This is one of the official Workers' Compensation forms for the state of Kentucky.
Kentucky Application for Split Coverage
State:
Kentucky
Control #:
KY-375-WC
Format:
PDF
Instant download
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Public form
Description
How to fill out Kentucky Application For Split Coverage?
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FAQ
The income limit for a medical card in Kentucky varies based on family size and other factors. Generally, the guidelines set specific income thresholds that your household must not exceed to qualify for assistance. When applying through the Kentucky Application for Split Coverage, it’s vital to consult the most recent income limits to ensure you meet the necessary criteria for support. Checking this information regularly can help you remain eligible for necessary health services.