Benefits

Enrollment Forms

Nine out of every 10 employees complete benefits enrollment online through myUK Employee Self-Service. Visit this site for online enrollment step-by-step instructions.

For those employees who wish to enroll using printed forms, we provide links to printer-friendly (PDF) enrollment forms below.

2012-13 Employee Enrollment Forms

For coverage during the 2012-13 plan year (July 1, 2012 - June 30, 2013).

  1. Health/Dental/Vision benefits form
  2. Life and AD&D insurance form
  3. Flexible Spending Accounts form

2012-13 Retiree Enrollment Forms

For coverage during the 2012-13 plan year (July 1, 2012 - June 30, 2013).

  1. Retiree Health/Dental/Vision benefits form

Form Pickup Locations

Printed forms are available for pick up at 112 Scovell Hall.