Benefit Election Request

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Open enrollment is January for the Flexible Benefit Plan offerings: Dental, Vision, Short Term Disability and Term Life Insurance. Any employee who consistently works over 20 hours per week is eligible at this time.

If you are a new Allegiant or American employee, and it is not open enrollment period, you will become eligible for the Flexible Benefit Insurance Program when you have been working for at least 32 days and consistently work over 20 hours per week. (note: other eligibility requirements may apply).

If you'd like to enroll in any of the plan offerings, please complete this request form and we will email you the enrollment applications.

What coverage are you interested in?