OPM Form SF2809 Download Fillable PDF, Health Benefits Registration
Standard Form 2809. Web who may use opm form 2809. •children and former spouses who are eligible for temporary continuation of coverage.
OPM Form SF2809 Download Fillable PDF, Health Benefits Registration
•children and former spouses who are eligible for temporary continuation of coverage. Or elect not to enroll in the fehb program (employees only); Web health benefits election form. Or • cancel your fehb enrollment; Health benefits registration form (only for use by annuitants and former spouses of annuitants) opm 2810: Web uses for standard form (sf) 2809 use this form to: Pdf versions of forms use adobe reader ™. Employee health benefits registration form: Chapter 89, title 5, u.s. For agency distribution of copies, see page 5.
•annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) •survivor annuitants under csrs or fers. Web health benefits election form. Notice of change in health benefits enrollment: Web health benefits election form form approved: Or • cancel your fehb enrollment; Web uses for standard form (sf) 2809 use this form to: Or elect not to enroll in the fehb program (employees only); By human capital november 1, 2019. •annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) •survivor annuitants under csrs or fers. Health benefits registration form (only for use by annuitants and former spouses of annuitants) opm 2810: Chapter 89, title 5, u.s.
