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Arkansas Employee Benefits Division (EBD) – Department of Finance and Administration / Department of Shared Administrative Services fax number
(501) 683-0983
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Employee Benefits Division (EBD)
Used for: Submitting enrollment, eligibility and other benefits documentation for Arkansas state employees (e.g., health/life benefits, PSE transfers).
Fax destination details
- Department
- Employee Benefits Division (EBD)
- Purpose
- Submitting enrollment, eligibility and other benefits documentation for Arkansas state employees (e.g., health/life benefits, PSE transfers).
- Form
- Affadavit — Affadavit of Spousal Health Care Coverage
- Address
- 501 Woodlane Street, Little Rock, AR 72201
- Voice phone
- 501-682-5500
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit the form to the Employee Benefits Division; instructions are included with the form. Filing methods commonly include fax to 501-683-0983 or upload via the ARBenefits portal.
Official form instructions are published as a downloadable file on the organization's website.
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