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Benefits

Enrollment Forms

Below, you'll 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 or 321 Wethington Building.

University of Kentucky - An Equal Opportunity University
Benefits · 112 Scovell Hall · Lexington, KY 40506-0064
Phone: (859) 257-9519 · Toll Free: (800) 999-2183 · Fax: (859) 323-1095
Questions/Feedback: Benefits Related | Web Site Related
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