1-855-MyARHIPP (855-692-7447) |
Applying for HIPP Benefits
There are three ways to apply for Arkansas HIPP benefits! You can:
- Fill out and submit an online application.
- Print a HIPP application and mail in or fax your completed application.
- Call our toll-free line 1-855-692-7447 (Monday - Friday, 8 am - 5 pm CT) to start your application over the telephone.
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
Please note, this is a mailing address only, not a physical location.
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