
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.

The "Information for Retirees and Survivor Annuitants, RI 79-2 - OPM" form is a critical document provided by the United States Office of Personnel Management (OPM). This form serves as a confirmation for retirees and survivor annuitants regarding the status of their enrollment in the Federal Employees Health Benefits Program (FEHBP). Primarily, it addresses the cancellation or suspension of health benefits for those under the Civil Service Retirement System (CSRS) and Federal Employees Retirement System (FERS).
The form outlines the necessary procedures and implications for annuitants who wish to alter their health benefits coverage. It includes essential details about eligibility for reenrollment under various circumstances and lists the documentation required to support different scenarios, such as enrolling in a family member's plan or transitioning to Medicare Advantage, TRICARE, or other state-sponsored programs.
Using the "Information for Retirees and Survivor Annuitants, RI 79-2 - OPM" involves several steps to ensure accuracy and compliance. The form is designed for retirees or their survivors who have settled into a more predictable phase of their financial and insurance planning.
Review Personal Information: Start by ensuring that all personal information is accurate and up to date. This includes name, address, and any additional identifying details that might be required by OPM.
Understand Enrollment Options: The form provides instructions on how to cancel or suspend FEHBP enrollment. Understanding these options is crucial for making informed decisions.
Assess Eligibility for Reenrollment: Review the conditions under which reenrollment is allowed, such as changes in eligible insurance plans or coverage under other qualifying health programs.
Gather Required Documentation: Collect necessary documents to prove eligibility for changes in enrollment. This may include evidence of new insurance coverage.
Complete and Submit the Form: Fill out the form as guided, ensuring that all required fields are completed and accurate. Follow submission instructions carefully to ensure timely processing.
Completing the RI 79-2 form is a straightforward process that requires attention to detail to avoid delays or errors. Below are the step-by-step instructions:
Enter Personal Details: Fill in all personal information fields, ensuring that all entries match official records.
Determine Changes Desired: Specify whether you wish to cancel or suspend enrollment and under what circumstances, using the appropriate sections of the form.
Attach Supporting Documents: Include any required documentation that supports the changes you are requesting, such as proof of new insurance.
Review for Accuracy: Double-check all information for accuracy and completeness. Errors could result in processing delays.
Submit Form: Follow submission instructions — whether online, by mail, or in-person — to OPM for processing.
The RI 79-2 form requires specific documentation to validate requests for changes in health benefits enrollment. Commonly required documents include:
To fully understand the form and its implications, familiarity with key terms is beneficial:
The RI 79-2 serves a legally significant role in documenting changes to health benefits for federal retirees and annuitants. It must be used lawfully, adhering to all guidelines provided by the OPM. Misuse or inaccuracies can lead to administrative penalties or loss of benefits.
Retirees and survivor annuitants have several options to submit the RI 79-2 form:
This form is specifically tailored for:
This user guide is designed to ensure retirees and survivor annuitants understand their rights and responsibilities regarding health benefits, supporting smooth transitions amidst changes in coverage and personal circumstances.


We've got more versions of the Information for Retirees and Survivor Annuitants, RI 79-2 - OPM form. Select the right Information for Retirees and Survivor Annuitants, RI 79-2 - OPM version from the list and start editing it straight away!
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
You can call us about your health benefits enrollment. Our toll-free telephone number is. 1-888-767-6738. This is an automated system that.Read more
Aug 28, 2017 RI 79-2, Information for Retirees and Survivor Annuitants About FEHB OPM Frequently Asked Questions - Health