The machine that has a AC heat bed on it is a Hypercube Evolution. The aluminum toolplate bed itself is grounded, and it's connected to the bed frame via plastic mounts (I.E there is no electrical continuity between the bed and the bed frame). IIRC, I grounded at least one piece of the bed frame, but relying on grounding aluminum extrusion always seem sketchy to me. The layer of anodization (at least the black Misumi extrusion) isn't conductive when tested with at multimeter continuity check voltage levels (3V ish?), so I'm not sure that grounding just one piece is really good enough. I think that they make special screws/washers for grounding extrusion that have teeth on them to dig through the anodization layer.
On the other hand, at higher voltage (I.E if you did have a mains fault) then maybe it's conductive enough that it'd arc to the ground connection through the anodized layer.
Hopefully others can chime in with their experience too!