Instead, use form OPM 2809, which is available at www.opm.gov/forms/OPM-forms, or call the Retirement Information Office toll-free at 1-888-767-6738. Former spouses eligible to enroll in or …
At Part D of the SF 2809, Health Benefits Election Form, you must designate your two-character event code (for example, 1A) and the date of the event using numbers to show month, day, and complete …
Who May Use OPM Form 2809 Annuitants retired under the Civil Service Retirement System (CSRS) or Federal Employees' Retirement System (FERS), electing or changing either their FEHB or Postal …
Forms and Brochures - U.S. Office of Personnel Management
Employing offices obtain Standard Forms 2809 and 2810 directly from GSA supply centers, just as they do other OPM Standard Forms. Agencies do not need to maintain an internal procurement and …
Eligibility & Enrollment
Health Benefits Election Form (SF 2809) (PDF file) If an employee dies, he/she will not have an FEHB Self Plus One or Self and Family enrollment for his/her survivors to continue, even if he/she is …
If a retiring employee submits an FEHB Open Season SF 2809 prior to the beginning of the Open Season enrollment period (e.g., October retirement), then the agency will need to delay submission …
OPM Forms - U.S. Office of Personnel Management
Welcome to opm.gov Browse and download your choice of form (s) issued by the Office of Personnel Management
Tribal employers can obtain the SF 2809 for employees at www.opm.gov/forms/pdf_fill/sf2809.pdf. If a tribal employer does not have access to the internet, they can request that a copy be mailed to them …
This guidance explains how to complete the Health Benefits Election Form (SF 2809) as a tribal employee. The SF 2809 was written for all Federal employees and not all parts of the SF 2809 apply …
Feb 28, 2022 · When a Dependent Enrollment terminates via an Informational Only SF 2809 transaction, coverage for that specific Dependent member might or might not be extended for an additional 31 days.