Instructions for CA FEHB Sub Enrollment Change form 2025

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The document is a Kaiser Permanente California Subscriber Enrollment/Change Form for Federal Employees Health Benefits (FEHB) Program enrollees. It provides instructions on how to add or remove dependents, change personal information, and submit the form. It specifies who should use the form, when to use it, what sections to complete, and where to submit it. The document also includes details about required supporting documentation and outlines the arbitration agreement related to disputes.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (86 Votes)
2016	4.8 Satisfied (39 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the truth about federal employee health insurance after retirement?

The SF-50, Notification of Personnel Action Form is a very important document. It is your written documentation of a personnel action that affects your position or pay. Keep it with your records because it could be used to make employment, pay, and qualifications decisions about you in the future.

What is a SF 2810 form?

You need to be enrolled in FEHB for five years before you retire, or for the entire time for which you were eligible to be enrolled, and retire on an immediate annuity to be eligible to continue coverage into retirement.

Where to fax opm form 2809?

SF 2810, Notice of Change in Health Benefits Enrollment.

How to change FEHB enrollment?

There are also a number of other circumstances which can make you eligible to enroll or change your FEHB and PSHB coverage outside of Open Season. Call our Retirement Information Center at 1-888-767-6738 (or 1-800-878-5707 for a TDD for the hearing impaired).

Who is eligible for the federal employee health benefits program?

You will be entitled to the same benefits and annual premiums as Federal employees enrolled in the same plan. (However, if you worked for an agency that contributed a higher percentage towards your premium, you will not receive that higher contribution as a retiree.)