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Do Not Staple Kentucky Employees Health Plan Department of Employee Insurance KEEP.KY.GOV 1-888-581-8834 2014 KEEP ACTIVE EMPLOYEE HEALTH INSURANCE ADD/DROP FORM Section 1: To Be Completed by Insurance
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How to fill out 2014 KEHP active employee:

01
Gather all necessary information and documents such as personal identification details, employment information, and dependent information.
02
Start by providing your name, address, Social Security number, and contact information in the designated fields.
03
Fill in your employment details, including your job title, department, and start date, as well as your work schedule and any additional coverage options you may be eligible for.
04
If you have any dependents, provide their information accurately, including their names, dates of birth, and relationship to you.
05
Review all the information you have entered to ensure its accuracy, as any errors could affect your coverage or benefits.
06
Sign and date the form electronically or by hand, as instructed.
07
Submit the completed 2014 KEHP active employee form by the deadline specified by your employer or benefits provider.

Who needs 2014 KEHP active employee?

01
Employees who are enrolled or wish to enroll in the Kentucky Employees' Health Plan (KEHP) for the year 2014.
02
Employees who are eligible for health insurance coverage through their employer or organization in Kentucky.
03
Individuals who want to ensure that they and their eligible dependents have access to healthcare coverage and benefits provided by KEHP.

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KEHP Active Employee Health is a program that provides comprehensive health coverage to active employees.
Employers are required to file KEHP Active Employee Health for their active employees.
KEHP Active Employee Health can be filled out online through the designated portal provided by the Kentucky Employees' Health Plan.
The purpose of KEHP Active Employee Health is to ensure that active employees have access to necessary health coverage and benefits.
Information such as employee demographics, dependent information, plan selections, and contribution amounts must be reported on KEHP Active Employee Health.
The deadline to file KEHP Active Employee Health in 2023 is typically in the first quarter of the year, around March 31st.
The penalty for late filing of KEHP Active Employee Health may include fines, interest charges, or even loss of coverage for the affected employees.
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