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 your claim number at the top of the form. This information is essential for processing your request.
Carefully read through the instructions provided on the form. Check only ONE block that applies to your situation: cancellation due to family coverage, other reasons, or suspension for Medicare or TRICARE.
If you are cancelling due to family coverage, provide your spouse's name and claim number, along with any required documentation.
For suspensions related to Medicare Advantage or other programs, ensure you attach necessary evidence of eligibility as specified in each section.
Sign and date the form at the bottom. Make sure all information is accurate before submitting.

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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.

Where to send OPM forms?

Submit the designation form to: Office of Personnel Management, Retirement Operations Center, P.O. Box 45, Boyers, PA 16017-0045.

What is the mailing address for the Office of Personal Management?

1900 E Street NW., Washington, DC 204150001 Phone, 2026061800. Internet, .opm.gov.

Where does OPM process retirement paperwork?

The U.S. Office of Personnel Management (OPM) processes federal retirement applications entirely on paper. These records are stored and handled in an underground limestone mine in Boyers, Pennsylvania.

How to fill out form ri79 9?

Obtain the OPM RI 79-9 form from the official OPM website or your HR department. Fill out the personal information section with your name, contact information, and social security number. Complete the employment history section, providing details of previous jobs, including dates and job titles.

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.

where to mail opm form ri 79 9

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What form do I need to suspend FEHB coverage?

Yes, you may suspend your FEHB coverage in favor of a Medicare Advantage Plan. To do that, youll have to complete a Health Benefit Cancellation/Suspension Confirmation form, available at send it to OPM.

What is the address for OPM federal retirement?

U.S. Office of Personnel Management Federal Employees Retirement System P.O. Box 45 Boyers, PA 16017-0045. We provide retirement information on the Internet. You will find retirement brochures, forms, and other information at: .