Benefit Information

Welcome to the UACCB Human Resources Benefits Page. You will find a Benefits Summary and Notice of Privacy Practices along with listings for: Superior Vision; Delta Dental; United Medical health; MedImpact prescription drug plan; Long Term Disability; Retirement Information; Life Insurance Plans; Voluntary benefits, including Arkansas Federal Credit Union (AFCU), Long Term Care, MetLife Critical Illness; and Liberty Mutual Home and Auto insurance. Every effort is made to keep the posted benefit data current. Should you suspect errors or have specific questions, please do not hesitate to contact the HR Benefits Office at 870-612-2165 or 870-612-2045.

Open Enrollment Fall 2016 for January 1, 2017

2017 Health Plan Comparison Grid

2016 MetLife Enrollment Kit

2016 Flexible Spending

Health Open Enrollment and Rates

Dental Open Enrollment and Rates

Vision Open Enrollment and Rates

Flexible Spending Account Open Enrollment

Life and AD&D Change Form


Family and Medical Leave Act - Revised April 2016

Pre/Post Tax Election Form

Notice of Privacy Practices (HIPAA)

COBRA rates 2017

1557 Nondiscrimination Statement


United Medical Resources

Health Rates July 1, 2017

Health Plan Deductibles and Out-of-Pocket Maximums July 2017

Summary of Benefit Coverage Cover Letter July 2017

SBC Classic Wellness Plan July 2017

SBC Classic Plan July 2017

SBC POS Wellness Plan July 2017

SBC POS Plan July 2017

UMR Login Instructions

United Medical Resources Plan Comparison July 2017

Glossary of Health Coverage and Medical Terms

Health Rates effective July 1 2017

UA Health Plan SPD revised January 1, 2017

Update Affordable Care Act Section 1557 (posted 1/12/17)

In compliance with the Affordable Care Act Section 1557 regulations which were issued mid-year in 2016, the University’s health plan scheduled gender dysphoria coverage for implementation on January 1, 2017.  On December 31, 2016, the US District Court for the Northern District of Texas issued a nationwide preliminary injunction on the Affordable Care Act regulations covering gender identity.   More specifically the injunction prohibits Health and Human Services from enforcing regulations addressing gender identity and the coverage of treatment for gender dysphoria.   The frequent changes and uncertainty of the ACA regulations are challenging for both health plans and for plan participants, particularly when dealing with coverage issues such as gender dysphoria which involve a long-term plan of treatment.   Given  the most current court ruling, the University will suspend gender dysphoria coverage pending the final legal outcome of the injunction or further clarification of the ACA coverage guidelines.  However, in accordance with the requirements of  the ACA, the plan will cover services received on or before March 6, 2017.


Classic and POS In-Network

$200 copay + $1000 Deductible + Coinsurance

POS Out-of-Network

$200 copay + $2000 Deductible + Coinsurance

Maternity Management

Adding your newborn to the UMR health plan

UMR Authorization for Release of Information form

Physician Attestation form (weight loss program)


UMR Health Brochures

UMR Diabetes Management

UMR Healthy Heart

UMR Nutritional Counseling

UMR Preventative Care Services - Women

UMR Preventative Care Services - Men and Children

Wellness Plan - July 2017

The 2018 Wellness Program


This Wellness Program will begin on July 1, 2017.  The program incentive will continue as it currently is.  In order to receive the $1,400 reduced out-of- pocket maximum (Employee's participation meets criteria for $2,800 reduced out-of-pocket maximum on the family plan), participants must complete ALL three steps no later than September 30, 2017. 

I.  The program steps must be completed between 7/1/2017 and 9/30/2017.

  Step 1 – Complete your Health Assessment

·         Log into to get started.

  Step 2 Agree to the Tobacco/Nicotine Pledge (No personal health action pledge)

·         This pledge is in the Health Assessment.

  Step 3 – Complete your Biometric Screening (No Nicotine/Cotinine Testing)

II.  Timeline for sending information:   

            Brochure packets mailed (UACCB) - June 28

            Onlife web portal goes “Live” – July 1

            Program announcement email – July 1 


III.  If identified during the Health Assessment as a tobacco user, participants must enroll in a Tobacco Cessation program before the November 17, 2017 deadline. 

IV.  Who is eligible for the wellness program?

•      The wellness program only applies to employees who were enrolled in the UA medical plan as of July 31, 2017.

•      New Employees whose medical plan coverage begins on or after August 1, 2017 are not required to participate. 

•      Spouses are not required to participate

Tobacco Cessation Letter

Alternative Tobacco Enrollment Form


Alternative Biometric Screening Form



Creditable Coverage Disclosure Notice

MedImpact Prescription Benefit Summary - January 2016

MedImpact prescription Drug Formulary - April 2016

UAS MedImpact Formulary Exception

Appeals Form

MedImpact Prescription Claim Form

Test Strips and Meters

MedVantx Mail Order Prescription Form

Delta Dental

Delta Dental Enrollment Application - add/drop/change

Choosing Your Dentist

Delta Dental Schedule of Benefits (effective January 1, 2012 - Current)

Delta Dental Benefit Plan Summary

Delta Dental Member User Guide

Superior Vision

Superior Vision Basic/Enhanced Rate Sheet

Superior Vision Membership Claim Form

Superior Vision Member Guide - Using Your Vision Plan

Getting Started

Finding Network Providers

Superior Vision Benefit - Amendment

Superior Vision Enrollment Rules


FSA (Flexible Spending Plan)

FSA Information

FSA Login Instructions

Flexible Spending SPD January 1, 2017


Long Term Disability

Basic and Optional Long Term Disability Group Insurance (UNUM)

LTD Claim Form (UNUM)

  • LTD Amendment


Arkansas Teachers Retirement System (ATRS)

Arkansas Public Employees Retirement System (APERS)

UofA Retirement Plan Changes (effective May 10, 2017)

UA Retirement SPD September 21, 2016

University of Arkansas System 457 (B) Plan

University of Arkansas System 403 (B) Plan

Merger Amendment


Online Enrollment for TIAA-CREF

University of Arkansas Retirement Plan Highlight

University of Arkansas Retirement Plan Discription (SPD)


Medicare Advantage Information

Retirement Plan Contributions for Non-Benefits Eligible Employees

All payroll employees, regardless of benefits-eligible status and including student workers, are eligible to contribute to a voluntary/supplemental retirement account.   There is no employer contribution to a voluntary/supplemental account.


If you wish to enroll in a voluntary/supplemental retirement account that you will contribute to, but UACCB will not, please contact Human Resources.



Life Insurance

Standard Life Portability and Conversion

Voluntary Benefits

Arkansas Federal Credit Union Internet Branch

Long Term Care - The University of Arkansas benefits includes the offereing of a Long Term Care Plan. Information, rates, and enrollment forms may be located at The password to access the UA group information is UALTC.

MetLife Critical Illness - Outline of Coverage January 2015

Metlife Critical Illness Open Enrollment Fall 2014

Liberty Mutual Home and Auto

Printable Liberty Mutual information sheet

Workers' Compensation

Incident Report Form

Company Nurse

Acknowledgement Form

Temporary Prescription Form