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Department of Employee Insurance Kehp.ky.gov Personnel.ky.gov 8885818834 DO NOT STAPLE 2023 EMPLOYEE BENEFITS ENROLLMENT/CHANGE FORM Section 1: To be completed by the IC/HRG IN OFFICE USE ONLY KHRIS
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How to fill out 2023 benefits enrollment change

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How to fill out 2023 benefits enrollment change

01
Gather all necessary information and documentation for the enrollment change process.
02
Access the benefits enrollment portal or contact the HR department for the necessary forms.
03
Complete the required forms with accurate and up-to-date information.
04
Submit the completed forms by the specified deadline to ensure your changes are processed.
05
Review the final confirmation of your enrollment change to verify that it reflects your desired modifications.

Who needs 2023 benefits enrollment change?

01
Employees who want to make changes to their benefit selections for the upcoming year.
02
Employees who have experienced life events that qualify them for a special enrollment period.
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The benefits enrollment change form is a document used by employees to make changes to their benefits selections during a specific enrollment period or due to qualifying life events.
Employees who wish to change their benefits selections or enroll in different plans are required to file a benefits enrollment change form.
To fill out the benefits enrollment change form, employees should provide accurate personal information, indicate the requested changes or selections, and submit it according to their employer's guidelines.
The purpose of the benefits enrollment change form is to formally document changes to an employee's benefits, ensuring accurate enrollment in health insurance, retirement plans, and other benefits.
The information that must be reported includes personal details of the employee, the specific benefits being changed, the reasons for the changes, and any dependent information if applicable.
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