>> 2023 Full Benefits Guide Health Insurance Open Enrollment Step by Step Online Instruction Guide 2023 Enroll online at https://khris.ky.gov LivingWell Program_WebMD One Registration Guide 2022 MetLife Rates Met Life Life Estate Planning Program - for those who purchase the optional MetLife insurance Dental (sign up through Houchens Benefits) >> /Fm0 122 0 R (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 37:1417) [49 0 R /XYZ 35 587 null] /Fm5 146 0 R 2022 Cafeteria Plan Benefit Guide Comments (-1) 2022 Benefits Selection Guide . /PieceInfo << /LastModified /PageUIDList << An curved arrow pointing right. /Parent 5 0 R >> /Type /Page endobj /Fm0 122 0 R /Im0 155 0 R /CS2 [/Separation /PANTONE#207739#20C [/ICCBased 67 0 R] << >> /Sh0 174 0 R /Parent 13 0 R Effective January 1, 2023, individuals with the Dollar Contribution benefit for health insurance (retirees hired on or after July 1, 2003), are allowed to seek reimbursement from KPPA for health insurance coverage outside of KPPA insurance plans. This form must be filed with TRS prior to the beginning of reemployment if the return is within the first 12 months of retirement. /H /N /CS6 [/Separation /PANTONE#207739#20C [/ICCBased 67 0 R] /GS0 70 0 R << /ArtBox [0.0 0.0 792.0 612.0] >> /Rotate 0 >> /Fm3 243 0 R >> 5 0 obj Use this guide if you are receiving benefits, were hired July 1, 2003 or later, and began participating with KPPAbetween August 1, 2004 and August 31, 2008. 68 0 R] /Rotate 0 >> Vc% s word/document.xml}r8:?u[v'}_-7S (j\'%[v'8(Pu\ }lL[CCB/8h)~YX*0l~w/_U[ Lhay|}N=E&Lgkbi[/qmz~5.p.`.@r|h-|S]]M.udd ? "p++7~1B995Sh~mk!6Xy5OPiq_(_bt Y/`rP' ^d>F,k#46h-kE7Juf\=08p,Me[_4V/x^(lbw Adobe PDF Library 15.0 /0 792.0 See pages 9-11 of this guide for more information. For example, you will be asked what you want to use the . >> >> /T1_1 79 0 R /CropBox [0.0 0.0 792.0 612.0] /DocumentID /CS2 [/Separation /KEHP#20Book#20PANTONE#207739#20C [/ICCBased 67 0 R] Date: Thursday, June 29; Time: 6:30 p.m. /PieceInfo << An eligible employee who chooses to waive health insurance through the KEHP will receive a pre-loaded HRA card with $175 per monthup to $2,100 per yearto pay for qualified medical expenses. /DocumentID >> Employees must complete the donation form and send to Jinger Carter in the Human Resources Department. >> 28 0 obj /Parent 17 0 R (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:.75862:1453) [30 0 R /XYZ null null null] /GS2 71 0 R >> /CS1 [/ICCBased 67 0 R] /T1_5 129 0 R The provisions of the Plan became effective on January 1, 1991, which is called the Effective Date of the Plan. >> >> /Resources << /XObject << /Type /Page 121 0 R] /T1_0 73 0 R /ExtGState << PDF Benefits Grid - kjfrs.ky.gov /Resources << /Parent 17 0 R >> Do you want to go outside? >> /DocumentID >> /CS4 [/Separation /Deleted#20Global#20Color [/ICCBased 67 0 R] 2023 Benefits Guide /InDesign << /DocumentID 20 0 obj /T1_4 129 0 R >> /Annots [215 0 R 216 0 R] >> /CreationDate (D:20190906130116-05'00') /TrimBox [0.0 0.0 792.0 612.0] /T1_4 76 0 R %PDF-1.5 Retiree's Name (Last, First, MI) . /Type /Pages /Im0 260 0 R >> Books and Guides - Welcome - Kentucky Public Pensions Authority /0 66334 /ProcSet [/PDF /Text] /Type /Page /Trapped /False 2022 TRS KEHP Open Enrollment Benefit Fair Presentation (2021) - YouTube TRS's presentation for the KEHP's open enrollment virtual benefit fairs (Recorded September 2021). FMLA Certification by Physician or Practitioner. /CS0 [/ICCBased 67 0 R] /Properties << /BleedBox [0.0 0.0 792.0 612.0] /ArtBox [0.0 0.0 792.0 612.0] /T1_2 79 0 R >> /Rotate 0 /Fm6 225 0 R /BleedBox [0.0 0.0 792.0 612.0] /CS2 [/Separation /PANTONE#207739#20C [/ICCBased 67 0 R] /JS (this.print\({bUI:true,bSilent:false,bShrinkToFit:true}\);) /ProcSet [/PDF /Text /ImageC] /TT1 170 0 R 'yqtqbri2cwW;yQ0% qgGAmY! 4620 Fax: 270-793-0742 ldukate@higusa.com. National Board Certification- Why it's worth it! /GS0 70 0 R 38 0 obj /XObject << /PageUIDList << 24 0 obj /T1_3 73 0 R /LastModified /Resources << (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 13:1353) [37 0 R /XYZ 35 587 null] << /XObject << /Type /Pages /T1_2 75 0 R /PieceInfo << /Resources << /InDesign << /CropBox [0.0 0.0 792.0 612.0] /ExtGState << if you began participating September 1, 2003 in a nonhazardous position until September 30, 2008 (5 years x $14.20= $71.00), and then began participating October 1, 2008 in a hazardous position, and retired effective November 1, 2013 (5 years x $21.30= $106.50), you will receive $177.50 per month towards health insurance premiums ($71.00+ $106.50= $177.50). >> /T1_1 73 0 R /MediaBox [0.0 0.0 792.0 612.0] /ColorSpace << >> endstream /BleedBox [0.0 0.0 792.0 612.0] /CS5 [/Separation /PANTONE#201375#20C [/ICCBased 67 0 R] endobj /XObject << endobj /Contents 264 0 R endobj /ProcSet [/PDF /Text] >> Being able to identify and develop those sources of meaning is a really critical skill to have lifelong, Dr. Westgate said. /T1_3 76 0 R /DocumentID >> PDF Commonwealth of Kentucky /Type /Annot >> /CS2 [/Separation /PANTONE#20280#20CV [/ICCBased 67 0 R] /0 66504 2 (a). endobj /MediaBox [0.0 0.0 792.0 612.0] /C2_0 72 0 R /Fm0 122 0 R /XObject << /T1_0 73 0 R >> /InDesign << << >> /0 66436 /CS0 [/ICCBased 67 0 R] South Carolina State Documents Depository, Public Employee Benefit Authority Documents. /GS2 71 0 R /0 792.0 /NumberofPages 1 68 0 R] Connecting talented and ambitious people in the world's greatest cities, our mission is to be a top quality institution. /T1_5 133 0 R /CropBox [0.0 0.0 792.0 612.0] /CropBox [0.0 0.0 792.0 612.0] /ArtBox [0.0 0.0 792.0 612.0] (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor:1434) [22 0 R /XYZ 35 587 null] /T1_0 73 0 R /GS0 70 0 R 51 0 obj >> endobj /TrimBox [0.0 0.0 792.0 612.0] /TT1 170 0 R /ProcSet [/PDF /Text] This form is for disability retirement recipients to report their yearly employment earnings to TRS. /NumberofPages 1 19 0 obj /Parent 14 0 R endobj /Count 5 48 0 obj >> /DocumentID Regularlymeans tobacco has been used four or more times per week on average excluding religious or ceremonial use. (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 6:1346) [30 0 R /XYZ 35 587 null] /CS0 [/ICCBased 67 0 R] 121 0 R] /CropBox [0.0 0.0 792.0 612.0] /XObject << proof:pdf /Contents 198 0 R /DocumentID /CS1 [/ICCBased 67 0 R] /T1_2 76 0 R The Kentucky Employees' Health Plan (KEHP) is a self-insured program with four plan options. /Rotate 0 /CS1 [/Separation /PANTONE#207739#20C [/ICCBased 67 0 R] (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 5:1345) [29 0 R /XYZ 35 587 null] 1C2=iLSG$Xa(eeI{miECj;T ha=F>MfJ/Mlj`'l{%Sd* hVO^G.^^qo)4&(D}\3`lkg /Border [0 0 0] >> /0 66299 /Type /Page >> << /TT0 80 0 R /0 66637 /OriginalDocumentID /ColorSpace << xmp.did:e4454762-3ddc-4066-a8f2-9a20f6b29ae3 /PageWidthList << /GS0 70 0 R /Contents 153 0 R (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 35:1401) [52 0 R /XYZ 35 589 null] >> /ProcSet [/PDF /Text] (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:.75848:1450) [28 0 R /XYZ null null null] >> 1. /T1_1 79 0 R /XObject << >> /CS1 [/Separation /KEHP#20Book#20PANTONE#207739#20C [/ICCBased 67 0 R] >> /XObject << /BleedBox [0.0 0.0 792.0 612.0] /InDesign << /T1_3 75 0 R >> /CS0 [/ICCBased 67 0 R] /CS0 [/ICCBased 67 0 R] /T1_0 73 0 R /NumberofPages 1 (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 20:1360) [44 0 R /XYZ 35 587 null] /Contents 307 0 R /T1_2 129 0 R /TT3 172 0 R /LastModified >> 68 0 R] >> Health Insurance | JCPS /Type /Page 68 0 R] >> /GS3 164 0 R ET in . 68 0 R] /Contents 249 0 R PY 2023 LivingWell CDHP Medical Benefit Booklet 26 0 obj Human Resources (Personnel) - Home - Daviess County Public Schools /Rotate 0 /TrimBox [0.0 0.0 792.0 612.0] /Rotate 0 /0 792.0 (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 41:1424) [47 0 R /XYZ 35 587 null] /CropBox [0.0 0.0 792.0 612.0] >> >> /0 792.0 /Parent 13 0 R /Im0 274 0 R /NumberofPages 1 /Type /Page /Properties << /C2_2 167 0 R /T1_3 79 0 R Your supervisor will complete the Return to Work form and send to the HR department. /PageWidthList << /CS2 [/Separation /PANTONE#207739#20C [/ICCBased 67 0 R] /ProcSet [/PDF /Text /ImageC] /PageUIDList << /LastModified /BleedBox [0.0 0.0 792.0 612.0] You can also call on behalf of a KEHP member who is a family member or friend. >> >> Leslie Dukate Employee Benefits Account Manager 270-793-0367 ext. /Rotate 0 >> /Resources << /BleedBox [0.0 0.0 792.0 612.0] /Type /Page /Rotate 0 PDF SUMMARY PLAN DESCRIPTION - Kentucky /T1_0 73 0 R /CS0 [/ICCBased 67 0 R] A Guide to Responsible Development of Wind and Solar Resources on Public Lands and Waters . /MediaBox [0.0 0.0 792.0 612.0] /GS2 297 0 R /0 792.0 /PageWidthList << /C2_0 72 0 R << 68 0 R] /CS3 [/Separation /PANTONE#207739#20C [/ICCBased 67 0 R] /Count 5 /Parent 13 0 R 17 0 obj An institution without walls, we draw spirit from our cities and their famous cultural institutions and professional opportunities. 2023 insurance benefits guide - Digital Collections Home /CS1 [/ICCBased 67 0 R] /Im0 214 0 R Adobe InDesign CC 14.0 (Macintosh) /Resources << /T1_0 76 0 R /Subtype /Link /CS3 [/Separation /1052609_2995#20Blue [/ICCBased 67 0 R] /GS0 70 0 R /InDesign << All applicable forms from this page- once complete - MUST be sent to Hannah Smith at the CentralOffice (unless otherwise noted). Some features of this site may not work without it. /CS1 [/Separation /KEHP#20Book#20PANTONE#207739#20C [/ICCBased 67 0 R] /T1_2 75 0 R /Resources << /NumberofPages 1 /T1_4 273 0 R /0 66435 /InDesign << /OriginalDocumentID (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 11:1351) [35 0 R /XYZ 35 587 null] /GS2 284 0 R /Contents 212 0 R 5**/,d\5j!\O?s Xn"H'|;@*X@7CmE7uN?x/*aDzxp-L7`V,KEa',>=1aRkt'N[>7NmJqkF&#gM51B-tQ2lL:]r$;s'd'w &Q\b,9._:0l@QW-86> Q.Kd\-!$vUN*t;e,/p@j7@ jaD'&XB? /Fm4 190 0 R /0 792.0 /Resources << 68 0 R] /T1_1 79 0 R /C2_0 72 0 R >> /T1_5 79 0 R An Official Website of the Commonwealth of Kentucky. endobj >> /MediaBox [0.0 0.0 792.0 612.0] /OriginalDocumentID /T1_0 73 0 R >> KPPA cannot submit these documents for you. >> /T1_6 129 0 R Do you want to play with Play-Doh? Use this form to change your address, change your name due to marriage, divorce or for a temporary address. >> Why Weight Kentucky - Why Weight Kentucky is a weight management program that pairs members with an Anthem clinician who will help you reach your weight-loss goals. /TT3 172 0 R /T1_2 79 0 R /GS2 163 0 R /Parent 12 0 R /Count 38 /ProcSet [/PDF /Text /ImageC] /PieceInfo << /BleedBox [0.0 0.0 792.0 612.0] /InDesign << >> >> >> /C2_2 167 0 R /T1_1 74 0 R /PageUIDList << /T1_4 79 0 R /Font << 68 0 R] /Type /Page One way parents can help children, particularly younger ones, learn to manage boredom is to work with them on developing what Dr. Westgate called greater emotional granularity. Go to livingwell.ky.gov, click on programs thenquitting tobacco. /ExtGState << /CS2 [/Separation /1052609_151#20Orange [/ICCBased 67 0 R] /NumberofPages 1 >> 160 0 R] >> /Annots [311 0 R 312 0 R 313 0 R 314 0 R 315 0 R 316 0 R] ** . >> (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:Anchor 39:1419) [55 0 R /XYZ 35 587 null] /OriginalDocumentID /Rotate 0 endobj You will receive $140.20 per month towards health insurance premiums. >> Parents often feel pressure to get down on the floor and play with young children every time the children are feeling bored, she said, but that can keep children from learning how capable they are of stepping into their imaginations. /GS2 71 0 R /LastModified /Contents 196 0 R /T1_3 75 0 R >> /Resources << 2023 Guide - Domain Names, Websites, Hosting & Online Marketing Tools /Resources << /Resources << (b). /Rotate 0 at Central Office to ensure a timely update of personal information. /GS0 70 0 R /Fm0 130 0 R /PieceInfo << /PageUIDList << >> /T1_2 75 0 R (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:.76032:1469) [45 0 R /XYZ null null null] >> /InDesign << /T1_4 79 0 R has occurred, the benefits outlined in the 2023 Summary Plan Descriptions (SPDs) and Medical Benefit Booklets will determine how benefits are paid. /XObject << /InDesign << >> >> (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:.75966:1464) [40 0 R /XYZ null null null] /ArtBox [0.0 0.0 792.0 612.0] >> /Parent 5 0 R Omni Universal Notice of 403(b) benefit providers: Maximum Allowable Contributions Limits for 2023, Healthy at Work / COVID Leave Information, Helpful Technology Hints and Shortcuts (TalentEd Records, Frontline/AESOP, Safe Schools, etc. /T1_0 73 0 R This Benefits Selection Guide is published annually, before Open Enrollment, to help you make benefit choices. If you have additional questions call KPPAat 1-800-928-4646(Toll Free) or 502-696-8800(Frankfort). >> >> /OriginalDocumentID >> /T1_2 75 0 R /Contents 269 0 R 68 0 R] >> /0 792.0 2023 Benefits Guide /Fm6 192 0 R /TT2 171 0 R /MediaBox [0.0 0.0 792.0 612.0] >> Paraeducator Assessment Study Guide; Salary Schedules 2023-2024; SCPS Employee Handbook 2022 - 2023; Substitute Teacher; Teacher Loan Forgiveness and Grant Opportunities; Tuition Waiver Form; 2022 Cafeteria Plan Benefit Guide. /ProcSet [/PDF /Text] /TT2 171 0 R /ExtGState << /S /JavaScript /T1_3 199 0 R /Resources << /NumberofPages 1 /T1_1 74 0 R 162 0 R] /MediaBox [0.0 0.0 792.0 612.0] /ColorSpace << /GS0 70 0 R /Fm4 234 0 R >> (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:.75954:1463) [39 0 R /XYZ null null null] /Fm5 235 0 R /OriginalDocumentID Members of the Teachers Retirement System (TRS) are covered by a life insurance benefit provided by KRS 161.655. /LastModified >> >> /Rotate 0 /T1_2 79 0 R >> /Parent 11 0 R /NumberofPages 1 >> /ExtGState << Benefits - Henderson County Schools /Fm4 244 0 R /CS3 [/Separation /1052609_2995#20Blue [/ICCBased 67 0 R] Catherine Pearson is a reporter for the Well section of The Times, covering families and relationships. /ProcSet [/PDF /Text] /Contents 131 0 R >> /C2_1 128 0 R /Parent 12 0 R /CS1 [/Separation /KEHP#20Book#20PANTONE#207739#20C [/ICCBased 67 0 R] If you are receiving a monthly retirement benefit, that qualifies you to receive a Health Insurance Percentage contribution and also receiving a monthly retirement benefit that qualifies you to receive a Health Insurance Dollar contribution, please contact the Retirement office for help calculating your cost., KEHP Prescription Drug CoverageKEHP Value Benefits for Diabetes, COPD, and AsthmaKEHP Diabetes BenefitsKEHP VendorPartnersDiabetes PreventionLiveHealth OnlineRethink BenefitsSmartShopper, 1-888-581-8834 or 502-564-6534Service is only available October 10-18, 2022, Judicial Retirement Plan andLegislators' Retirement Plan, Kentucky Community and Technical CollegeSystem Retirement, PY 2023 LivingWell CDHP Medical Benefit Booklet, PY 2023 LivingWell PPO Medical Benefit Booklet, PY 2023 LivingWell Basic CDHP Medical Benefit Booklet, PY 2023 Summary Plan Description LivingWell CDHP Prescription Drug Plan, PY 2023 Summary Plan Description LivingWell Basic CDHP Prescription Drug Plan, PY 2023 Summary Plan Description LivingWell PPO Prescription Drug Plan, PY 2023 KEHP Value Formulary Quick Reference List, PY 2023 CVS Caremark Advanced Control Specialty Formulary. /GS2 138 0 R >> /InDesign << /T1_4 77 0 R /GS1 154 0 R /Parent 14 0 R This report discusses the benefits of wind and solar energy, the regulatory landscape, the potential impacts of development to wildlife and nearby communities, and has expanded recommendations for moving wind and solar development forward responsibly. /InDesign << /PageWidthList << /0 313 /ColorSpace << /Contents 259 0 R /PageWidthList << /ArtBox [0.0 0.0 792.0 612.0] /T1_3 132 0 R Rank Change Information for SCPS Certified Employees, Teacher Loan Forgiveness and Grant Opportunities, interventions, risk assessments,and education. /CS1 [/ICCBased 67 0 R] >> /DocumentID 2023 Employee Benefits Enrollment Change Form 2023 Retiree Enrollment Change Form 2023 ADA Active Enrollment Form 2023 Dental Insurance Enrollment/Change Form 2023 Vision Insurance Enrollment/Change Form 2023 DD Open Enrollment Enrollment Form 2023 KEHP Federal Post Tax Request Form Open Enrollment Exception Request 2023 Exception Form 2023 Chec. /C2_1 128 0 R >> /GS1 154 0 R /Parent 17 0 R /T1_4 132 0 R /Type /Pages /CS2 [/Separation /1052609_151#20Orange [/ICCBased 67 0 R] Dental (sign up through Houchens Benefits), Vision (sign up through Houchens Benefits), When an employee changes their name or address, they must complete the "Employee Name / Address Change Form" and return it to. 69 0 R] >> /T1_5 76 0 R /Resources << /Resources << Insurance--South Carolina--Handbooks, manuals, etc. << Click here for more information. JCPS cares about your health and is dedicated to providing comprehensive, affordable, and competitive health insurance benefits. /DocumentID /Sh0 174 0 R /C2_1 128 0 R /ExtGState << >> << Though she cautioned that there has been little empirical research exploring boredom in kids, Dr. Westgate believes that in moderate doses, boredom can offer a valuable learning opportunity, spurring creativity and problem solving and motivating children to seek out activities that feel meaningful to them. /ExtGState << /PageWidthList << ] /PageUIDList << >> /T1_3 75 0 R /CS1 [/Separation /KEHP#20Book#20PANTONE#207739#20C [/ICCBased 67 0 R] /OriginalDocumentID /T1_0 73 0 R Thank you for taking the time to give us feedback. /ExtGState << The Kentucky Employees Health Plan (KEHP) has a fiduciary and legal responsibility to ensure that our health plans are only covering legally eligible dependents. /Parent 15 0 R These forms, in addition to any required documentation, should be submitted in April 2023 for the months of January 1, 2023 - March 31, 2023. Review the Form 6280 instructions carefully to determine what forms and documentation are required for your situation.. 68 0 R] /Parent 17 0 R /T1_5 77 0 R Kentucky Employees' Health Plan (KEHP) for those not Medicare eligible . Employees who are adding coverage because of a qualifying event and have previously waived coverage can complete a form. >> /TT1 81 0 R >> Leveraging ChatGPT and AI: A Guide for Law Firms, Businesses | Daily COVERERD SERVICES Preventive Care Office Visits In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network Single $500 Single $1,500 Family $1,000 Family $2,750 Single $3,000 Family $5,750 Plan: 80% Member: 20% Deductible, then 20% Combined with Medical /TrimBox [0.0 0.0 792.0 612.0] /0 792.0 (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:.76106:1476) [53 0 R /XYZ null null null] >> >> /ProcSet [/PDF /Text /ImageC] /Fm1 142 0 R /LastModified /PageWidthList << 160 0 R] /ProcSet [/PDF /Text] If you have questions about whether you have completed the LivingWell Promise, contact WebMD at866-746-1316 or visitWebMDHealth.com/KEHP. It indicates the ability to send an email. /ArtBox [0.0 0.0 792.0 612.0] /TrimBox [0.0 0.0 792.0 612.0] /Fm1 241 0 R /OriginalDocumentID 22 0 obj >> /ColorSpace << /Contents 184 0 R /PieceInfo << 53 0 obj /Sh0 174 0 R The information in the Benefits Guide only highlights your employee benefits. endobj /GS0 70 0 R >> /CS0 [/Separation /KEHP#20Book#20PANTONE#207739#20C [/ICCBased 67 0 R] >> /CropBox [0.0 0.0 792.0 612.0] /Font << /Annots [281 0 R 282 0 R] /LastModified /PieceInfo << /CropBox [0.0 0.0 792.0 612.0] /PageWidthList << Kentucky Teachers Retirement System (TRS) - Certified(800) 618-1687 or (502) 848-8500 Kentucky Public Pensions Authority (KPPA) - Classified(800) 928-4646 or (502) 564-4646. /Properties << /PieceInfo << /Type /Page /CS1 [/ICCBased 67 0 R] /ExtGState << 14 0 obj /T1_0 73 0 R /ExtGState << >> /Fm1 187 0 R /Im0 276 0 R /DocumentID /T1_2 133 0 R If you fail to submit the formYOU WILL NOT RECEIVE PREMIUM CONTRIBUTIONSfor your legal spouse or eligible dependents. >> >> /Font << /CropBox [0.0 0.0 792.0 612.0] Learn more. endobj >> /Contents 148 0 R /Fm0 130 0 R Coverage depends on your full-time employee classification. >> /BleedBox [0.0 0.0 792.0 612.0] /ArtBox [0.0 0.0 792.0 612.0] This form is to certify that a retiree returning to work did not prearrange reemployment prior to retiring. /PageUIDList << Click here to learn more about your plan information and what benefits are available to Kentucky Employees' Health Plan members. /Parent 17 0 R /BleedBox [0.0 0.0 792.0 612.0] /T1_0 73 0 R >> /TT3 172 0 R /BleedBox [0.0 0.0 792.0 612.0] /PieceInfo << /PageWidthList << /Rotate 0 /Contents 275 0 R /CS0 [/ICCBased 67 0 R] /Type /Page >> 161 0 R] /CS0 [/ICCBased 67 0 R] >> 68 0 R] /T1_0 73 0 R << /PageUIDList << /ColorSpace << FSA (Flexible Spending Account) / HRA (Health Reimbursement Account): 1-877-430-5519. /ProcSet [/PDF /Text /ImageC] /Font << /Fm1 175 0 R /Type /Page endobj application/pdf /T1_0 73 0 R /GS5 166 0 R i.e. 2023 Benefits Guide NYU-NY Benefits Guide for: Full-Time Sergeants, Dispatchers, and Security Officers / Security Specialists (Local 1) Navigate the menu to learn about your benefits options and how to enroll. /T1_0 73 0 R PDF LivingWell CDHP Benefits Grid - Kentucky /T1_3 75 0 R >> /T1_3 133 0 R /0 66290 /MediaBox [0.0 0.0 792.0 612.0] /PageWidthList << /PageUIDList << /Fm2 176 0 R If you participate in the program, you will receive access to the tools and one-on-one support needed to lose weight safely, and improve your health and quality of life. /InDesign << /DocumentID /GS1 71 0 R /Length 2485 /LastModified /Parent 16 0 R /LastModified /Group 185 0 R /XObject << /BleedBox [0.0 0.0 792.0 612.0] If you have a partial year of hazardous service and a partial year of nonhazardous service, they can be combined to equal a full year, you will receive 1 year of non-hazardous service. /ColorSpace << /Contents 135 0 R /MediaBox [0.0 0.0 792.0 612.0] /TT2 171 0 R 159 0 R] /Producer (Adobe PDF Library 15.0) /Parent 17 0 R /Type /Page >> /ColorSpace << >> Alight will contact retirees by sending a letter directly to them requesting documents be sent directly to Alight. /C2_1 128 0 R /BleedBox [0.0 0.0 792.0 612.0] << /T1_7 75 0 R Service Credit-Dollar Contribution Level Amount ($21.30*) x Years of Service = Amount KPPAPays, $21.30* x 10 (let's say you have 10 years of service for this example) = $213.00, Service Credit-Dollar Contribution Level Amount ($14.20**) x Years of Service = Amount KPPAPays, $14.20** x 10 (let's say you have 10 years of service for this example) = $142.00, Hazardous Duty Retiree: Yearly Requirement, YOU WILL NOT RECEIVE PREMIUM CONTRIBUTIONS, Member Pension Spiking Frequently Asked Questions, Form 6256 - Designation of Spouse and/or Dependent Child for Health Insurance, Form 6280 - Application for Dollar Contribution Reimbursement for Medical Insurance, Form 6281 -Employer Certification of Health Insurancefor Dollar Contribution Reimbursement Plan, Form 6242 - Insurance Agent/Company Certification of Health Insurance for Health InsuranceReimbursement Plan, KEHP Value Benefits for Diabetes, COPD, and Asthma, 240+ months or more - Contribution based on Plan selected, 24/7 Substance Use Disorder telephone resource line, Substance Use Disorder telephone resource line, Health insurance plan options are the same for Plan Year 2023. /TT2 171 0 R >> /Annots [226 0 R 227 0 R] 2023 Health Insurance Benefits Grid 2022 KEHP Benefits Selection Guide 2022 Health Insurance Benefits Grid Rates The Commonwealth of Kentucky pays a portion of the monthly premium. /GS1 305 0 R /PageUIDList << Shelby County Public Schools offers the following career and technical education programs for all students regardless of race, color, national origin, including those with limited English proficiency, sex or disability in grades 9-12: Business Technology, Automotive Technology, Information Technology, Health Science, Industrial Maintenance Technology, Diesel Technology, Welding Technology and Machine Tool Technology. Employees will also earn $12.50 in their HRA/HSA for each credit earned, up to 40 credits, or $500. /CS0 [/Separation /KEHP#20Book#20PANTONE#207739#20C [/ICCBased 67 0 R] >> /Im0 265 0 R >> !g?8gpm~azc^8l.WhB >> /GS2 154 0 R /ColorSpace << PDF HCC 2023-2024 Benefits Guide - Hillsborough Community College /Fm0 122 0 R endobj /Fm3 233 0 R /C2_1 128 0 R You have read and understood the 2023 Benefits Selection Guide (BSG). /ColorSpace << /Fm0 122 0 R /ArtBox [0.0 0.0 792.0 612.0] Start with this ultimate guide that includes easy tips and steps you can follow along with. /GS1 71 0 R /0 792.0 /Type /Pages (3392701 105792KYMENPCL 2020 KEHP Large BSG OE Booklet BT 04 19.indd:.76002:1466) [42 0 R /XYZ null null null] >> /Kids [30 0 R 31 0 R 32 0 R 33 0 R 34 0 R] /Shading << /Fm3 144 0 R /T1_5 76 0 R >> << /Type /Pages PDF SUMMARY PLAN DESCRIPTION - Pages /Resources << /OriginalDocumentID /TT0 80 0 R << endobj /DocumentID >> 2 0 obj /Parent 5 0 R >> The letter F. An envelope.
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