• Retiree Health/Dental/Vision Form 2017-18
  • Click to view form (pdf or doc) »
  • Retirees should use this form to enroll in health, dental and vision plans for the plan year that runs July 1, 2017, to June 30, 2018.
  • Revision date: 04/21/2017
  • Submit paper form to Benefits Office, 112 Scovell Hall
  • Email form back to benefits@uky.edu