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Removing FEHB Benefits Click the Other Government Programs tab. Click Remove. The option to remove an FEHB benefit is not available if the Start Date is more than 90 days in the past. Click Remove again to confirm your selection or click Cancel to leave the FEHB benefits unchanged.
Benefit Election Form means the form provided by the Plan Administrator to Employees for the purpose of joining the Pretax Benefit Plan. View Source. Based on 9 documents. 9. Benefit Election Form means the Form attached as Exhibit 3.
Health and Human Services, Department of Veterans Affairs Environment Protection. You can also fill out and submit a SF 2809 Form to your agencys personnel office. Please do not submit the form anywhere else.
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