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Benefits
Employee Benefits Specialist
Adrienne Kinnin
adrienne.kinnin@henderson.kyschools.us
Henderson County Benefits Information
Health Insurance
Humana 1-877-597-7474 (Open Enrollment--Fall of Each Year)
http://apps.humana.com/egroups/commonwealthky/home.asp
Dental Insurance
Health Resources, Inc. (Open
Enrollment - 1st week of November)
https://www.hri-dho.com/home.aspx
Kentucky Education
Association (KEA) Assurant Dental
http://www.kea.org/benefits/insuranceservices.html
Vision Discount Plan
Kentucky Education Association
(KEA) Spectera Vision
https://www.spectera.com/index.shtml
Kentucky Teachers Retirement System - Certified
(800) 618-1687 or
(502) 848-8500
http://ktrs.ky.gov
Kentucky Retirement System - Classified
(800) 928-4646 or
(502) 564-4646
http://www.kyret.com
Sick Leave
Certified Sick Leave
Bank Application for Benefits
Classified Sick Leave Bank Application
Request to Donate Sick Leave
Family Medical Leave (FMLA)
Application for Family Leave
PDF
Word
Certification by
Physician or Practitioner
Return to Work/Extension of Medical Leave
Miscellaneous Forms
Change of Name or Address
Humana HRA/FSA
Claim Form
Payroll
Payroll
Direct Deposit
Time Sheet
PDF
Excel
IRS Tax Forms -
http://www.irs.gov/formspubs/lists/0,,id=97817,00.html
Workers Compensation
Authorization Card for
Managed-Care Plan
First Report of Injury or Illness
Injured
Employee Information
Safety Committee Incident Review
PDF
WORD
Worker's
Compensation Physician's Treatment Plan (Form 113)
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