Administrative Regulations
You may visit the LRC website to review the administrative regulations that govern the systems operated by KPPA.
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 January 9, 2026
A public hearing on these administrative regulations shall, if requested, be held on Monday, March 23, 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 March 31, 2026 and shall receive the same consideration as verbal comments.
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105 KAR 1:160 – Sick leave plans
The amendment to this administrative regulation updates statutory references and materials incorporated by reference, aligns language with KRS Chapter 13A drafting requirements, clarifies retirement service credit for unused sick leave for members who started participating prior to January 1, 2014, and establishes the formula for the use of sick leave to calculate months of service for health insurance benefits.
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105 KAR 1:170 – Membership form requirements
The amendment to this administrative regulation clarifies when and how an employee simultaneously employed in hazardous and nonhazardous positions with different employers may make an irrevocable choice not to participate in the nonhazardous system, clarifies how a former employee who is ineligible for retirement may request a refund of their account, clarifies how a member or a fiduciary can update their contact information with the agency, updates and corrects statutory references, updates materials incorporated by reference, and aligns language with KRS Chapter 13A drafting requirements.
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105 KAR 1:261 – Repeal of 105 KAR 1:260
This administrative regulation repeals 105 KAR 1:260 Purchase of out-of-state service credit which is being consolidated with 105 KAR 1:330 Purchase of service credit.
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105 KAR 1:330 - Purchase of service credit
The amendment to this administrative regulation updates statutory authority and references, consolidates 105 KAR 1:260 Purchase of out-of-state service credit, which is being repealed, with this administrative regulation, removes definitions that are contained in statute and in 105 KAR 1:001 Definitions, aligns language with KRS Chapter 13A drafting requirements, and updates materials incorporated by reference.
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105 KAR 1:380 – Minimum distribution
The amendment to this administrative regulation revises definitions, updates references to and the requirements of the Code of Federal Regulations, adds the new rule regarding distributions to a spouse who is ten (10) or more years younger than the member pursuant to the federal SECURE Act of 2022, and updates language to comply with KRS Chapter 13A drafting requirements.
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105 KAR 1:400 – Federal taxation limitation year
The amendment to this administrative regulation is primarily technical in nature and adds definitions for "annual benefit" and "annual addition", updates statutory references, clarifies that plans include those from KRS and CERS, and updates language to conform with KRS Chapter 1A drafting requirements.
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105 KAR 1:430 - General compliance with federal tax laws
The amendment to this administrative regulation is primarily technical in nature. It corrects and updates federal and state statutory references, and amends language to comply with KRS Chapter 13A drafting requirements.
Amended regulations filed November 7, 2025
KPPA received no notifications of intent to attend a January 26 public hearing on these administrative regulations. Accordingly, the public hearing has been cancelled. Written comments on these administrative regulations shall be accepted through January 31, 2026 and shall receive the same consideration as verbal comments.
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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.
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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.
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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.
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105 KAR 1:340 Rollovers and Transfers for Contributions 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.
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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.
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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 2001 (Markup, 2002) - Membership Information |
| Form 2001 (Most Recent Version) - Membership Information |
| Form 2010 (Markup, 2006) - Election or Rejection of Participation |
| Form 2010 (Most Recent Version) - Election or Rejection of Participation |
| 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 (Markup) - Separation of Accounts |
| Form 2022 (Most Recent Version) - Separation of Accounts |
| Form 2023 - Leave Without Pay Verification |
| Form 2035 (Markup, 2003) - Beneficiary Designation |
| Form 2035 (Most Recent Version) - Beneficiary Designation |
| Form 2040 - Change of Contact Information |
| Form 2110 - Retirement System Determination - County Attorney Employees |
| Form 2940 - Agency Portal Exemption |
| Form 4115 (Markup, 2021) - Federal Verification |
| Form 4115 (Most Recent Version) - Federal Verification |
| Form 4150 - Certification of Employment - Hazardous Position |
| Form 4160 (Markup, 2010) - Affidavit |
| Form 4160 (Most Recent Version) - Affidavit |
| Form 4170 (Markup, 2021) - Direct Transfer/Rollover Authorization |
| Form 4170 (Most Recent Version) - Direct Transfer/Rollover Authorization |
| Form 4225 (Markup, 2021) - Verification of Past Employment |
| Form 4225 (Most Recent Version) - Verification of Past Employment |
| Form 4525 (Markup, 2008) - Application for Refund of Member Contributions and Direct Rollover/Direct Payment Selection |
| Form 4525 (Most Recent Version) - Application for Refund of Member Contributions and Direct Rollover/Direct Payment Selection |
| 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 6500 (Markup, 2000) - Standard Plan Sick Leave Authorization |
| Form 6500 (Most Recent Version) - Standard Plan Sick Leave Authorization |
| Form 6501 (Markup, 2000) - Alternate Plan Sick Leave Authorization |
| Form 6501 (Most Recent Version) - Alternate Plan Sick Leave Authorization |
| 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 (Markup, 2009) - Affidavit for Collection of Account Under $1000 by Next of Kin |
| Form 6826 (Most Recent Version) - 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