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Human Resources & Equal Opportunity

HREO

Announcements

2010 Benefits Open Enrollment Information

2009 Print Calendar

HREO Home > Documents & Forms > Listed By Category

Documents & Forms: Benefits

Tools: E-mail Page; Print Page

Contact: benefits@ku.edu; (785) 864-4946; (785) 864-5200

Featured Links: 2010 Group Health Insurance Information

Documents
- 2010 Health Insurance Effective Dates for New Hires (PDF)
- 60 Day Waiver Request FAQ (PDF)
- Available Affiliate Services (Excel)
- Chart of Benefits (PDF)
- Chart of Benefits -- Web Links Only (PDF)
- Healthy Kids Information
- Self Service Center - Password Instructions (PDF)
Forms
- 60 Day Waiver For Health Insurance (PDF)
- Advance Prescription Drug Purchase (PDF)
- Advance Prescription Drug Purchase - Appendix I-1 (PDF)
- Beneficiary Form - KPERS/University Support Staff (PDF)
- Beneficiary Form - Regents/Unclassified Faculty & Staff (PDF)
- Benefits Communication Form (PDF)
- Flexible Spending Account Enrollment and Change Form (PDF)
- Health Care Selection Form (TEFRA) (PDF)
- Health Insurance Change Form (PDF)
- Health Insurance Common Law Marriage Affidavit (PDF)
- Health Insurance Enrollment Form (PDF)
- Health Savings Account Form (PDF)
- Healthy Kids Application (PDF)
- KanElect Flexible Spending Claim Form (Word)
- Learning Quest Payroll Deduction Change Form (PDF)
- Life Insurance Conversion Form/Information (PDF)
- Life Insurance Portability Form/Information (PDF)
- Regents Mandatory Retirement Agreement (PDF)
- Regents VTSA Agreement (Word)
- Retirement Data (KBOR) (PDF)
- Retirement Data (KPERS) (PDF)
- Retirement Verification (Word)
- Tuition Assistance Application (PDF)
Other Information

KU Jayhawk

The University of Kansas
Dept. Human Resources & Equal Opportunity
1246 W. Campus Road, Room 103
Lawrence, KS 66045-7521

Copyright © 2009 by the University of Kansas