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Retiree Health Coverage Deferral
Retiree Health Coverage Deferral
Click to view (pdf or doc)
Fill out and submit this form to defer retiree health coverage one time and have the option to return to university coverage in the future.
Revision date:
02/14/2024
Submit paper form to Benefits Office, 112 Scovell Hall
Email form back to
benefits@uky.edu