Benefits

Enrollment Forms

Below, you will find links to printer-friendly enrollment forms (PDF format) for the 2008-09 plan year.

Employee Forms

  1. Health benefits form
  2. Dental benefits form
  3. Vision benefits form
  4. Life and AD&D insurance form
  5. Flexible spending accounts form
  6. COBRA Health form
  7. COBRA Dental form
  8. COBRA Vision form

Retiree Forms:

  1. Health benefits form
  2. Dental benefits form
  3. Vision benefits form

Form Pick-Up Locations:
Printed forms are available for pick up at 112 Scovell Hall

University of Kentucky - An Equal Opportunity University
Human Resources · 115 Scovell Hall · Lexington, KY 40506-0064
Phone: (859) 257-9555 · Fax: (859) 323-8512
Questions/Feedback: HR | HR Site
About Human Resources
Last Modified: March 24, 2009 | Off-site Link Disclaimer