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Get the free Federal Employee Non-FEHB DHMO Plus 225 Plan - Enrollment Form

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Enrollment form for the Federal Employee Non-FEHB DHMO Plus 225 dental plan, including instructions for completing the application and providing required personal information.
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How to fill out Federal Employee Non-FEHB DHMO Plus 225 Plan - Enrollment Form

01
Obtain the Federal Employee Non-FEHB DHMO Plus 225 Plan Enrollment Form from the official source.
02
Read the instructions carefully to understand the sections required for completion.
03
Fill in your personal information, including your full name, address, and contact information.
04
Provide your Social Security Number and Federal Employee identification details if applicable.
05
Select the applicable coverage options based on your needs and eligibility.
06
Review and sign the declaration section to confirm the accuracy of the information provided.
07
Submit the completed form to the designated office or preferably online as instructed.

Who needs Federal Employee Non-FEHB DHMO Plus 225 Plan - Enrollment Form?

01
Federal employees who are looking for dental coverage options not included in their health insurance plan.
02
Those who do not have access to Federal Employees Health Benefits (FEHB) but still want to enroll in a dental plan.
03
Employees seeking affordable dental coverage for themselves and their eligible dependents.
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People Also Ask about

FEHB Program carriers cover most active, full-time civilian employees and retirees of the U.S. government and their families. The Program now provides benefits to nearly 8.3 million federal enrollees and dependents and offers our 180 health plan choices to federal members.
Enrollment codes are found on the front cover of each plan's brochure.
Most federal employees are eligible for FEHB unless law or regulation excludes their position. Even part-time, intermittent, and seasonal employees may be eligible if they are expected to work 130 hours per month or more for at least 90 days.
You must have been continuously covered by a Federal Employees Health Benefits Program (FEHB) program, TRICARE, or Civilian Health and Medical Program for Uniformed Services (CHAMPUS) plan for 5 years immediately before retiring; during all of your federal employment since your first opportunity to enroll; or
As a federal employee with FEHB you don't need Medicare. You could stay on your FEHB plan for the rest of your life.
Your partner is not an eligible family member on your FEHB plan. Only legally married spouses are eligible for FEHB coverage.

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The Federal Employee Non-FEHB DHMO Plus 225 Plan - Enrollment Form is a document used to enroll eligible federal employees in a dental health maintenance organization (DHMO) plan that is separate from the Federal Employees Health Benefits (FEHB) program.
Federal employees who wish to enroll in the Non-FEHB DHMO Plus 225 Plan must file this enrollment form. This includes those who are not currently enrolled in an FEHB plan but seek dental coverage.
To fill out the enrollment form, federal employees need to provide personal information, such as their name, contact information, and federal employment details. Additionally, they may need to select coverage options and provide information about any dependents they wish to enroll.
The purpose of the enrollment form is to facilitate the enrollment process for federal employees who want to participate in the DHMO Plus 225 Plan, ensuring that the necessary information is collected for eligibility and coverage purposes.
The form must report personal employee information, dependent details if applicable, selected coverage options, and any required signatures to confirm enrollment and eligibility.
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