Retirees
Medicare-eligible Retirees
ARBenefits now offers Medicare-eligible retirees their current coverage plus additional services through the new ARBenefits Group Medicare Advantage (PPO) plan. Reach out to UnitedHealthcare for more information about the plan and benefits at 1-844-488-3953, and contact the Employee Benefits Division for eligibility questions at 877-815-1017 or ask.ebd@arkansas.gov.
Summary of Benefits
Rates
Arkansas State Employees
- 2023 Plan Year – ARBenefits Group Medicare Advantage Rates
- 2023 Plan Year – Non-Medicare Retiree
- 2023 Plan Year – Medicare Retiree (not on the ARBenefits Group Medicare Advantage Plan)
- 2022 Plan Year – Non-Medicare Retiree
- 2022 Plan Year – Medicare Retiree (Medical and Pharmacy Coverage)
- 2022 Plan Year – Medicare Retiree (Medical Coverage)
Public School Employees
- 2023 Plan Year – ARBenefits Group Medicare Advantage Rates
- 2023 Plan Year- Non-Medicare Retiree
- 2023 Plan Year – Medicare Retiree (not on the ARBenefits Group Medicare Advantage Plan)
- 2022 Plan Year – Non-Medicare Retiree
- 2022 Plan Year – Medicare Retiree
Retiree Forms and Resources
General Forms
- Affidavit of Spousal Coverage Form
- Authorization to Release Information
- Bank Draft Authorization Form
- Billing Recap
- HIPAA Authorization to Revoke Health Information Form
- Retiree Change of Address Form
- Retiree Health Enrollment and Instructions
- 2023 Arkansas State Employee Retiree Packet
- 2023 Public School Employee Retiree Packet
- Retiree Election Form
- ARBenefits RX Reimbursement Form
