MEDICAL BENEFITS
UNDER AGE 65
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2012 Kentucky Employees'
Health Plan (KEHP)
Health Insurance Information
-
KEHP Cover Letter
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-
KEHP Benefit Grid
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-
KEHP Rate Chart
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To Calculate Your Rate

-
KEHP Application
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- 2012 Dependent ADD Form
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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.
- 2012 Dependent DROP Form
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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.
- KEHP Benefit Fair Schedule
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- KEHP Benefit Selection Guide
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- Legal Notice
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- Documentation Requirements for Adding Dependents
LINK
- Certification of Dependent Eligibility
DOWNLOAD 
____________________________
2011 Kentucky Employees'
Health Plan (KEHP)
Health Insurance Information
-
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".
DOWNLOAD 
-
KEHP Benefit Fair Listing
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-
KEHP Cover Letter for 2011
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-
KEHP Rates for 2011
Note: Smoker &
NON-SMOKER Rates
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-
KEHP Benefit Grid
DOWNLOAD 
- KEHP Application
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- 2011 KEHP Health Insurance Handbook
LINK 
- Certification for KEHP of Dependent Eligibility
for Children Ages 19-26
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- Legal Notice from KEHP
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- Documentation Requirements
for ADDING and NEW
Dependent in 2011 for KEHP
DOWNLOAD 
- 2011 Dependent ADD Form
DOWNLOAD 
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.
- 2011Dependent DROP Form
DOWNLOAD 
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.
- 2011 KEHP Summary Plan Description
LINK 
- Are You Turning 65 in 2011?
DOWNLOAD 
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