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
Family and Medical Leave Act - Revised April 2016
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
$200 copay + $2000 Deductible + Coinsurance
Physician Attestation form (weight loss program)
UMR Health Brochures
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 www.OnlifeHealth.com 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
Delta Dental Enrollment Application - add/drop/change
Delta Dental Schedule of Benefits (effective January 1, 2012 - Current)
FSA (Flexible Spending Plan)
- Request for Reimbursement Form - Dependent Care
- Request for Reimbursement Form - Health Care Expenses
Long Term Disability
LTD Claim Form (UNUM)
- LTD Amendment
Medicare Advantage Information
- Pharmacy Directory 2015
- Plan Guide 2015 (Call 870-612-2045 for copy of Plan Guide)
- Summary of Benefits
- Abridged Formulary
- Benefit Highlights
- Bonus Drug List
- Medicare Enrollment Form
- Medicare Enrollment Request Form
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.
- Retiree Insurance Benefits Election Form
- Prescription Drug Coverage and Medicare
- UnitedHealthcare Group Medicare Advantage (PPO) Plan
- Retiree Medical Rates
- Standard Life Portability Application
- Standard Life Conversion Packet
- SSL Disability Conversion
- Employee Benefits Guide - January 2016
- Long Term Disability Benefits - January 2016
- Standard Life Policy - January 1, 2015
- Standard Life Plan Basics and Claim Submission Process (3/11/2015)
- Standard Travel Assistance (4/2015)
- Evidence of Insurability Form
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.