Employee Benefits

Arkansas State Employees

Summary of Benefits

Summary Plan Description (effective 01/01/2020)
Summary of Benefits and Coverage – ASE Basic 2020
Summary of Benefits and Coverage – ASE Classic 2020
Summary of Benefits and Coverage – ASE Premium 2020

Rates

2020 Plan Rates – Active with Wellness
2020 Plan Rates – Active without Wellness
2020 Cobra Rates

2020 Table of Important Dates

Forms

2020 Open Enrollment Guide
Affidavit of Spousal Health Care Coverage
ARBenefits RX Member Reimbursement Form
Authorization to Release Health Information
Enrolling Online With ARBenefits
Member Appeal Request Form
AR Benefits Primary Care Provider Form
Continuation of Insurance Due to Incapacity

2020: ARBenefits:

2020 Active State & Public School Change Form
2020 Active State and School Enrollment Election Form

Connect Your Care – HSA/FSA

 

ARSEBA:

2020 Dental Plan Comparison
2020 Delta Dental Enrollment Form
2020 Humana Vision Benefit Summary
2020 Humana Vision Application

Colonial Life

Colonial Life Enrollment Form
Colonial Life ASE Rates
ASE Basic and Enhanced Basic Coverage Brochure
ASE Supplemental Coverage Brochure
Colonial Life ASE Change Form
Colonial Life Beneficiary Change Form
Colonial Life Evidence of Insurability

State Insurance Representatives Forms

AR Diamond Plan Opt-Out Form

ARBenefits:

EXCELLENCE & EXPEDIENCE
PEOPLE OVER PROCESS

INNOVATION

CONTINUOUS IMPROVEMENT

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