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Insurance Forms & Information

Log in to ARBenefits

PO Box 15610

Little Rock, AR  72231-5610


2024 Insurance Rates

Open Enrollment for AR Benefits is during the month of October.

To cover a spouse, you will need to submit a copy of a marriage license and complete a Spousal Affadavit.

To cover dependents, you will need to submit a copy of your dependents Birth Certificates AND Social Security Cards.

Enrollment Form

Enrollment Form

Spousal Affidavit

Qualifying Event Change Form



Employees must work at least 30 hours to qualify for benefits.

Employee Benefit Guide 2024

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PO Box 1650

Little Rock, AR  72203


Group Life

Beneficiary Change Form

USAble Short-Term Disability Form


Colonial Life


Colonial Life Rate Information

Enrollment Form

Change of Beneficiary

Change-Cancel Form

Evidence of Insurability Form

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Data Path Enrollment Form

Data Path Claim Form

Instructions on How to Log Into Your HSA

Replacement Card Request


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PO Box 1789

Lowell, AR  72745


Delta Dental Information

Delta Dental Enrollment/Change Form

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PO Box 45262

San Francisco, CA  94145-0262


VSP Information



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For Hospital Care & Accident Policies 

By Mail: PO Box 1650, Little Rock, AR 72203-1650

FAX: 501-235-8400

USAble Wellness Claim Form


Allstate Insurance Company Logo

By Mail: 1776 American Heritage Life Drive, Jacksonville, FL 32224

FAX: 800-430-4188

Allstate Wellness Claim Form


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By Mail: PO Box 2609, Omaha, NE 68103-2609

FAX: 877-668-5331

Lincoln Wellness Claim Form


Transamerica employee benefits offerings with stop loss quotes - National  Underwriting Services

Questions about TransAmerica Cancer Wellness Claims

Call the Claims Customer Service Department

at 800-251-7254 and press 2.

Transamerica Cancer Wellness Claim Information