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Regulations

​​​​​​​​Administrative Regulations

You may visit the LRC website to review the administrative regulations that govern the systems operated by KPPA. 

KAR Title 105 - Kentucky P​ublic Pensions Authority

​The following new and amended administrative regulations have been filed with LRC and are under review. Clicking on the link will take you to a page with highlighted changes to existing regulations, information about the public comment period and process, and a "Regulatory Impact Analysis and Tiering Statement" that includes a summary of the new or amended administrative regulation.

Amended regulations filed November 7, 2025

A public hearing on these administrative regulations shall, if requested, be held on Monday, January 26, 2026 at 10:00 a.m. Eastern Time at the Kentucky Public Pensions Authority (KPPA), 1270 Louisville Road, Frankfort, Kentucky 40601. Individuals interested in presenting a public comment at this hearing shall notify KPPA in writing no later than five (5) workdays prior to the hearing of their intent to attend. If no notification of intent to attend the hearing is received by that date, the hearing may be canceled. This hearing is open to the public. Any person who wishes to be heard will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made.

If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through January 31, 2026 and shall receive the same consideration as verbal comments.

  • 105 KAR 1:020 Reciprocal Programs
    The amendment corrects and adds statutory references, adds a definition for “death benefit” or “survivor benefit”, adds benefit calculations for Tier 2 employees, clarifies calculations for participation under KRS 6.577 and 21.427, removes a form that has been incorporated by reference into its own regulation, reorganizes related substantive provisions, and clarifies terms and aligns language with KRS Chapter 13A drafting requirements.

  • 105 KAR 1:150 Installment Purchase Procedures​​
    The amendment to this administrative regulation adds definitions for “amortization schedule”, “omitted service”, “recontribution of a refund”, “remit”, and “termination date”, removes two “forms” that are actually agreements specific to the member who requests an installment plan to pay for service credit, replaces two additional forms incorporated by reference with citations to other regulations in which they are incorporated by reference, and reorganizes and updates language for easier use and clarity and to comply with KRS Chapter 13A drafting requirements.

  • 105 KAR 1:300 Determination of Service Credit for Classified Employees
    The amendment is primarily technical in nature.  The amendment clarifies the title of the regulation and formulas for determining service for actual and contract days worked after July 1, 2000, corrects statutory references, and aligns language to comply with KRS Chapter 13A drafting requirements. 

  • 105 KAR 1:340 Rollovers and Transfers for Contributio​ns in Other Plans
    The amendment to this administrative regulation is primarily technical in nature. It updates statutory citations, replaces a form previously incorporated by reference with a citation to the regulation that incorporates the form by reference, and aligns language with the drafting requirements of KRS Chapter 13A.

  • 105 KAR 1:350 Collection of account under $1000 by next of kin
    The amendment to this administrative regulation is primarily technical in nature. It removes the previous numerical limit of $7500 in favor of citing the statute that establishes the exemption amount, updates statutory citations, updates the affidavit incorporated by reference, and aligns language with the drafting requirements of KRS Chapter 13A.

  • 105 KAR 1:445 Trustee Elections
    The amendments to this regulation provide a date certain by which eligible participants must provide their materials to the agency so that they may be included on a ballot, additional time for the agency and election services vendor to notify participants of how to become a trustee candidate and create the ballot while remaining within the statutory voting deadlines, remove the restriction of only providing details about voting by telephone on the ballot, remove provisions regarding returned ballots that no longer comply with agency protocol for changing mail and email addresses, add a section regarding filling trustee vacancies before the expiration of the term, and align language with KRS Chapter 13A drafting requirements. 

​​​The following regulations have recently gone through the regulation promulgation or amendment process and are now final.

Forms​​

All forms and other documents must be posted on our website if they are incorporated by reference in a KPPA administrative regulation. Some of the forms are examples only; please contact KPPA at (502) 696-8800 or (toll free) 1-800-928-4646 to request a copy of any example forms listed below.​​​​

Forms
Download
Contractor Wizard
Employee or Independent Contractor
Form 1-445 - Application for Trustee
Form 1500 - KRS 61.522 60-Day Transfer Request
Form 2011 - Hazardous Duty Certification H.P.-2
Form 2012 - Election or Rejection of Participation For Mayors & Members of City Legislative Bodies
Form 2013 - Hybrid Cash Balance Plan Opt-In Election
Form 2020 - Advice of Personnel Action
Form 2022 - Separation of Accounts
Form 2023 - Leave Without Pay Verification
Form 2035 - Beneficiary Designation
Form 2040 - Change of Contact Information
Form 2110 - Retirement System Determination - County Attorney Employees
Form 2940 - Agency Portal Exemption
Form 4150 - Certification of Employment - Hazardous Position
Form 4527 - Certification by a “Qualified Public Safety Employee” and Request for an Exception to the 10% Early Distribution Penalty in IRC Section 72(t)
Form 6000 - Notification of Retirement
Form 6008 - Beneficiary Election to Continue Disability Application Process on Behalf of Deceased Member
Form 6010 - Estimated Retirement Allowance
Form 6011 - Retirement Monthly Payment Options
Form 6017 - Withholding Certificate for Periodic Pension or Annuity Payments
Form 6025 - Direct Rollover/Direct Payment Election Form for a Member, Beneficiary, or Alternate Payee Regarding an Eligible Rollover Distribution
Form 6028 - Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions
Form 6030 - Death Benefit Designation
Form 6035 - Beneficiary and Payment Option Change
Form 6036 - Beneficiary Designation Change
Form 6050 - Estimated Retirement Allowance
Form 6110 - Affidavit of Authorization to Receive Funds on Behalf of Minor
Form 6130 - Authorization for Deposit of Retirement Payment
Form 6131 - Bank Draft Authorization for Direct Pay Accounts
Form 6135 - Request for Payment By Check
Form 6200 - PY 2025 Medicare-Eligible Enrollment Form
Form 6240 - Application for Out of State Reimbursement for Medical Insurance
Form 6241 - Employer Certification of Health Insurance for Health Insurance Reimbursement Plan
Form 6242 - Insurance Agent/Company Certification of Health Insurance for Health Insurance Reimbursement Plan
Form 6256 - Designation of Spouse and/or Dependent Child for Health Insurance Contributions
Form 6260 - Employer Certification of Health Insurance for Medical Reimbursement
Form 6280 - Application for Dollar Contribution Reimbursement for Medical Insurance
Form 6281 - Employer Certification of Health Insurance for Dollar Contribution Reimbursement Plan
Form 6282 - Insurance Agent/Company Certification of Health Insurance for Dollar Contribution Reimbursement Plan
Form 6433 - Authorization for Release of Information and Request for Information for Qualified Domestic Relations Order
Form 6434 - Pre-Retirement Qualified Domestic Relations Order for Division of Marital Property
Form 6435 - Post-Retirement Qualified Domestic Relations Order for Division of Marital Property
Form 6436 - Qualified Domestic Relations Order for Child Support
Form 6437 - Qualified Domestic Relations Order for Child Support by an Administrative Agency
Form 6438 - Qualified Domestic Relations Order for Payment of Alimony/Maintenance
Form 6448 - Designation of a Dependent Child for Qualifying Total and Permanent Disability
Form 6456 - Designation of Dependent Child
Form 6458 - Designation of Dependent Child for In Line of Duty/Duty-Related
Form 6481 - Employer Request for Post-Determination of Bona Fide Promotion or Career Advancement
Form 6487 - Request for Member Pension Spiking Exemption Amounts
Form 6751 - Employer Certification Regarding Reemployment
Form 6752 - Employer Certification of Independent Contractor / Leased Employee
Form 6753 - Employer Certification of Volunteer
Form 6754 - Member Reemployment Certification
Form 6756 - Annual Employer Certification of Non-Contributing Service Providers
Form 6760 - County Police or Sheriff Appointment of Retired Police Officer
Form 6764 - Recertification of Retired Police Officer
Form 6766 - Appointment of Retired School Resource Officer
Form 6767 - Appointment of Kentucky State Police School Resource Officer
Form 6768 - Postsecondary Institution Appointment of Retired Police Officer
Form 6769 - Certification of Employed Police Officers Calendar Year 2015
Form 6770 - City Appointment of Retired Police Officer
Form 6774 - City Recertification of Retired Police Officer
Form 6800 - Application for Duty Related/In Line of Duty Death Benefits
Form 6810 - Certification of Beneficiary
Form 6825 - Refund of Deceased Member's Account
Form 6826 - Affidavit for Collection of Account Under $1000 by Next of Kin
Form 7011 - Hazardous Participation Certification (CERS) Form H.P.-1
Form 7013 - Hazardous Participation Certification (KERS) - Form H.P.-1
Form 7025 - Position Questionnaire
Form 7071 - Employer Self Service Employer Administrator Account Creation Request
Form 7072 - Reporting/Balancing Employer Acknowledgment Form
Form 7075 - Employer Contact Information
Form 7250 - Verification of Payments Outside Regular Wages
Form 7280 - Employer Certification for Installment Purchase of Service
Form 7725 - Request For Estimated Actuarial Cost of Voluntary Cessation
Form 7727 - Actuarial Study for Quasi-Governmental Employer Cessation
Form 7728 - Payment Election for Quasi-Governmental Employer Cessation
Form 7730 - Application for Voluntary Cessation From CERS or KERS
Form 7851 - Data Use and Reporting Agreement
Form 8001 - Certification of Application for Disability Retirement and Supporting Medical Information
Form 8002 - Certification of Application for Disability Retirement and Supporting Medical Information
Form 8025 - Authorization for Independent Medical or Psychological Examination and Release of Medical Information
Form 8030 - Employer Job Description
Form 8035 - Employee Job Description
Form 8040 - Prescription and Nonprescription Medications
Form 8101 - Employment and Medical Staff Review Certification
Form 8102 - Employment and Medical Staff Review Certification Reinstatement
Form 8130 - Disability Retiree Employment Reporting
Form 8191 - Authorization for Independent Medical or Psychological Examination and Release of Medical Information
Form 8480 - Certification of Statement of Disability - Act In the Line of Duty
Form 8525 - Informed Consent and Authorization: Disability Retirement Applications and Reviews, All Plans
Form 8846 - Travel Voucher for Independent Examination
Special Tax Notice - Application for Direct Rollover or Direct Payment

​​​Legal References

Statutes

You can review or download our statutes from the Legislative Research Commission (LRC) website:

IRS Approval Letters

CERS Approval Letter

KERS Approval Letter

SPRS Approval Letter

Insurance Approval Letter​


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