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Insurance Coordinators

Training and Information
Insurance Coordinator Listings

 

Applications and Instructions
 

Please mail all forms, along with a Transmittal Log, to the Department for Employee Insurance.

2008 Active Employee Application (PDF - 249 KB)

2008 Kentucky Retirement System Retiree Application (PDF - 231 KB)

2008 Kentucky Teachers' Retirement System Retiree Application (PDF - 240 KB)

2008 Judicial and Legislative Retirement Systems Retiree Application (PDF - 221 KB)

2008 Update Form (PDF - 105 KB)

Insurance Coordinator Verification Form (PDF - 12 KB)

Transmittal Log (PDF - 10 KB)

2008 Post Tax Form (PDF - 65 KB)

2008 Add Form (PDF - 49 KB)

2008 Drop Form (PDF - 50 KB)

FSA Qualifying Event Update Form (PDF 75 KB)

 

Last Updated 7/3/2008
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