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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.

Notice of KAR Title 105 Recodification​

In an effort to organize and make its many regulations easier to navigate, the KPPA is recodifying its regulations from one general chapter into five subject matter-related chapters. The regulation content and numbers themselves will not change, but in most cases the chapter number will. (Example: 105 KAR 1:200 will become 105 KAR 5:200, because the regulation is moving into 105 KAR Chapter 5, Retirement). We anticipate the recodification to become effective on or around August 5, 2026.

The new chapters and corresponding regulation numbers will be:

Chapter 1 – General Rules

001 Definitions for KAR Title 105
020 Reciprocal programs
150 installment purchase procedures
170 Membership form requirements
215 Administrative hearing
300 Determination of service credit for local school board classified employees
320 Proration of service credit
330 Purchase of service credit
365 Hybrid cash plan balance
440 Trustee Education programs
445 Trustee Elections
470 Agency communications

Chapter 2 – Accounts, Financials, and Federal Taxation

190 Qualified Domestic Relations Orders
270 Federal tax withholding or direct rollover of eligible distributions
340 Rollovers and transfers of contributions in other plans
345 Rollovers and transfers of contributions to other plans
380 Minimum distribution
400 Federal taxation limitation year
420 401(h) account established under 26 USC 401(h)
430 General compliance with federal tax laws

Chapter 3 – Disability and Survivorship

180 Death before retirement procedures
210 Disability procedures
220 Periodic disability reviews
240 Death after retirement procedures
310 Fred Capps Memorial Act
350 Collection of account without formal administration of estate
455 In line of duty hazardous retirement disability benefits
457 In line of duty survivor benefits

Chapter 4 – Employers

120 Participation of CERS employers
130 Hazardous position coverage
140 Employer’s administrative duties
145 Voluntary cessation of participation by employers
147 Involuntary cessation of participating employers
148 Merged, split, new, separate, or separated employers or entities
149 Quasi-govt employer cessation window
160 Sick leave plans
250 Participation of county attorney employees
451 Quasi-govt employer reports on independent contractors and leased employees

Chapter 5 – Retirement

142 Limitations/exclusions on compensation in the last 5 yrs of service
200 Retirement procedures
202 Notification of retirement
390 Employment after retirement
411 Hospital and medical insurance for retired members and KRS Insurance Fund Trust
​415 Reimbursement of hospital and medical insurance premiums for Medicare eligible retired members reemployed with a participating employer​

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 April 7, 2026​​

​KPPA received no notifications of intent to attend a June 22 public hearing on 105 KAR 1:001 or 1:440. Accordingly, the public hearing was cancelled. Written comments shall be accepted through June 30, 2026, and shall receive the same consideration as verbal comments.​

  • ​​105 KAR 1:001 – Definitions for KAR Title 105
    The amendment will change the existing regulation by updating its title in anticipation of recodifying KAR Title 105 into separate c​hapters with related subjects; adding definitions for “inactive employer”, “merged employer”, and “non-participating employer”; and updating language to meet the drafting requirements of KRS Chapter 13A.

  • ​​105 KAR 1:440 – Trustee Education Programs
    The amendment to this administrative regulation updates the regulation title and the KRS trustee education program, and newly establishes and incorporates by reference the CERS trustee education program.​

Amended regulations that became effective on August 5, 2026:

Amended regulation that became effective on July 8, 2026:

​Amended regulations that became effective on June 2, 2026:

​Forms​​

All forms and other documents must be posted on our website if they are incorporated by reference in a KPPA administrative regulation. NOTE: Some of the forms below 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 here​, or visit the Publications & ​Forms section​ of the site to find the form you need.

Forms
Download
CERS Trustee Education Program 2025 Proposed
Contractor Wizard
Employee or Independent Contractor
Form 1-445 - Application for Trustee
Form 1500 - KRS 61.522 60-Day Transfer Request
Form 2001 (Most Recent Version) - Membership Information
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 2014 - Rejection of Nonhazardous Part-Time Participation
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 4115 (Most Recent Version) - Federal Verification
Form 4150 - Certification of Employment - Hazardous Position
Form 4160 (Most Recent Version) - Affidavit
Form 4170 (Most Recent Version) - Direct Transfer/Rollover Authorization
Form 4225 (Most Recent Version) - Verification of Past Employment
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 (Most Recent Version) - Standard 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 - 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
KRS Trustee Education Program 2011 Markup
KRS Trustee Education Program 2025 Proposed
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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