Form ri 79 9 2025

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The document is a confirmation form from the United States Office of Personnel Management regarding the cancellation or suspension of enrollment in the Federal Employees Health Benefits Program (FEHBP) for CSRS and FERS annuitants. It outlines the procedures and implications for annuitants wishing to cancel or suspend their health benefits, including eligibility for reenrollment and necessary documentation required for different scenarios such as coverage under a family member's plan, Medicare Advantage, TRICARE, Medicaid, or other state-sponsored programs.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the date and claim number at the top of the form. This information is essential for processing your request.
Select only one block that applies to your situation: A, B, C, D, or E. Each block corresponds to different reasons for cancellation or suspension of your FEHBP enrollment.
If you choose Block A, provide your spouse's name and claim number, along with a copy of their SF 2809 form if applicable.
For Blocks C, D, and E, ensure you attach the necessary documentation proving eligibility for Medicare Advantage, TRICARE, or Medicaid as required.
Sign and date the form at the bottom. This confirms that you understand the implications of your request regarding future enrollment eligibility.
Finally, submit the completed form through our platform for processing.

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Versions	Form popularity	Fillable & printable
2014	4.9 Satisfied (326 Votes)
2010	4.2 Satisfied (55 Votes)
2002	4.2 Satisfied (49 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 5 year rule for federal government?

You must work at least 5 years with the Federal Government before you are eligible for a FERS Federal Pension, and for every year you work, you will be eligible for at least 1% of your High-3 Average Salary History.

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

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.)

Where do I mail an OPM form RI 79 9?

U.S. Office of Personnel Management Retirement Operations Center P.O. Box 45 Boyers, PA 16017-0045.

What form do I need to suspend FEHB coverage?

What do I need in order to suspend my FEHB enrollment because I am enrolled in a Medicare Advantage health plan? click to expand contents. You must request and complete a Health Benefits Cancellation / Suspension form, RI 79-9. You must provide documentation of your enrollment in a Medicare Advantage health plan.

What is the 5 year rule for federal health insurance?

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 mail opm form ri 79 9

Form ri 79 9 instructions Where to mail OPM form RI 79-9 where do i send opm form ri 79-9 online how to fill out opm form ri 79-9 for retirees Where do i send opm form RI 79-9 online free How to fill out OPM form RI 79-9 for Retirees online Form ri 79 9 pdf health benefits cancellation/suspension confirmation form, ri 79-9

Key Facts About the Health Benefits Cancellation/Suspension Confirmation Form

Eligibility for Reenrollment

Cancellation Process

Suspension Due to Medicare Advantage

Documentation Requirements

Open Enrollment Periods

Impact of Cancellation on Future Enrollment

Contact Information for Assistance

Eligibility for Reenrollment

If you cancel your FEHBP enrollment to be covered under a family member's plan, you remain eligible to resume your own enrollment if that coverage ends.

Cancellation Process

Enrollment will be canceled effective at the end of the month in which the signed form is received, and any premiums paid after this date will be refunded.

Suspension Due to Medicare Advantage

You can suspend your FEHBP enrollment if you are enrolled in a Medicare Advantage health plan, but not if you only have Medicare Parts A and B.

Documentation Requirements

To suspend your FEHBP coverage for various reasons (e.g., TRICARE, Medicaid), you must provide appropriate documentation showing eligibility.

Open Enrollment Periods

You may voluntarily reenroll in the FEHBP during an annual open season or if you involuntarily lose coverage under another program.

Impact of Cancellation on Future Enrollment

If you cancel your FEHBP enrollment for reasons other than being covered by a family member, you will not be eligible to reenroll in the future.

Contact Information for Assistance

For questions regarding the form or process, individuals can contact OPM at 1-888-767-6738 or Medicare at 1-800-633-4227.

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What is the FEHB 5 year rule?

FEHB law requires a retiring employee to be covered under FEHB for the 5 years of service immediately before retirement or, if less than 5 years, for all service since the employees first opportunity to enroll in FEHB.

Can I retire after 5 years of federal service if I?

Under FERS, an employee who meets one of the following age and service requirements is entitled to an immediate retirement benefit: age 62 with five years of service, 60 with 20, minimum retirement age (MRA) with 30 or MRA with 10 (but with reduced benefits).

Form ri 79 9 2025

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How to use or fill out form ri 79 9 with our platform

See more form ri 79 9 versions

Complete this form in 5 minutes or less

Got questions?

What is the 5 year rule for federal government?

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

Where do I mail an OPM form RI 79 9?

What form do I need to suspend FEHB coverage?

What is the 5 year rule for federal health insurance?

Key Facts About the Health Benefits Cancellation/Suspension Confirmation Form

Eligibility for Reenrollment

Cancellation Process

Suspension Due to Medicare Advantage

Documentation Requirements

Open Enrollment Periods

Impact of Cancellation on Future Enrollment

Contact Information for Assistance

Eligibility for Reenrollment

Cancellation Process

Suspension Due to Medicare Advantage

Documentation Requirements

Open Enrollment Periods

Impact of Cancellation on Future Enrollment

Contact Information for Assistance

Complete this form in 5 minutes or less

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What is the FEHB 5 year rule?

Can I retire after 5 years of federal service if I?

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