KBA Employee Benefits

PLANS

FORMS

KBA GROUP HEALTH & DENTAL PLANS
(Underwritten by BlueCross BlueShield of Kansas)

CONVERSION INFORMATION REQUEST FORM



KBA GROUP LIFE INSURANCE
Including Employee Voluntary Term Life
(Underwritten by Standard Life Insurance Company)

GROUP INSURANCE ENROLLMENT FORM





KBA GROUP LONG TERM DISABILITY
(Underwritten by Standard Life Insurance Company)

GROUP INSURANCE
REQUEST FOR CHANGE FORM


KBA ACCIDENTAL DEATH & DISMEMBERMENT
(Underwritten by Zurich Insurance Company)

SAMPLE BENEFICIARY DESIGNATIONS



KBA SUPPLEMENTAL INSURANCE PROGRAM
Specializing in cancer/intensive care plans.
(Administered by All American Marketing)
KBA FLEXIBLE BENEFITS PLAN
(Administered by Fiserv Health-Kansas)


for further information contact:

Ed Griffith
egriffith@ksbankers.com
Herb Iams
hiams@ksbankers.com
Becky Iams
biams@ksbankers.com
Mike Norris
mnorris@ksbankers.com

Phone: (785) 232-3444