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Omb no 3206 0141 2011 form

Omb no 3206 0141 2011 form-2025

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The Health Benefits Election Form (SF 2809) is used by federal employees, annuitants, and eligible former spouses to enroll in, change, or cancel their participation in the Federal Employees Health Benefits (FEHB) Program. The form includes sections for personal information, current and desired health plans, qualifying life events that permit changes, and options for cancellation or suspension of enrollment. It outlines eligibility criteria, instructions for completion, and the implications of dual coverage. Additionally, it provides guidance on premium conversion tax benefits and the necessary documentation required for various enrollment scenarios.

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2019	4.8 Satisfied (82 Votes)
2015	4.3 Satisfied (340 Votes)
2014	4.4 Satisfied (802 Votes)
2011	4 Satisfied (24 Votes)
2011	4.4 Satisfied (226 Votes)
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What is the health benefits election form?

The SF 2809 was written for all Federal employees and not all parts of the SF 2809 apply to tribal employees. You must complete the SF 2809 in order to: enroll in the FEHB Program during your Initial Enrollment Opportunity. enroll, change, or cancel your FEHB enrollment during the annual Open Season.