Retiree Insurance Plans

Insurance Premiums Effective July 1, 2022

• Retiree Rate Chart- Retired before January 15, 2012(PDF, 603KB)
• Retiree Rate Chart- Hired before July 1, 2008 and Retired on/after Jan. 15, 2012(PDF, 589KB)
• Retiree Rate Chart- Hired on or after July 1, 2008(PDF, 606KB)

Cigna (for retirees & dependents under age 65)

• Cigna OAP IN Coinsurance Plan Summary
• Cigna OAP IN Copay Plan Summary 
• Cigna Choice (high deductible)(PDF, 614KB)
• Cigna Vision Plan Summary
• Online Account login: MyCigna.com 
• MD LIVE telemedicine – talk to a doctor anytime! Go to:  mdlive.com/arlgov

UnitedHealthcare Group Medicare Advantage

• UHC Group Medicare Advantage Plus Part D (MAPD): Plan Guide & Enrollment
• Video introduction to our new UHC MAPD plan
• Frequently asked questions
• Dedicated customer support for Arlington County retirees: call  1-844-488-3951
• UHC Drug Formulary    and    2022 Bonus Drug List
• Explore UHC benefits online:
  • UHCretiree  - Account login; find out if your provider is in or out of network
  • UHCrenewactive  - find out what participating gyms are near you.
  • UHC Virtual Education Center  - explore a library of flyers, brochures, videos and more. 

Kaiser Permanente Plans

• Kaiser HMO Plan (under age 65) Summary of Benefits  (Spanish Version)
• Kaiser HMO Enrollment and Change Form
• Kaiser Medicare Advantage Plan Summary(PDF, 582KB) (over age 65 or Medicare eligible)
• Kaiser Medicare Advantage Enrollment Form

Delta Dental Of Virginia Plans

• Summary of Benefits  Standard Plan  | Premium Plan
• Online account and plan information

Life Insurance

• Retiree Basic Life Coverage: Over Age 65  | Under Age 65
  Retiree Optional Supplemental Life Coverage:   Over Age 65 | Under Age 65
• Designation of Beneficiary- The Hartford