All applicable forms from this page - once complete - MUST be sent to Hannah Smith at the Central Office (unless otherwise noted).
Do NOT send these directly to the companies as they will not be able to process them. Please contact Hannah Smith at (270) 831-5000 if you have any questions.
Health (State of Kentucky benefits)
Employees who are adding coverage because of a qualifying event and have previously waived coverage can complete a form.
Health Plan questions: 1-844-402-KEHP
Pharmacy questions: 1-866-601-6934
FSA (Flexible Spending Account) / HRA (Health Reimbursement Account): 1-877-430-5519
Staywell
Living Well Promise - please see the registration guide below for instructions on how to register for your 2021 account.
MetLife Life Insurance
Beginning January 1, 2022, MetLife will be the state life insurance carrier. Please see the attachment for rates.
Note: If you currently have Nationwide this will convert to a MetLife policy.
Dental (sign up through Houchens Benefits)
Health Resources, Inc. (Paramount Dental) - 1-800-727-1444
Provider Dentists - Dentists that are part of the Health Resources (Paramount Dental) network can be found
Vision (sign up through Houchens Benefits)
FMLA
If an employee misses more than 3 days of work s/he must complete Application for Family Leave and return to the
Lisa Cox in the HR Department. A Doctor must complete the Certification by Physician form and should return it to HR within 10 business days following the start of FMLA absence. Upon return to work, submit a return to work release to your supervisor. Your supervisor will complete the Return to Work form and send to the HR department.
Sick Bank
Sick bank open enrollment must be completed by September 15. If you are interested in joining the sick bank please fill out the attached application. Please note there are different applications for classified and certified. If an employee no longer wants to participate in the sick bank, a cancellation must be submitted in writing to
Jinger Carter .
Sick Leave Donation
Employees who have accumulated more than 15 days of sick leave may request to donate sick leave days to another employee authorized to receive the donation. Employees must complete the donation form and send to
Jinger Carter in the Human Resources Department. Sick leave donation is for the current school year only and any unused days will be returned to the employee who donated it.
Change of Name or AddressWhen an employee changes their name or address, they must complete the "Employee Name / Address Change Form" and return it to
Hannah Smith at Central Office to ensure a timely update of personal information.
Workers' CompensationIf an employee is injured while at work or performing work related duties, the internal incident report must be completed within 24 hours of the incident. The form must then be immediately returned to
Hannah Smith.
If medical treatment outside of school premises is sought, complete the following:
Retirement
Kentucky Teachers Retirement System - Certified (800) 618-1687 or (502) 848-8500
http://trs.ky.gov
Kentucky Public Pensions Authority - Classified (800) 928-4646 or (502) 564-4646
https://kyret.ky.gov
Section 125 Supplemental Benefits -
Update March 2019 - Please click the video link below for an announcement regarding our Section 125 Supplemental Benefits.
View video on YouTube
Houchens Benefits
Leslie Dukate
Employee Benefits Account Manager
270-793-0367 ext. 4620
Fax: 270-793-0742
Omni Universal Notice of 403(b) benefit providers: