FCPS benefits forms and brochures — 2008

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Beneficiary Change Forms

• State Sponsored Term Life (Prudential)
• Board Sponsored Term Life (MetLife)
• Classified Retirement
• Kentucky Teachers' Retirement - must call 1-800-618-1687 for a change form

Tax Deferred Investing

• Your guide to tax-deferred investing

Sick leave bank

• Sick leave bank information
• Enrollment form

Delta Dental

• Overview and rates
• Enrollment Form
• Option 1 (Delta Premier Traditional) plan
• Option 2 (Delta Preferred Provider) plan
• Option 3 (D73A) plan
• Participating Provider Directory - Delta Premier
• Participating Provider Directory - Delta PPO
• Participating Provider Directory - Delta Care
• Delta Vision Plan
• Delta Website information
• Integrated Customer Assistance Service
• Instructions for printing a temporary ID card
• Delta Dental of Kentucky Website

Health Insurance

• Health Insurance Handbook
• Rates (deductions) for FCPS
• Provider list (Web link to Humana site. Includes lots of information about health and prescription benefits)
• Request for Cancellation of Insurance
• Health Insurance Update Form
• Dependent Add Form
• Dependent Drop Form
• Web Enroll (Web link to state site.)
• Kentucky Personnel Cabinet 2008 Benefits Information (more information about state-sponsored programs)

Health Reimbursement Accounts/Flexible Spending Accounts

• Health Reimbursement Account and Flexible Spending Account Claim Form
• Attention Family Coverage Particpants
• Debit Card Quick Reference Guide
• Humana Access Visa Info
• Information About Your New Medical Plan
• Medical Plan And Pharmacy Benefit Information
• Humana Health Care Spending Accounts
• New IRS requirements affect OTC purchases for HumanaAccess Visa® Card users
• IIAS Retailers List (OTC purchases)
• Flexible Spending Account Qualifying Event Change Form

Unum Voluntary Benefits

• Product overview and instructions

Accidental Death & Dismemberment Insurance

• Plan Highlights
• Enrollment Form & Rate Chart
• Certificate of Coverage
• Beneficiary Change Form

Disability Income Insurance

• Educator Income Protection Plan Insurance Highlights
• Disability Rate Sheet - 18 payroll deductions
• Disability Rate Sheet - 24 payroll deductions
• Disability Enrollment Form
• Disability Claim Form
• Beneficiary Change Form
• Disability Coverage Cancellation Form
• Certificate of Coverage

Term Life Insurance

• Plan Highlights
• Term Life Rate Sheet
• Enrollment Form
• When do I complete EOI?
• Evidence of Insurability
• Certificate of Coverage
• Portability Instructions
• Portability Application
• Conversion Application
• Waiver of Premium Form
• Beneficiary Change Form

Other products

• Cancer Check

Benefits home

Last update: 5/27/2008 9:52:08 AM     Printer friendly view