Cooperative Extension Service
Departments
Human Resources
University of Arkansas
Group Benefit Program
This information is intended only as an overview of available benefits and
related policies and practices. For complete information, refer to the
appropriate benefit Summary Plan Description and to the
on-line Cooperative Extension Service
Policy Guide.
General Information
During your first 31 days of employment, you may choose to enroll in any of
the following University of Arkansas group benefit plans:
Medical Insurance
Medical Plans
Comparison - January 1, 2010 (PDF)
Premiums - July 1, 2009 (PDF)
Prescription Formulary
- October 2009 (PDF) The Prescription Formulary is not accessible for
those using screen readers. Please contact HR for further assistance.
Prescription Drug
Summary of Benefits -
October 2009 (PDF)
Classic Summary Plan Description
(PDF)
Point of Service Plan Summary Description (PDF)
Alternate Point of Service Plan Summary
Description (PDF)
Medicare Certificate of Creditable Service (PDF)
Dental Insurance
Premiums -
July 1, 2009
Schedule of
Benefits - January 1, 2010 (PDF)
Carry Over (PDF)
Implants (PDF)
Summary Plan Description (PDF) The dental summary plan description is not accessible for
those using screen readers. Please contact HR for further assistance
Vision Insurance
Vision Benefits and Rates (PDF)
The vision benefits and rates information is not accessible
for those using screen readers. Please contact HR for further assistance.
Life Insurance
Basic Life Insurance Summary Plan Description (PDF)
Optional and Dependent Life Insurance Summary Plan
Description (PDF)
Retiree Life Insurance Summary Plan Description (PDF)
Optional Accidental Death and Dismemberment Insurance
Summary Plan Description (PDF)
Rider (PDF) The optional accidental death and dismemberment insurance
summary plan description is not accessible for those using screen readers.
Please contact HR for further assistance
Disability Insurance
General Information
Basic and Optional Long Term Disability Summary Plan
Description (PDF) The basic and optional long term disability summary plan
description is not accessible for those using screen readers. Please
contact HR for further assistance
Flexible Benefit Plan (Section 125)
Summary of Benefits
Summary Plan Description (PDF)
UA Retirement Plan
Optional Retirement Plan (ORP)
Summary Plan Description (PDF)
Arkansas Public Employees Retirement
System (APERS)
Handbook (PDF)
Current employees must enroll through
Banner Self Service
during open enrollment.
New hires wishing to participate use the following forms:
Every employee must complete and return the
University of Arkansas Group Benefits Enrollment Form
- EBEN-227 (PDF).
Enrollment - To enroll you or your dependents in any of the benefits
in the University of Arkansas Group Benefits Program, you must complete the
University of Arkansas Group Benefits Enrollment Form
- EBEN-227 (PDF) along with any
enrollment forms required for the optional benefits. Even if you do not want any
of the optional coverages, you must complete the University of Arkansas Group
Benefits Enrollment Form in order to indicate your beneficiary for the free
Basic Life Insurance. You have thirty-one days from your date of hire to
enroll by returning completed enrollment forms to the Extension Human Resources
Office. However, you are encouraged to return the forms as soon as possible
because most of your benefit coverages will begin on the first day of the month
following the date your paperwork is received in the Human Resources Office. If
you gain new dependents through marriage or birth, you may enroll them within thirty-one days of the event without showing proof of
insurability.
Both automatic free coverage (Basic Life Insurance and Basic Long Term
Disability) are effective from the date of hire. All other insurance coverage
becomes effective the first day of the month following the date that the
enrollment form is received in the Human Resources Office.
Dependents - Eligible dependents are your spouse and your unmarried
children under age 19. Unmarried children ages 19 through 24 are eligible if
they are full-time students and are designated as your IRS dependents.
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