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  • Employee Benefits Enrollment Form 2020-21
  • Click to view (pdf or doc)
  • Plan year July 1, 2020 through June 30, 2021 Enroll in UK health, dental, and vision insurance. You must download and save it to your computer to complete the digital signature. Viewing the form in a web browser will not allow a digital signature.
  • Revision date: 04/22/2020
  • Submit paper form to
  • Email form back to Benefits Office, 112 Scovell Hall, Lexington KY 40506-0064