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  • Enrollment Guides & Forms | Retirees & LTD

Enrollment Guides & Forms | Retirees & LTD

GUIDES

Retiree ENROLLMENT GUIDE 

  • Guide with a simple explanation of each benefit - includes current rates. 
  • 2019 Guide
     

RETIREE BENEFITS GUIDE 

An in-depth look at your benefits to help you use your plan effectively.
Information on:

  • Each benefit - in depth explanation of what the benefit is and how it works. Current rates included.
  • Each carrier - including website functions, cost saving features, mobile apps, and contact information. 
  • 2019 Guide
     

Long-Term Disability (LTD) Enrollees

  • Please note that the coverages described in the retiree guides above apply to you. 
  • The only difference is that LTD enrollees are considered direct pay members.
    • PSPRS, CORP and EORP participants - pay the full premiums as shown in the guides.
    • ASRS participants - receive a subsidy based on years of service. Please refer to the guides for more information.
  • You will also use the retiree enrollment form as found below.

FORMS

Note: Most enrollment activities can be done electronically on yes.az.gov.

Paper forms are available on our Forms tab.

 

RETIREES/LTD

  • Pre-Retirement Seminars
  • Eligibility
  • Qualified Life Events
  • Enrollment Guides & Forms
  • Insurance Policies
    • Medical Policies
    • Dental Policies
    • Vision Policies
  • Pharmacy | Non-Medicare
  • Pharmacy | Medicare
  • Understanding Your Premium
  • Long Term Disability | LTD
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ADOA | Benefit Services Division | Benefit Options
100 N. 15th Ave., Ste. 260
Phoenix, AZ 85007
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Phone: 602-542-5008
Fax: 602-542-4744
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