Payment of Health Care Premiums for State of Kansas Employee Health Care Program for Non-State Groups
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Each Extension Council/District Governing Body employee who participates in the State of Kansas Employee Health Care Program for Non-State Groups is to complete this form by January 10 each year. File in the employee's personnel file.
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Please send your questions, comments, and suggestions about this form to Cheryl Christian, firstname.lastname@example.org. Thank you.