Kentucky Application For Approval of Split Coverage

State:
Kentucky
Control #:
KY-SKU-1204
Format:
PDF
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Description

Application For Approval Of Split Coverage

Kentucky Application for Approval of Split Coverage is a form used by employers in the state of Kentucky to provide split coverage to their employees. Split coverage is a plan that allows employers to offer two types of insurance coverage to their employees: a primary plan and a supplemental plan. The primary plan is the first plan that the employee will use to cover medical expenses; the supplemental plan is the second plan that the employee will use to cover additional medical expenses. This form is used to request approval from the Kentucky Department of Insurance to offer split coverage to employees. There are two types of Kentucky Application for Approval of Split Coverage: one for single employer plans and one for multiple employer plans.

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Kentucky Application For Approval of Split Coverage