Employee eServices - Benefits Forms

• Health - United Healthcare of the Midwest
  • Enrollment/Change Form
  • Choice (Base) Plan Benefits Summary
  • Choice Plus (Buy-Up) Plan Benefits Summary
  • Prescription Benefits Summary
• Dental - Delta Dental of Kansas
  • Enrollment/Change Form
  • Base Plan Benefits Summary
  • Buy-Up Plan Benefits Summary
• Vision - Spectera/United Healthcare of the Midwest
  • Enrollment/Change Form
  • Plan Benefits Summary
• LIfe - The Standard
  • Enrollment/Change Form
  • Evidence of Insurability
• Long-Term Care - Unum Provident
  • Enrollment/Change Form
• Long-Term Disability - Lincoln Financial Group
  • Enrollment/Change Form
  • Disability Claim Form
• Section 125 - MHM Resources
  • Claim Form
  • Direct Deposit Authorization
  • Benefit Information
• Kansas Public Employees Retirement System (KPERS)
  • Enrollment Form
  • Beneficiary Designation Form
  • Service Purchase Form
• Supplemental Pension Plan
  • Plan Document
  • Summary Plan Description
  • Beneficiary Designation
• Police Pension Plan
  • Plan Document
  • Summary Plan Description
  • Deduction Authorization
  • Beneficiary Designation
• Deferred Compensaton - 457 Plan
• YMCA
  • Enrollment Form

Questions?

Questions about any of the items listed on the Employee eServices section of this website should be directed to the Human Resources Department, at 913-381-6464 or e-mail jobs@pvkansas.com.