3/23/2020 NOTICE
ACG retirement pension pay will be deposited per the normal schedule
— the last business day of the month — on March 31, 2020.
Medical & Dental Monthly Premium Rate Charts
- FY20 Retiree Rate Chart- Retired before Jan. 15, 2012
- FY20 Retiree Rate Chart- Hired before July 1, 2008 and Retired on or after Jan. 15, 2012
- FY20 Retiree Rate Chart- Hired on or after July 1, 2008
Cigna (for retirees and dependents under age 65)
- Cigna OAP IN Coinsurance Plan– FY20 Summary of Benefits
- Cigna OAP IN Copay Plan– FY20 Summary of Benefits
- Cigna OAP Plan — FY20 Summary of Benefits
- Cigna Vision Plan Summary
- MD LIVE telemedicine – talk to a doctor anytime! Go to: mdlive.com/arlgov
- Cigna Prescription Drug Formulary
- Cigna Preventative Care Guidelines
- Guide to myCigna.com
AmWINS Medicare Supplement Plan
- AmWINS 2020 Plan Summary
- 2020 AmWINS Enrollment Packet
- AmWINS Rx Formulary & other resources
- AmWINS Find a Pharmacy
- “Buy-up” List to Retiree Rx Care Drug Formulary
- Envision Mail Order Prescription Drugs: Enrollment Form Brochure
- View your claims status and claims history online at WebTPA
- Vision benefits under the AmWINS plan
- Medicare and You 2019
Kaiser Permanente
- Kaiser HMO Plan (under age 65) — FY20 Summary of Benefits
- Kaiser HMO Enrollment and Change Form
- Kaiser Medicare Advantage Plan Summary
- Kaiser Medicare Advantage Enrollment Form
Delta Dental
- FY20 Summary of Benefits Delta Dental
- FY20 Summary of Benefits Delta Dental Premium
- Delta Dental Prevention First
- Delta Dental Enrollment Change Form