary of insurance benefits for active Cliffs O&T employees.
Program of Insurance Benefits for Active Cliffs O&T Employees
Check this form to learn how to search for an eye doctor and a link to the site.
VSP Information
Summary Plan Description for Active Cliffs Employees
This is a summary of health and wellness benefits.
Summary Plan Description for Active ArcelorMittal Research Employees Only
This is a summary of health and wellness benefits.
