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Kentucky Employees Health Plan Department of Employee Insurance http://kehp.ky.gov 1.888.581.88342017 KEEP UPDATE FORM To be completed by Insurance Coordinator/HR Generalist only. DO NOT use this
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How to fill out kehp-forms for members

01
Obtain the KEHP form for members from the appropriate source
02
Fill in the member's personal information accurately, including name, address, date of birth, and contact information
03
Provide any additional requested information, such as health history or dependents
04
Review the form for accuracy and completeness before submitting
05
Submit the completed form to the designated entity according to the instructions provided

Who needs kehp-forms for members?

01
Members of KEHP (Kentucky Employees' Health Plan) who wish to enroll or make changes to their health coverage
02
Employers who are facilitating enrollment for their employees in KEHP
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KEHP-forms for members are documents that members of the Kentucky Employees Health Plan must complete to report health insurance enrollment and any changes in their health coverage.
All members participating in the Kentucky Employees Health Plan are required to file kehp-forms to ensure accurate record keeping and compliance with health plan regulations.
To fill out kehp-forms for members, obtain the form from the Kentucky Employees Health Plan website, accurately enter the required personal and health coverage information, and submit it according to the instructions provided.
The purpose of kehp-forms for members is to collect necessary data regarding health plan enrollment, facilitate proper administration of health benefits, and ensure compliance with state and federal health regulations.
The information that must be reported includes personal identifying information, details about health coverage, family members covered, and any changes in enrollment status.
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