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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 6256
for the current year.
Form 6256 Designation of Spouse and / or Dependent Child for Health Insurance - Kentucky
What Is Form 6256?
This is a legal form that was released by the Kentucky Retirement System - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 6256?
A: Form 6256 is the Designation of Spouse and/or Dependent Child for Health Insurance form.
Q: Who needs to fill out Form 6256?
A: This form needs to be filled out by employees of the state of Kentucky who are enrolling in health insurance coverage and want to designate a spouse and/or dependent child as a covered individual.
Q: What is the purpose of Form 6256?
A: The purpose of this form is to designate a spouse and/or dependent child as a covered individual for health insurance coverage.
Q: Is Form 6256 specific to Kentucky?
A: Yes, Form 6256 is specific to the state of Kentucky and is used by employees of the state.
Q: Do I need to submit Form 6256 every year?
A: No, you only need to submit Form 6256 when you are enrolling in health insurance coverage or when there are changes to your spouse and/or dependent child designation.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the Kentucky Retirement System;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 6256 by clicking the link below or browse more documents and templates provided by the Kentucky Retirement System.
Download Form 6256 Designation of Spouse and / or Dependent Child for Health Insurance - Kentucky
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