Opm Health Insurance Form

Office of personnel management open season processing center p o.

Opm health insurance form. Get retirement pamphlets here. Forms retirement insurance forms browse and download your choice of form s used to process retirement and insurance benefits. Or elect not to enroll in the fehb program employees only or change your fehb enrollment. Switch designated eligible family member.

Or enroll or reenroll in the fehb program. 3206 0141 who may use opm form 2809 annuitants retired under the civil service retirement system csrs or federal employees retirement system fers survivor annuitants under csrs or fers former spouses children and former spouses who are eligible for temporary. Box 5000 lawrence ks 66046 0500 additional details on enrolling in an fehb plan for employees. If you are an annuitant please contact the retirement office during open season via one of the following methods.

Healthcare fehb plan comparison tool our tool allows you to identify the fehb plans available to you and creates a comparison list showing the most popular items people consider when shopping for health insurance. Health benefits election form form approved. Automated forms should be generated with black ink on white paper that is 8 5 wide and 11 long. Using open season express by calling 1 800 332 9798.

Health benefits election form. Health benefits election form form approved. Uses for standard form sf 2809 use this form to. The approval form must include the vendor agency name and the opm approval expiration date at the bottom of each page.