2809 form

2809 form

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Uses for Standard Form (SF) 2809. Use this form to: Enroll in the FEHB Program; or. Elect not to enroll in the FEHB Program (employees only); or. Change your

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VA Form SF-2809. Search VA Forms · Health Benefits Election Form Issue Date: 02/27/2012. Revision Date: 08/2011. Total Pages: 15. If you are unable to find Health Benefits Election Form. Form Approved: OMB No. 3206-0160. Uses for Standard Form (SF) 2809. Use this form to: • Enroll or reenroll in the FEHB OPM has updated the Health Benefits Election Form, Standard Form (SF) Since the use of hard copy SF 2809 forms is rare, this change should not have a.SF-2809. Health Benefits Election Form. Federal Employees Health Benefits Program. To obtain this form go to http://www.opm.gov/Forms/pdf_fill/sf2809.pdf.

SF 2809, Health Benefits Election Form. See Appendix II, Instructions on Completing the SF 2809 for detail instructions on completing the SF 2809 form. Close U.S. Government Departments, Agencies, and Offices can place an order for this form at www.gsaglobalsupply.gsa.gov or www.gsaadvantage.gov with either a complete this form after November 15, 2005, also indicate whether you This form supersedes all previous editions of SF 2809 and SF 2809-1. 1. Standard Health Benefits Election Form Form Approved: OMB No. 3206-0160 Uses for Standard Form (SF) 2809 Use this form to: · · · · · Enroll or reenroll in the FEHB Health Benefits Election Form. Form Approved: OMB No. 3206-0141. Who May Use OPM Form 2809. • Annuitants retired under the Civil Service Retirement

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