How to Enroll

Review all of your enrollment materials to become familiar with your options.

Attend an Open Enrollment Meeting. We strongly encourage you to attend an open enrollment meeting to hear detailed explanations of your benefit options and to ask questions. Click here for a complete listing of meetings near you.

Enroll online using any computer with Internet access - at work, home, a Job Service Center, or at most public libraries. Before October 1st, please go to the Employee Self Service Center to make sure you set up your password.

Go to the Employee Self Service Center web site, click here.
Select the Self Service button under "Featured Sites"
Select Sign In
From there, follow the enrollment instructions on the screen
Make your tobacco use selection and enroll in any applicable Flexible Spending Account (FSA) online and/or HealthyKIDS if you qualify
When you are finished, be sure to submit and save the online open enrollment form.
Print a copy for your records as proof of your enrollment

Attend an Open Enrollment Meeting. Contact your benefit contact person for the dates and times of meetings near you.

Complete your paper enrollment form. This was in your comparison chart included with your booklet or click here to download and print this form. Then, submit it to your benefit contact person.

Declare your tobacco status on the form.

Information:

Review all of your enrollment materials including your Open Enrollment booklet to become familiar with your options. You can also go online to www.khpa.ks.gov.

Read Medicare and You, a booklet from the Social Security Administration, if you or a covered dependent is eligible for Medicare.
Attend an Open Enrollment Meeting. If you are enrolling during the annual open enrollment period, we encourage you to attend an Open Enrollment Meeting to hear explanations of yourbenefit options and to ask questions. Click here to see dates and times of meetings near you.
Learn about your health plan options. Make sure your health care providers, medical facilities and pharmacy are included in your health plan’s network of preferred providers.
Submit your completed Enrollment Change Form. Complete the form included in your Open Enrollment packet and submit it to the Direct Bill Membership Office no later than December 15, 2009. You may fax it to 1-785-368-7180 or mail it to the address provided on the form.

Click on the buttons below for specific Retiree/Direct Bill Enrollment information.

QUESTIONS?

Non State Members, contact your benefit contact person
State employees, contact your agency human resource office
Send an e-mail to us, click here

Thinking about changing health plans? Important - Be sure your health care provider (Physician) participates in the health plan you have selected for Plan Year 2010.

Provide documentation if you're adding dependents. You are required to submit documentation, such as a birth certificate or marriage license, for any new dependents you add to the plan. Other information you'll need to provide for each dependent includes his or her full name, Social Security number, gender and birth date. Required documentation should be sent to your human resource office or benefit contact person no later than Monday, November 2nd, 2009. If documentation is not received, the dependent(s) will not be enrolled for benefits beginning January 1, 2010.