An Official Website of the Commonwealth of Kentucky
2019 KEHP Active Health Insurance Application2019 KEHP FSA Enrollment-Change Application2019 Retiree Health Insurance Application2019 ADA Active Application2019 Life Insurance Application2019 Dental Insurance Enrollment/Change Form2019 Vision Insurance Enrollment/Change Form2019 KEHP Federal Post Tax Request FormOpen Enrollment Exception Request
2019 Benefits Selection GuideSummary of Benefits and Coverage- Uniform Glossary2019 Summary of Benefits and Coverage- LivingWell CDHP2019 Summary of Benefits and Coverage- LivingWell PPO2019 Summary of Benefits and Coverage- LivingWell Basic CDHP2019 Summary of Benefits and Coverage- LivingWell Limited High Deductible
2019 COBRA Dental Vision Notice2019 COBRA Health Notice2019 Kentucky Marketplace Notice Parts A and B2019 Kentucky Marketplace Notice Part A Only2019 Legal Notice2019 Medicare Prescription Drug Creditable Coverage Notice2019 Notice of Privacy Practices2019 Terms and Conditions2019 Tobacco Use Declaration2019 USERRA Notice on Health Insurance Rights2019 WHCRA Notice2019 Wellness Program Notice2019 CHIP Notice
Member-Friendly ACA Preventive Services ListACA Preventive Services List2019 Advanced Control Formulary2019 Advanced Control Specialty Formulary2019 Preventive Therapy Drug Benefit List2019 Value Formulary2019 Value Formulary Quick Reference List
Follow Us On
All rights reserved.