Applying for HIPP Benefits

There are three ways to apply for Arkansas HIPP benefits! You can:

Submit your completed application and documents by:

Toll-free Fax: 1-855-777-1001, or
Mail: HMS
Attn: AR HIPP
1818 N. Taylor St. #360
Little Rock, AR 72207

You must be able to provide the following Information:

  • Policyholder’s Social Security number
  • Policy number & group number of the group insurance
  • Employer & employee share of premium cost
  • Case identification number(s)

Along with your application, you must provide a copy of:

  • Insurance card (front and back)
  • Summary of benefits for your plan or desired plan
  • Employer health insurance rate sheet
  • Paystub if it shows premium deduction

Resources

> Common Questions
> Brochure