Keyword Analysis & Research: 2809

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  • SF2809 - Health Benefits Election Form - U.S. Office of …

    opm.gov

    https://www.opm.gov/forms/pdf_fill/sf2809.pdf

    WEBUse this form to: • Switch designated eligible family member; or. Enroll or reenroll in the FEHB Program; or. Elect not to enroll in the FEHB Program only); or (employees Change your FEHB enrollment; or. Cancel your FEHB enrollment; or. Suspend your FEHB enrollment (annuitants or former spouses only).

    DA: 69 PA: 99 MOZ Rank: 10

  • Health Benefits Election Form - U.S. Office of Personnel …

    opm.gov

    https://www.opm.gov/forms/pdf_fill/opm2809.pdf

    WEBOPM Form 2809 Revised December 2013. In some cases, a disabled child age 26 or older is eligible for coverage under your Self and Family enrollment if you provide adequate medical certification of a mental or physical disability that existed before his/her 26th birthday and renders the child incapable of self-support.

    DA: 9 PA: 82 MOZ Rank: 72

  • Form Approved: Employee Health Benefits Election Form

    opm.gov

    https://www.opm.gov/forms/pdfimage/sf2809.pdf

    WEBUses for Standard Form (SF) 2809 Use this form to: Enroll in the FEHB Program; or Elect not to enroll in the FEHB Program (employees only); 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; or

    DA: 39 PA: 19 MOZ Rank: 4

  • SF 2809, Health Benefits Election Form - National Finance Center

    usda.gov

    https://help.nfc.usda.gov/publications/DPRS/86194.htm

    WEBSF 2809, Health Benefits Election Form. This topic has been updated to replace SF 2809 with the latest version. The Medicare Claim Number field has been changed to Medicare Beneficiary Identifier. See Appendix II, Instructions on Completing the SF 2809 for detailed instructions on completing SF 2809.

    DA: 10 PA: 53 MOZ Rank: 68

  • OPM 2809, Health Benefits Election Form - OMB 3206-0141

    omb.report

    https://omb.report/omb/3206-0141

    WEBOMB 3206-0141. OPM Form 2809 is used by annuitants and former spouses to elect, cancel, suspend, or change health benefits enrollment during periods other than open season. Note: The Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.

    DA: 9 PA: 97 MOZ Rank: 82

  • Appendix II, Instructions on Completing the SF 2809

    usda.gov

    https://help.nfc.usda.gov/publications/DPRS/86250.htm

    WEBMay 3, 2021 · Appendix II, Instructions on Completing the SF 2809. Last Updated: 5/3/2021 2:37:53 PM. This topic has been updated to replace the field name Medicare Claims Number with the new Medicare Beneficiary Identifier.

    DA: 31 PA: 69 MOZ Rank: 89

  • FEHB SF 2809 Health Benefits Application form - USGS.gov

    usgs.gov

    https://www.usgs.gov/media/files/fehb-sf-2809-health-benefits-application-form

    WEBNov 1, 2019 · FEHB SF 2809 Health Benefits Application form. By Human Capital November 1, 2019. sf2809_rev.Nov2019.pdf (1.75 MB)

    DA: 58 PA: 59 MOZ Rank: 80

  • Health Benefits Election Form | GSA

    gsa.gov

    https://www.gsa.gov/reference/forms/health-benefits-election-form

    WEBApr 15, 2022 · Health Benefits Election Form. Title: Health Benefits Election Form. Form #: SF2809. Current Revision Date: 11/2019. Authority or Regulation: Chapter 89, Title 5, U.S. Code. PDF versions of forms use Adobe Reader ™ . Download Adobe Reader ™. Search for another form. Print Page Email Page.

    DA: 74 PA: 1 MOZ Rank: 42

  • Submission for Review: Health Benefits Election Form, Standard Form 2809

    federalregister.gov

    https://www.federalregister.gov/documents/2022/05/03/2022-09410/submission-for-review-health-benefits-election-form-standard-form-2809

    WEBMay 3, 2022 · Standard Form 2809 is used by Federal employees, annuitants other than those under the Civil Service Retirement System (CSRS) and the Federal Employees Retirement System (FERS) including individuals receiving benefits from the Office of Workers' Compensation Programs, former spouses eligible for benefits under the …

    DA: 83 PA: 77 MOZ Rank: 94

  • Where to send SF2809 Out of Season - FEDweek

    fedweek.com

    https://www.fedweek.com/forum/where-to-send-sf2809-out-of-season/

    WEBFeb 15, 2023 · First, if you are retired, you need to use OPM Form 2809, https://www.opm.gov/forms/pdf_fill/opm2809.pdf, and mail it to Office of Personnel Management, Federal Employees Retirement System, P.O ...

    DA: 51 PA: 5 MOZ Rank: 12