ARKANSAS WELFARE FUND
PLAN DOCUMENTS
Summary of Benefits & Coverage, 2023
Summary of Benefits and Coverage, 2024
FORMS
2020 Arkansas Annual Claim Form
2021 Arkansas Annual Claim Form
2022 Arkansas Annual Claim Form
2023 Arkansas Annual Claim Form
2024 Arkansas Annual Claim Form
MAILINGS
2023 Mailing
10/20/23 Notice of Children's Health Insurance Program (CHIP)
10/20/23 Notice of Prescription Drug Coverage and Medicare
10/20/23 Notice of the Plan's Use and Disclosure of PHI
10/20/23 Women's Health and Cancer Rights Act
10/20/23 Newborns' and Mothers' Health Protection Act
10/20/23 Surprise Medical Billing Notice
6/26/23 COBRA RAte Change, ARK
1/23/23 Change to Cigna Notification
2022 Mailings
11/30/22 Notice of Children's Health Insurance Program (CHIP)
11/30/22 Notice of Prescription Drug Coverage and Medicare
11/30/22 Notice of the Plan's Use and Disclosure of PHI
11/30/22 Women's Health and Cancer Rights Act
11/30/22 Newborns' and Mothers' Health Protection Act
11/30/22 Surprise Medical Billing Notice
6/15/22 COBRA Rate Change, ARK
3/18/22 Summary of Material Modification ABA Therapy and Residential Treatment
2021 Mailings
12/1/21 Summary of Material Modification-No Surprises Act
11/29/21 Summary Annual Report - Welfare
11/16/21 Surprise Medical Billing Annual Notice
10/18/21 Summary of Material Modification Specialty Medications
10/18/21 Notice of Children's Health Insurance Program (CHIP)
10/18/21 Notice of Prescription Drug Coverage and Medicare
10/18/21 Notice of the Plan's Use and Disclosure of PHI
10/18/21 Women's Health and Cancer Rights Act
10/18/21 Newborns' and Mothers' Health Protection Act
3/24/21 Summary of Material Modification for Weight Loss Benefits
3/24/21 Temporary Changes to Claims, Appeals & COBRA revised
3/5/21 Temporary Changes to Claims, Appeals & COBRA
2/26/21 Change to New PBM AnWINS Rx
2/26/21 Summary of Materials Modification AnWINS Rx Changes
2020 Mailings
11/23/20 Notice of Children's Health Insurance Program (CHIP)
11/23/20 Notice of Prescription Drug Coverage and Medicare
11/23/20 Notice of the Plan's Use and Disclosure of PHI
11/23/20 Women's Health and Cancer Rights Act
11/23/20 Newborns' and Mothers' Health Protection Act
6/24/20 Network Changing to Aetna
6/15/20 COBRA Rate Changes, 2020
2019 Mailings
2019 Summary of Material Modification re: Gene Therapy
2018 Mailings
11/27/18 Immunization Information
11/27/18 Summary of Materials Modification- OOP max and ER coverage
10/26/18 Summary of Materials Modification-Vision, Rx, A&S, ST & Hospital Room Changes
10/23/18 Summary Annual Report - Welfare Fund
2017 Mailings (newest to oldest)
11/29/17 Summary Annual Report - Welfare Fund
10/3/17 Summary of Materials Modification - Merger
2016 Mailings (newest to oldest)
12/2/16 Summary Annual Report for Arkansas
11/15/16 2017 Annual Claim Form
FIND A PROVIDER
PAS (Personal Assistance Services)
Frequently Asked Questions
Do all providers have to be in-network.
What are considered wellness benefits and how are they paid?