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This will avoid processing delays. Send the last two pages of the SF-2809 to us by emailing OR fax it to us at (612) 336-3545.
SF 2810, Notice of Change in Health Benefits Enrollment.
Uses for Standard Form (SF) 2809 Use this form to: \u2022 Switch designated eligible family member; or. Enroll or reenroll in the FEHB Program; or. Elect not to enroll in the FEHB Program (employees only); or. Change your FEHB enrollment; or.
Our number is 888-767-6738 but you may also contact us via email at
you the form you need to use to confirm this in writing. If you prefer, you can write to us at: U.S. Office of Personnel Management Retirement Operations Center P.O. Box 45 Boyers, PA 16017-0045.
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People also ask

How to file claim with OPM. If you file a claim with OPM, you must file the claim in writing, and you or your duly authorized representative (in writing) must sign your claim. You may submit relevant information to us at any time before we make a decision on your claim.
If you have left Federal employment, if you are receiving recurring benefits from the Office of Workers' Compensation Programs, or if you have retired, file this form with the Office of Personnel Management, Retirement Operations Center, Federal Employees Retirement System, P.O. Box 45, Boyers, PA 16017-0045.
SF 2810, Notice of Change in Health Benefits Enrollment.
If we receive this signed form and documentation within 31 days before to 31 days after the effective date of your Medicaid or similar state-sponsored enrollment, we will suspend your FEHBP coverage at the close of business the day before your Medicaid or state-sponsored program coverage begins.
Definition: Enrollment code of the Federal Employees Health Benefit (FEHB) in which the employee is currently enrolled. The first two digits of the code indicate the health plan name. The last digit indicates the plan type, either individual or family plan.

opm form 2809