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AZ.gov Arizona's Official Website Agency Name Goes Here, Agencies may also load an image of thier logo

This website is a location for Benefit Liaisons to find special information to better serve their agency’s employees All of the information on the left navigation will redirect you to the main Benefit Services Division website. However, documents and resources for Liaisons can be found in the page below.

 

2012 Resource Documents
Implementation of SB1609, SB1614 & HB2024 - Training Materials
2011 Resource Documents
2009-2010 Resource Documents
Training Documents
Benefit ListServ
Benefit ListServ Archive

 

 

2012 Resource Documents

Forms
Active Employee Enrollment Form
Retired State Employee Enrollment Form - Updated November 8, 2011
Same-Sex Domestic Partner Enrollment Form & Instructions
Same-Sex Domestic Partner’s Child Enrollment Form & Instructions

 

Guides

New Hire 2012 Benefit Guide (including University)
Active Employees (including University) - 2012 Open Enrollment Guide
Retired State Employees - 2012 Open Enrollment Guide
COBRA Participants - 2012 Open Enrollment Guide

 

Others
2012 Pay Period Calendar
Presentation - Open Enrollment 2012 Plan Year
2012 Active Employees Rates
2012 Retired Employees Rates
Benefit-Retirement Waiting Period Calculator

 

Implementation of SB1609, SB1614 & HB2024 - Training Materials
Presentation - Implementation of SB1609, SB1614 & HB2024
New Employee Process
New Tax Table
Payroll 2011
Payroll 2012
Common Questions

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Resource Documents

2012 LWOP Personal Payment Form
2012 Pay Period Calendar
2011 Notice of Dual Enrollment Members utilizing Medicare Part B and the State of Arizona, Benefit Options prescription coverage
2011 Declaration for Change Cover Sheet
2011 ASRS LTD Claim Packet
2011 Instructions for Former Elected Officials Life Insurance Coverage Enrollment
2011 Former Elected Officials Life Insurance Enrollment Form
2011 HITF Personal Payment Form
2011 Active Employee Enrollment/Change Form
2011 Retired Employee/LTD Enrollment Form
2011 Same-Sex Domestic Parner Enrollment Form & Instructions
2011 Same-Sex Domestic Partner's Child Enrollment Form & Instructions
2011 Flexible Spending Account Enrollment Form
2011 Limited Flexible Spending Account Open Enrollment Form
2011 Actives Benefit Guide
2011 Retirees Benefit Guide
2011 Active Rates
2011 Pay Period Calendar

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2009-2010 Resource Documents
2009-2010 Pay Period Calendar
HITF Personal Payment Form 2009-2010
Imputed Income Calculation
Personal Payment Preparation Document
MedImpact Rx Reimbursement Form
ASRS (Sedgwick) LTD Employer Packet 2009-2010
ASRS (Sedgwick) LTD Employee Packet 2009-2010
Group Policy Numbers
USERRA Continuation of Coverage
Hartford Life/ADD Highlight Sheet
Hartford STD/LTD Highlight Sheet

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Training Documents

2012 March Liaison Training - Leave Without Pay
2012 December Liaison Training - 12.12.11
2011 July Liaison Training - 07.19.11
2011 June Liaison Training - 06.21.11
2011 April Liaison Training - 04.19.11
2011 Benefit Basics Training - 02.15.11
2011 Benefit Basics Training Handouts - 02.15.11
2011 Open Enrollment Training #2 with vendor presentations

2011 Open Enrollment Presentation #1
2010 ADOA Health Reform Presentation
2010 The Hartford LTD, STD, Life Training Presentation

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Benefit ListServ
Sign up for the Benefits ListServ

To subscribe to the Benefits Listserv, click the link above and write in the body of the email message: "subscribe beneissues firstname lastname".

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ListServ Archive

04.26.12 National Women’s Health Week – Activities for State Employees
04.18.12 Updated Version of Benefit and Retirement Waiting Period Calculator
04.05.12 HRIS Unavailable During Absence Management Upgrade
04.04.12 "Not Me" Diabetes Screening for Employees
02.14.12 Tucson Pre-Retirement Seminar
02.09.12 Training for Liaisons
12.12.11 2012 Medical Plan Descriptions
12.05.11 December 2011 BeWell News
11.22.11 2012 Open Enrollment Appeals Process
11.14.11 Training for Liaisons
11.14.11 2012 Pre-Retirement Seminars
10.19.11 Employee Assistance Program- Training for Managers/Supervisors
10.04.11 October/November 2011 BeWell News
09.30.11 Open Enrollment Communication
09.27.11 Walgreens Retail Stores - Pharmacy
09.27.11 Open Enrollment Benefit Liaison Meetings
09.21.11 ADOA Benefit Options Wellness 2011 Flu Vaccine Program
09.20.11 Last Chance to Participate in the 2011 Mayo Clinic Health Assessment
08.15.11 2011 Mayo Clinic Health Assessment
08.09.11 Health Savings Accounts Educational Meetings
07.20.11 CORRECTION TO DATE-Tucson Pre-Retirement Seminar
07.19.11 Tucson Pre-Retirement Seminar
07.18.11 Training Materials regarding Implementation of SB1609, SB1614 & HB2024
07.12.11 July Training Reminder for Liaisons
07.11.11 2012 ADOA Benefit Rates
06.30.11 Legislative Changes to ADOA Benefits and Retirement Plans (SB1609, SB1614, HB2024)
06.20.11 Training for Liaisons
06.16.11 Employee Assistance Program (EAP) Contract Awarded
05.20.11 Benefit Changes Enacted in HB2024 for New Employees Hired on or after July 20, 2011
05.18.11 Training for Liaisons
05.11.11 Pre-Retirement Seminars
04.28.11 Women's Health Week
04.21.11 ADOA Benefit Options Employee and Liaison Websites
04.20.11 HRIS System Upgrade and Availability
04.04.11 2011 Mayo Clinic Health Assessment
03.23.11 Annual Health Insurance Provider Performance Survey Ends 03.31.11
03.22.11 Liaison Training - Medical and Pharmacy Benefits
03.15.11 2009-2010 Benefit Options Annual Report
02.23.11 Annual Health Insurance Provider Performance Survey
01.27.11 Y.E.S. New Hire Self-Service
01.20.11 Dependent Eligibility Audit
01.18.11 Benefits Basic Training for Liaisons
01.12.11 Deductions for the 2011 Plan Year
01.11.11 Employee Assistance Program and Counseling Resources
12.22.10 2011 Medical Plan Descriptions
12.14.10 Deduction Date Changed for Benefits Effective 12.11.10
12.02.10 2011 COBRA Open Enrollment
11.30.10 HRIS Benefit Screens Unavailable for Update
11.23.10 Open Enrollment Appeals Process
11.01.10 New Hire Benefit Enrollment Section of Y.E.S.
10.28.10 Open Enrollment Benefit Guides Delay
10.25.10 Benefit Liaison Training #2
10.21.10 Open Enrollment Assistance
10.15.10 Open Enrollment Benefit Guides
9.22.10 ADOA Wellness 2010 Flu Vaccine Program
9.21.10 Open Enrollment Benefit Liaison Meetings
9.13.10 Brochure-Second Open Enrollment Communication
9.13.10 HITF Personal Payment Form
8.31.10 Medical and Dependent Care FSA Enrollment for New Hires
8.16.10 Open Enrollment & Special Enrollment FAQs
8.12.10 Benefit Options E-Mail Address
8.09.10 Special Enrollment Communications
7.31.10 Plan Year 2011 Retired State Employee Rate Chart
7.21.10 Plan Year 2011 Active Employee Rate Chart
7.2.10 Open Enrollment Benefit Liaison Meetings
7.1.10 Member Letter-2011 Benefits Open Enrollment Period
7.1.10 Open Enrollment Communications
6.25.10 ADOA Health Reform Presentation
6.17.10 ADOA Health Care Reform Presentation: June 24, 2010
6.2.10 Arizona Withholding Percentage Election
5.5.10 New IRS Regulations on Imputed Income and Post-Tax Deductions
4.30.10 Furloughs and Pay Reduction FAQs
4.16.10 COBRA Premium Subsidy to Continue Through May
3.30.10 Patient Protection and Affordable Care Act
3.2.10 New HRIS Website
2.24.10 Dependent Eligibility Audit Resources
2.2.10 2009 Annual Report



 

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