Fillable Standard Form 2809 Health Benefits Election Form printable
Standard Form 2809. Report of withholdings and contributions for health benefits by enrollment code • switch designated eligible family member;
Fillable Standard Form 2809 Health Benefits Election Form printable
•children and former spouses who are eligible for temporary continuation of coverage. Or suspend your fehb enrollment (annuitants or former spouses only). Report of withholdings and contributions for health benefits by enrollment code Web fehb sf 2809 health benefits application form. Or • elect not to enroll in the fehb program (employees only);or • change your fehb enrollment; Health benefits registration form (only for use by annuitants and former spouses of annuitants) opm 2810: Previous edition is not usable. Web data standards request form: • enroll or reenroll in the fehb program; Or change your fehb enrollment from self only to self and family and/or from your present plan or option to another plan or option because of an event described in the table beginning on page 6;
Web who may use opm form 2809. Or suspend your fehb enrollment (annuitants or former spouses only). Web data standards request form: • switch designated eligible family member; Notice of change in health. Web fehb sf 2809 health benefits application form. Or enroll or reenroll in the fehb program; Or elect not to enroll in the fehb program (employees only);or change your fehb enrollment; Enroll in the fehb program; Previous edition is not usable. Instructions for completing opm 2809.
