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 - specifically ATRS, APERS, TIAA-CREF, and VALIC; 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 email alexa.smith@uaccb.edu.

Benefits Summary

Benefits Summary 2014

Family and Medical Leave Act - February 2013

Pre/Post Tax Election Form

Notice of Privacy Practices (HIPAA)

COBRA rates

Retiree Rate Sheet

Health

Wellness Program - ONLIFE HEALTH


United Medical Resources

UA Health Plan SPD

United Medical Resources Plan Comparison 2013

United Medical Resources Plan Comparison 2014

Glossary of Health Coverage and Medical Terms

Maternity Management

UMR Health Precertification Listing (effective 1/1/2013)

UMR Authorization for Release of Information form

Physician Attestation form (weight loss program)

Adding your newborn to the UMR health plan

SUMMARY OF BENEFITS & COVERAGE:

UA Classic Health Plan 2014
UA POS Health Plan 2014

UA Classic Health Plan 2013
UA POS Health Plan 2013

UMR Health Brochures

UMR Diabetes Management
UMR Healthy Heart
UMR Nutritional Counseling


MedImpact

Creditable Coverage Disclosure Notice

MedImpact Prescription Benefit Summary

MedImpact Prescription Drug Formulary (January 2014)

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)

Delta Dental Benefit Plan Summary

Delta Dental Rates  (July 1, 2010 - Current)


Superior Vision

Superior Vision Membership Claim Form

Superior Vision Member Guide - Using Your Vision Plan

Superior Vision Benefit Summary 2012

Superior Vision Benefit Summary 2013

Superior Vision Rate Plan 2013

Superior Vision Benefit - Amendment

FSA (Flexible Spending Plan)
FSA 2014 Information

FORMS

Long Term Disability

Basic and Optional Long Term Disability Group Insurance

LTD Claim Form

Retirement

Arkansas Teachers Retirement System (ATRS)

Arkansas Public Employees Retirement System (APERS)

University of Arkansas Retirement Plan 403(b)

     UACCB 403(b) Agreement

Amendment to 403(b) - community colleges

Retirement Plan Contributions for Non-Benefits Eligible Employees
All employees on the university payroll (except student workers) are eligible to participate in an unmatched 403(B) on a voluntary basis.  If you are not in a benefits-eligible role you will not receive any employer contributions to your retirement plan, but you can make voluntary unmatched contributions.    You may select TIAA-CREF and/or VALIC for your retirement plan options.  Within the IRS limits, you may enroll, end, increase, decrease or suspend your contributions at any time.   Contact Human Resources for additional information or assistance.

Life Insurance

Survivor Support

Basic Life Group Insurance Plan

Optional and Dependent Group Life Insurance Plan

Accidental Death and Dismemberment Policy - Hartford

ADD Rider - Extended dependent coverage up to age 25

Voluntary Benefits

Arkansas Federal Credit Union Newsletter

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 www.ltcbenefits.com.  The password to access the UA group information is UALTC.

MetLife Critical Illness - Outline of Coverage

Liberty Mutual Home and Auto
  Printable Liberty Mutual information sheet

Workers' Compensation

Incident Report Form