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University of Arkansas System
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Enrolling

October 2020 Benefits Bulletin

2021 COBRA Rates

2021 Open Enrollment

2021 Open Enrollment Decision Guide

2021 Health Care Cost Modeling Tool

How To Submit Your Tobacco Pledge

Workday Enrollment Instructions

Benefit Enrollment Forms

Medical Plan Enrollment Form

Vision Plan Enrollment Form

Dental Plan Enrollment Form

Flexible Spending Account Enrollment Form

Dependent Verification for Coverage Form

Group Benefits Enrollment Form

Fort Smith Group Benefits Enrollment Form

Critical Illness Enrollment Form

Health Savings Account Enrollment Form

Acknowledgement of Benefit Policies Form

Benefit Change Forms

UACCB 2021 Open Enrollment Change Form

Group Benefits Change Form: UAFS

Group Benefits Change Form: UACCB, UAPTC

Group Benefits Change Form

2021 FSA Election Change Form

Address Change

UAS Pulaski Technical College Change of Address Form

UACCB Employee Name Address Change Form

Fort Smith Address Change Form

Important Documents

  • 2021 COBRA Rates
  • Health & Wellness 
    Medical Health Savings Account Prescription Drugs Dental Vision Flexible Spending Accounts Telehealth Services Mental Health Resources Wellness SmartCare Program Choosing Coverage Retiree Benefit Options
  • Financial Protection 
    Life Insurance Disability Insurance Accidental Death & Dismemberment Insurance Critical Illness Insurance Liberty Mutual Auto and Home Insurance Travel Assistance ID Watchdog LegalShield
  • Work-Life 
    Annual Leave Holiday Leave Sick Leave Education Benefits Employee Assistance Program Child Care Elder Care
  • Retirement Plan 
    Retirement Savings Plan
  • Enrolling 
    Life Events Premiums Required Documentation Address Change
  • Documents 
    Benefits Bulletins Health and Wellness Financial Protection Work-Life Retirement Plan Enrolling Plan Documents Required Notices Workday
  • Resources 
    Contacts Frequently Asked Questions

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This website provides a summary of University of Arkansas System benefits for eligible employees. If there is a discrepancy between the website content and the official Plan Documents, the official Plan Documents will govern. If you believe there is a problem with posted information, kindly let us know so we can address it. Thank you.

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