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Department of Employee Insurance Keep.KY.gov Personnel.KY.gov 8885818834 DO NOT STAPLE 2022 EMPLOYEE BENEFITS ENROLLMENT/CHANGE FORM Section 1: To be completed by the IC/HOG IN OFFICE USE ONLY CHRIS
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How to fill out 2022 benefits enrollment change

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How to fill out 2022 benefits enrollment change

01
Log in to your benefits enrollment portal using your login credentials.
02
Locate the section for 2022 benefits enrollment change.
03
Review the available options and select the changes you want to make.
04
Verify the changes before submitting the form.
05
Submit the completed enrollment change form.

Who needs 2022 benefits enrollment change?

01
Employees who want to make changes to their benefits for the year 2022.
02
Employees who have experienced life events that make them eligible for enrollment change.
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Benefits enrollment change form is a document used to make changes to employee benefits, such as health insurance, retirement plans, and other benefits offered by an employer.
Employees who wish to make changes to their benefits coverage or options are required to file the benefits enrollment change form.
To fill out the benefits enrollment change form, employees must provide updated information on their benefits selections and any changes to their coverage preferences.
The purpose of the benefits enrollment change form is to allow employees to make changes to their benefits coverage in order to meet their current needs and preferences.
Employees must report any changes to their benefits selections, such as adding or removing dependents, changing coverage levels, or selecting different benefit options.
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