PPT Federal Employees Health Benefits (FEHB) Program PowerPoint
Standard Form 2809. For agency distribution of copies, see page 5. Or elect not to enroll in the fehb program (employees only);
PPT Federal Employees Health Benefits (FEHB) Program PowerPoint
Pdf versions of forms use adobe reader ™. 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; Previous edition is not usable. Report of withholdings and contributions for health benefits, life insurance, and retirement: • enroll or reenroll in the fehb program; Enroll in the fehb program; Health benefits registration form (only for use by annuitants and former spouses of annuitants) opm 2810: Or • elect not to enroll in the fehb program (employees only);or • change your fehb enrollment; Instructions for completing opm 2809. Web who may use opm form 2809.
Instructions for completing opm 2809. Health benefits registration form (only for use by annuitants and former spouses of annuitants) opm 2810: Web health benefits election form form approved: Web fehb sf 2809 health benefits application form. Or • suspend your fehb enrollment (annuitants or former spouses only). Chapter 89, title 5, u.s. • switch designated eligible family member; Or elect not to enroll in the fehb program (employees only);or change your fehb enrollment; Previous edition is not usable. Report of withholdings and contributions for health benefits, life insurance, and retirement: • enroll or reenroll in the fehb program;
