May 3, 2016

ARTA RETIREE BENEFITS PLAN – PLEASE USE THE MOST CURRENT CLAIM FORMS (DECEMBER 2015)

ASEBP smPlease ensure that you are using the most current version of the Extended Health Care and Vision Care Claim Form and the Dental Care Claim Form; December 2015 forms are the most current. The date the form was last updated is in the bottom left corner of the form. Using an outdated form may result in your claim being rejected.

All forms on the ARTA website are fillable, so you can type in your claim details, print the completed form, sign and mail it to the ARTA Retiree Benefits Plan.

You can find claim forms on the ARTA website, arta.net, on the Benefits Forms & Documents page under the Retiree Benefits menu. Click here to go to the Benefits Forms & Documents page.

You can also call 1-855-444-2782 to have copies mailed to you.