Retired Members ...
Your Defined
Benefit Group Retirement Plan
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Retirement Benefits
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Medical Benefits
Under Age 65
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Medical Benefits
Age 65 & Over
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Return to Work
Local School Districts, KCTCS Technical Colleges & most state agencies
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Return to Work
University or KCTCS Community College
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Summary Plan Description
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Correction of Errors & Appeals
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MEDICAL BENEFITS
UNDER AGE 65
____________________________

2012 Kentucky Employees'
Health Plan (KEHP)

Health Insurance Information

  1. KEHP Cover Letter
    dd  DOWNLOAD dd

  2. KEHP Benefit Grid
    dd  DOWNLOAD dd

  3. KEHP Rate Chart
    g  DOWNLOAD g

    To Calculate Your Rate
     click

  4. KEHP Application
    g  DOWNLOAD g

  5. 2012 Dependent ADD Form
    2  DOWNLOAD     5
    This form must be used for any qualifying event (QE) that allows you to ADD dependents to your plan. You must complete a Health Insurance Application for election changes such as option changes, new coverage, new waiver or to begin a cross-reference plan.

  6. 2012 Dependent DROP Form
    1  DOWNLOAD     7
    This form must be used for any qualifying event (QE) that allows you to DROP dependents from your plan. You must complete a Health
    Insurance Application     to request other coverage election changes such as electing new coverage, option changes, new waiver or to cease a cross reference plan.

  7. KEHP Benefit Fair Schedule
    s  DOWNLOAD S

  8. KEHP Benefit Selection Guide
    dd  DOWNLOAD dd

  9. Legal Notice
    dd  DOWNLOAD dd

  10. Documentation Requirements for Adding Dependents
    dd  LINK

  11. Certification of Dependent Eligibility
    dd  DOWNLOAD dd


    ____________________________

2011 Kentucky Employees'
Health Plan (KEHP)

Health Insurance Information

  1. Qualifying Events
    "Outside of Open Enrollment, retirees may make changes to their health insurance elections if a Qualifying Event has occurred. Use this guide if you have experienced a Qualifying Event".
    dd  DOWNLOAD dd

  2. KEHP Benefit Fair Listing
    dd  DOWNLOAD dd

  3. KEHP Cover Letter for 2011
    g  DOWNLOAD g

  4. KEHP Rates for 2011
    Note: Smoker &
    NON-SMOKER Rates
    g  DOWNLOAD g

  5. KEHP Benefit Grid
    s  DOWNLOAD S

  6. KEHP Application
    g  DOWNLOAD g

  7. 2011 KEHP Health Insurance Handbook
    g  LINK g

  8. Certification for KEHP of Dependent Eligibility for Children Ages 19-26
    s  DOWNLOAD S

  9. Legal Notice from KEHP
    g  DOWNLOAD g

  10. Documentation Requirements
    for ADDING and NEW
    Dependent in 2011 for KEHP
    g  DOWNLOAD g

  11. 2011 Dependent ADD Form
    2  DOWNLOAD 5
    This form must be used for any qualifying event (QE) that allows you to ADD dependents to your plan. You must complete a Health Insurance Application for election changes such as option changes, new coverage, new waiver or to begin a cross-reference plan.

  12. 2011Dependent DROP Form
    1  DOWNLOAD 7
    This form must be used for any qualifying event (QE) that allows you to DROP dependents from your plan. You must complete a Health
    Insurance Application     to request other coverage election changes such as electing new coverage, option changes, new waiver or to cease a cross reference plan.

  13. 2011 KEHP Summary Plan Description
    g  LINK g

  14. Are You Turning 65 in 2011?
    g  DOWNLOAD g

 

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479 Versailles Road, Frankfort, Kentucky 40601 / Phone: 1-800-618-1687