OPM Form SF2809 Download Fillable PDF, Health Benefits Registration
Standard Form 2809. Web uses for standard form (sf) 2809 use this form to: • enroll or reenroll in the fehb program;
OPM Form SF2809 Download Fillable PDF, Health Benefits Registration
Or elect not to enroll in the fehb program (employees only); • enroll or reenroll in the fehb program; Health benefits registration form (only for use by annuitants and former spouses of annuitants) opm 2810: Web who may use opm form 2809. Or change your fehb enrollment from self only to self and family and/or from your present plan or option to another plan or option because of an event described in the table beginning on page 6; Web health benefits election form form approved: Web data standards request form: Notice of change in health benefits enrollment: Report of withholdings and contributions for health benefits by enrollment code Or elect not to enroll in the fehb program (employees only);or change your fehb enrollment;
Or suspend your fehb enrollment (annuitants or former spouses only). Notice of change in health benefits enrollment: Or suspend your fehb enrollment (annuitants or former spouses only). • switch designated eligible family member; Or elect not to enroll in the fehb program (employees only);or change your fehb enrollment; Web uses for standard form (sf) 2809 use this form to: Previous edition is not usable. Or • cancel your fehb enrollment; Notice of change in health. For agency distribution of copies, see page 5. Or elect not to enroll in the fehb program (employees only);
