Sf 2809 form opm-2025

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The Health Benefits Election Form (SF 2809) is used by federal employees and annuitants to manage their enrollment in the Federal Employees Health Benefits (FEHB) Program. It allows users to switch family members, enroll or reenroll, change, cancel, or suspend their FEHB coverage. The document outlines eligibility criteria for various groups, including employees, annuitants, former spouses, and individuals eligible for Temporary Continuation of Coverage (TCC). It provides detailed instructions on completing the form and includes sections for personal information, current and desired health plans, reasons for changes, and necessary signatures.

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2019	4.8 Satisfied (82 Votes)
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What is form SF 2821?

Agency Certification of Insurance Status - Federal Employees' Group Life Insurance Program | GSA. Official websites use .gov.

What is SF 2818?

Federal Employees' Group Life Insurance (FEGLI) Program. Instructions for Completing this SF 2818. Complete this form when you retire or when you are receiving compensation payments from the Office of Workers' Compensation Programs (Department of Labor) and your FEGLI coverage as an employee ends.

What is the enrollment code for your new Federal Employee Health Benefits Plan?

Enrollment code of the Federal Employees Health Benefit (FEHB) in which the employee is currently enrolled....Table 3: Health Plan Category/Option and Explanation. Category/OptionExplanationxx4Self only, low option.xx5Self and family, low option.xx6Standard Self Plus One.3 more rows

opm sf 2809

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What is the SF 75 used for?

Use the SF 75 to obtain pre-employment information when the applicant's Official Personnel Folder (OPF) or Merged Records Personnel Folder (MRPF) is not available for review.

What is a SF 2809?

Uses for Standard Form (SF) 2809 Use this form to: \u2022 Switch designated eligible family member; or. Enroll or reenroll in the FEHB Program; or. Elect not to enroll in the FEHB Program (employees only); or. Change your FEHB enrollment; or.

How do I contact OPM?

Our number is 888-767-6738 but you may also contact us via email at retire@opm.gov.

What is the purpose of SF 2821?

The SF 2821 should be completed to reflect the retiring employee's insurance status at the time of separation for retirement and attached to the Application for Retirement.

Where do I send my SF 2809?

This will avoid processing delays. Send the last two pages of the SF-2809 to us by emailing APHIS.Open.Season@usda.gov OR fax it to us at (612) 336-3545.

Sf 2809 form opm-2025

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Got questions?

Can I use DocHub to create legal electronic signatures on my [KEY]?

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What is form SF 2821?

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What is the enrollment code for your new Federal Employee Health Benefits Plan?

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Where do I send my SF 2809?

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