Public School Employees
 
Bronze Plan

The Bronze plan is available for a minimal premium cost to cover you or your entire family. The basic benefits (covered services) are the same with the Gold and Bronze plans. Wellness benefits are available at no charge. Please see the Preventive Health Benefit and Immunization Coverage policies at www.arbenefits.org to review all the wellness benefits.

A plan design change in 2014 allows for medical copayments, coinsurance and deductible amounts to count towards the True Out-Of-Pocket (TROOP) maximum.


If you do not wish to make changes to your plan, no action is required. However, if you want to change plans, or change your policy information, you must complete an "Election Form" and return the form to EBD, or complete online enrollment on their website.

With the Bronze Plan members may enroll in a Health Savings Account (HSA) through Datapath Administrators. Unlike a cafeteria plan, the money you put in the HSA does not have the "use it or lose it" rule. The money is there until you need it, whether that is this year, next year or 20 years from now. Sign up now, and apply a portion of the premium toward any deductible amount that you might need for this plan year.

Note: If you currently participate in a Flexible Spending Account (cafeteria plan) you cannot sign up for an HSA until your cafeteria plan year ends. The federal government will not allow you to have both. Any money available in the Flexible Spending Account may be used to offset the deductible on the Bronze Plan. You may enroll or disenroll in a HSA anytime during the year.


Plan Highlights
Affordable premiums for individuals and families
No referrals required
Access to an extensive network of Arkansas doctors and hospitals
Access out-of-state doctors and hospitals
Discounts at health and fitness clubs
Online access to Personal Health Record information, claims and benefits through My Blueprint
 

We understand the importance of having local access to customer service. If you need to speak with someone face-to-face, we have offices in Texarkana, Little Rock, Hot Springs, Jonesboro, Fort Smith, Pine Bluff and Fayetteville.

If you are considering COBRA please contact the Employee Benefits Division at 1-877-815-1017 for rates and enrollment information.

Please note the rates and benefits stated above are set by the Arkansas State and Public School Life and Health Insurance Board. These rates reflect the mandatory $150 contribution; however, some districts contribute an additional amount toward the employee health insurance premium. Health Advantage is the claims administrator for the Gold and Bronze plans.

             
 
In-network Services GOLD PLAN BRONZE PLAN
Deductible
(in-network)
$0 $2,000 individual* $3,000 family*
Primary care physician office visit copay or coinsurance $35 copay 20% coinsurance 20% after deductible
Specialist office visit copay or coinsurance $70 copay 20% coinsurance 20% after deductible
Wellness benefits 100% 100%
IP Admission $250 copay and 20% coinsurance 20% after deductible
Emergent OP $250 copay (waived if admitted) 20% after deductible
Prescription drugs $15, $40, $80, and $100 20% after deductible
Health Savings Accounts (HSA) N/A Payroll HSA through DataPath Administrators
 
*All in-network medical, behavioral health and prescription services apply to the deductible, except for wellness benefits, vision exams and hearing exams.
 
General Info: