A A

UA Cossatot Benefits

UA Cossatot offers full-time employees a wide range of benefits. Offerings include health, prescription, dental, vision, life, long term and short term disability, and critical illness insurances. Full-time employees also receive paid vacation and sick leave, and an excellent retirment plan with employer contributions. Employees may also receive educational assistance, in the form of free tuition, reduced tuition, or tuition reimbursements. Dependents of full-time employees may receive as much as a 40% tuition waiver at any UA System school.

2020 Summary of Benefits

Required Notices:

2020 Marketplace Notice

2020 CHIP Notice

2020 Creditable Coverage Notice

UMR Healthcare Plans:

UMR Summary Plan Document (effective 1/1/19)

UMR Enrollment Form

Classic Plan with SmartCare 2019

Premier Plan with SmartCare 2019

Premier Plan with SmartCare and Wellness 2019

Health Savings Plan 2019

Health Plan Monthly Premium Rates

MedImpact Prescription Drug Program:

MedImpact is our prescription drug administrator for all three medical plans offered through UMR and United Health Care.

The copays for covered prescription drugs under each medical plan at a retail pharmacy (up to a 30-day supply), is generally as follows:

Health Savings Plan:

Tier 1: 10% after deductible
Tier 2: 10% after deductible
Tier 3: 10% after deductible

Classic Plan:

Tier 1: $15 copay
Tier 2: $55 copay
Tier 3: $90 copay

Premier Plan:

Tier 1: $10 copay
Tier 2: $50 copay
Tier 3: $80 copay

For more help visit the member portal at https://www.mp.medimpact.com/UAS, call the customer service number at 1 (800) 788-2949, or email customer service at customerservice@medimpact.com.

Helpful Information:

MedImpact Member Portal

MedImpact Prescription Drug Prior Authorization Form

MedImpact Appeal Reference Guide

Arkansas Blue Cross Blue Shield Dental Insurance:

UA System Dental Summary Plan Document

Arkansas Blue Cross Blue Shield Summary of Dental Benefits

Dental Enrollment Form

Dental Claim Form

Superior Vision Insurance:

The College offers two vision plan options--The Basic Plan and the Enhanced Plan. Both plans are administered by Superior Vision and pay benefits for eye examinations, prescription eyewear and contact lenses.

You may see a provider in the Superior Vision National Network or an out-of-network provider. However, if an out-of-network provider is used, the plan will pay less toward incurred charges.

Superior Vision Summary of Benefits

Superior Vision Enrollment Form

Superior Vision Member Reimbursement Claim Form

Superior Vision Monthly Premium Rates

Flexible Spending Account:

Flexible Spending and Health Saving Accounts Summary Plan Document

Flexible Spending Account Enrollment Form

Flexible Spending Account Claim Reimbursement Form

Standard Life Insurance:

Policies Offered by Standard Insurance:

The College provides, as a benefit, Basic Life Insurance coverage that equals an employee's annual salary, up to $50,000 in earnings.
If employees choose to elect, additional Optional Life Insurance is offered, at the employee's expense, in coverage amounts up to four times their annual salary, but not more than $500,000.
Dependent Life Insurance can be bought, at the employee's expense, for a spouse and/or eligible dependent children.
The College provides Long Term Disability Insurance (LTD), of 60% of an employee's pre-disability salary up to $20,000. Employees have the option of buying addiitional LTD coverage at their own expense.
Short Term Disability Insurance is offered, at the employee's expense, of a maximum of 60% of the employee's pre-disabilty earnings, less Deductible Income.
Accidental Death & Dismemberment Insurance is offered at the employee's expense, in units of $25,000 up to $300,000 for employees, with spouses being covered automatically at 60% of employee's elected coverage amount, and dependent children being covered automatically at 20% of employee's elected coverage amount.

Summary Plan Document - Short Term Disability (STD)

Summary Plan Document - Long Term Disability (LTD)

Summary Plan Document - Life Insurance (Active Employees)

Summary Plan Document - Life Insurance (Retired Employees)

Accidental Death & Dismemberment Certificate