ENROLLING, CANCELING, AND MAKING CHANGES TO YOUR ARBENEFITS COVERAGE
Enrolling as a new hire or during Open Enrollment
You can enroll in ARBenefits coverage within 60 days of your hire date or during Open Enrollment To enroll during either of these periods, you will need to log into your ARBenefits Member Portal. Check out our How to Enroll Online Guide to view more information on how to do this through your ARBenefits Member Portal.
Enrolling due to a qualifying event
You can also enroll, cancel or make changes to your ARBenefits coverage within 60 days of a qualifying event (marriage, divorce, birth/adoption, gain/loss of other coverage.) To make changes due to a qualifying event, you must submit an ARBenefits Change Form along with the supporting documentation below. To enroll for the first time due to a qualifying event, you must submit an ARBenefits Election Form along with the following documentation.
Documentation to add a dependent
- Marriage License – to add a spouse or stepchild
- ARBenefits Spousal Affidavit form – to add a spouse
- Birth Certificate/adoption paperwork – to add a child
- Proof of prior coverage (must include names and dates of coverage) – to add yourself, a spouse, or a child due to loss of group coverage
Documentation to drop a dependent
- Divorce Decree – to drop a spouse due to divorce
- Proof of other group coverage (must include names and dates of group coverage) – to drop ARBenefits coverage on yourself, a child, or a spouse due to gaining other group coverage.
PHARMACY BENEFITS
- Participating Pharmacy Network Listing
- Arkansas Drug List – Updated 2/5/2025
- Pharmacy Reimbursement Claim Form
- Standard Prior Authorization Form
- Appeal Request Form