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Publications and Forms Library

Title
Links

Enrollment Guides
New! 2009 Annual Benefits Guide for Retirees
pdf
2008 Enrollment Guide for Retirees
pdf

Rates
NEW!Rates for 2009 Plan Year
pdf
Rates for 2008 Plan Year
pdf
Rates for 2008 Plan Year | Life Insurance - Retirees
pdf
Rates for 2007 Plan Year | Retirees Medicare Primary
pdf
Rates for 2007 Plan Year | Retirees Not Medicare Primary
pdf

Summary Plan Descriptions
Summary Plan Description
pdf
Preferred Drug List | Updated 07/01/08
pdf

Newsletters
EBD Buzz, Vol. 4, Issue 3, 3rd Qtr. 2008
pdf
EBD Buzz, Vol. 4, Issue 1, 1st Qtr. 2008
pdf
EBD Buzz - Vol. 3, Issue 1, 1st Qtr. 2007
pdf
EBD Buzz - Vol. 2, Issue 2, 4th Qtr. 2006
pdf
EBD Buzz - Vol. 2, Issue 1, 2nd Qtr. 2006
pdf

Paper Forms
Bank Draft Authorization | Updated 05/04/2007
pdf
Change Form
pdf
Corphealth Request for Authorization and Release
pdf
Enrollment Form - Retirees | Updated 09/30/2005
pdf
Minnesota Life Beneficiary Designation Form | PDF form only
pdf
Minnesota Life Change Request Form | PDF form only
pdf
Minnesota Life Enrollment Form | PDF form only
pdf
Minnesota Life Evidence of Insurability Form | PDF form only
pdf
Retirement Deduction Authorization | Updated 05/04/2007
pdf
Retirement Packet 2006
pdf
Student Verification
doc | rtf
Waiver of Enrollment | Retirees
pdf
Security | Accessibility | Privacy | EBD Notice of Privacy Practices
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ARBenefits is provided by the Employee Benefits Division
of the Department of Finance & Administration
STATE OF ARKANSAS