• ACH Bank Draft Authorization Form
  • Click to view form (pdf or doc) »
  • Fill out and submit this form to enable automatic monthly payment of your UK Retiree Health Insurance premiums by bank draft (ACH).
  • Revision date: 04/05/2006
  • Submit paper form to Benefits Office, 112 Scovell Hall
  • Email form back to benefits@email.uky.edu