Get the free 2014 KEHP Update Form - Kentucky - revenue ky

Do Not Staple Kentucky Employees Health Plan Department of Employee Insurance KEEP.KY.GOV ? 1?888?581?8834 2014 KEEP UPDATE FORM To be completed by Insurance Coordinator/HR Generalist only. DO NOT

How to fill out 2014 kehp update form

1. The 2014 KEHP update form is required for all individuals who are currently enrolled in the Kentucky Employees' Health Plan (KEHP).
2. If you are a member of the KEHP and need to update your information for the year 2014, you must fill out the update form.
3. Start by obtaining the 2014 KEHP update form. This can usually be found on the official KEHP website or through your employer's HR department.
4. Carefully read through the instructions provided with the form. Make sure you understand all the requirements and necessary information that needs to be provided.
5. Begin by filling out the personal information section. This will typically include your full name, address, date of birth, and social security number.
6. Next, provide details about your current employment. Include your job title, employer's name, and contact information.
7. If you have any dependents who are also covered under the KEHP, make sure to accurately provide their information as well. This may include their names, dates of birth, and social security numbers.
8. The next section of the form usually involves updating your healthcare preferences. Indicate any changes in your coverage, such as adding or removing dependents, changing your health plan option, or updating specific healthcare benefits.
9. If you have any changes to your primary care physician or healthcare provider, provide those details as requested on the form.
10. Double-check all the information you have provided to ensure accuracy and completeness. Make any necessary corrections or additions.
11. Once you have filled out all the required sections of the form, sign and date it.
12. Check with your employer or the KEHP office to determine the submission method for the 2014 KEHP update form, whether it needs to be mailed, faxed, or submitted electronically.
13. Finally, keep a copy of the completed form for your records.
14. Remember, it is important to fill out the 2014 KEHP update form accurately and promptly to ensure that your healthcare coverage remains up to date and valid.

For pdfFiller’s FAQs

What is kehp update form?

The KEHP update form is a document used to make changes to your Kentucky Employees' Health Plan coverage.

Who is required to file kehp update form?

All Kentucky Employees' Health Plan members are required to file the update form for any changes to their coverage.

How to fill out kehp update form?

The KEHP update form can be filled out online through the KEHP website, or by printing out the form and submitting it by mail or fax.

What is the purpose of kehp update form?

The purpose of the KEHP update form is to allow members to make changes to their health plan coverage as needed.

What information must be reported on kehp update form?

The KEHP update form requires members to report changes to personal information, dependent coverage, and any other updates to their healthcare needs.

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