KEHP Benefits for those Under 65 and Not Medicare-Eligible

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2017 KEHP HEALTH INSURANCE INFORMATION

KEHP open enrollment is closed.

• KEHP Cover Letter for TRS members
• KEHP Benefits Grid
• 2017 KEHP Rate Chart 
• 2017 KEHP Retiree Health Insurance Enrollment Application
• KEHP Benefit Selection Guide
• Legal Notices with Marketplace Notice 
•          LivingWell Promise
•          Vitals SmartShopper
• Vitals SmartShopper Incentive Reward Program flier
• 2017 Qualifying Event (QE) Application for Retirees
• 2017 Qualifying Event (QE) Application to Add a Dependent(s) 
• 2017 Qualifying Event (QE) Application to Drop a Dependent(s) 
• Tobacco Use Change Form 
• Grievance Form for Enrollment & Eligibility 
• KEHP Benefit Fair Schedule

2016 KEHP Plan Information

• KEHP Cover Letter
• KEHP Benefits Grid
• 2016 Rate Chart 
• KEHP Enrollment/Change Application
• KEHP Benefit Selection Guide
• Legal Notices
• Marketplace Notice 
•          LivingWell Promise
•          Vitals SmartShopper website
• Vitals SmartShopper Incentive Reward Program flier
• 2016 Dependent Add Form 
  • This form is used for any qualifying event (QE) that allows you to add dependents to your plan.  You must complete a KEHP Application for election changes such as option changes, new coverage, or to begin a cross-reference plan.
• 2016 Dependent Drop Form 
  • This form is used for any qualifying event (QE) that allows you to drop dependents from your plan.  You must complete a KEHP Application to request other coverage election changes such as electing new coverage, option changes, or to cease a cross-reference plan.
• Tobacco Use Change Form 
• Grievance Form for Enrollment & Eligibility