University of Arkansas at Pine Bluff
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Summary Plan Descriptions (SPDs)
RECENTLY ADDED
UMR FSA Dependent Care Reimbursement Form
UMR FSA Health Care Reimbursement Form
UMR FSA Direct Deposit Authorization Form for Claim Reimbursement
Optional retirement Plan- Salary Deferal Agreement
Classic Summary of Benefit Coverage 2013 (pdf)
Point of Services Summary Benefit Coverage 2013 (pdf)
Delta Dental Schedule of Benefits
January 2013 Prescription Benefit Summary
January 2013 Prescription Drug Formulary
Optional Retirement Salary Deduction Form
Optional Retirement Plan Summary Description
Basic & Optional Long Term Disability Group Insurance
Basic Life Group Insurance Plan
Group Voluntary Accidental Death & Dismemberment Insurance
Medical Change of Election Form
Optional & Dependent Life Group Insurance Plan
Retiree Basic Life Group Insurance Plan
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