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The table clarifies and specifies the data content transmitted electronically from OPM-Macon for SF 2809 enrollment and disenrollment actions OPM CLER 2809 834 TRANSACTION SET-BENEFIT ENROLLMENT AND MAINTENANCE Loop Ref Des Segment Req. by HIPAA Min Max Header ST HEADER R ST01 ST02 ID AN Taken from OPM-Macon s SEQNUM database ST03 Reference BEGINNING SEGMENT 005010X220A1 BGN BGN01 00 Original DT TM HHMM BGN05 Time Zone Code S File Creation Date T...
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How to fill out sf 2809 companion guide
How to fill out SF 2809 companion guide:
01
Obtain the SF 2809 form, either by downloading it from the Office of Personnel Management (OPM) website or obtaining a physical copy from your employer.
02
Read through the form and familiarize yourself with the sections and instructions provided.
03
Begin by filling in your personal information, including your full name, social security number, and contact information.
04
Proceed to Section A, which requires you to provide information about your current position and agency.
05
In Section B, you will need to indicate whether you are applying for coverage as an employee, annuitant, or former spouse.
06
Depending on your status, complete the relevant sections from Section C to Section L, providing information about your health benefits plan, enrollment codes, and coverage options.
07
If you have any family members eligible for coverage, complete Section M by listing their names, relationships, and social security numbers.
08
In Section N, indicate whether you are electing to waive or continue your current coverage.
09
Sign and date the form at the bottom of the page.
10
Make a copy of the completed form for your records and submit the original to the appropriate office, as instructed by your employer.
Who needs SF 2809 companion guide?
01
Federal employees who are enrolling for or making changes to their health benefits coverage.
02
Annuitants who wish to continue their health benefits coverage.
03
Former spouses who are eligible for health benefits coverage under the Federal Employees Health Benefits (FEHB) program.
Note: The SF 2809 companion guide provides detailed instructions and explanations for completing the SF 2809 form, ensuring accuracy and completeness in the enrollment process for health benefits coverage.
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What is sf 2809 companion guide?
The SF 2809 companion guide is a document that provides instructions and explanations on how to fill out the SF 2809 form, which is used for enrolling in the Federal Employees Health Benefits (FEHB) Program.
Who is required to file sf 2809 companion guide?
Federal employees who wish to enroll in the Federal Employees Health Benefits (FEHB) Program are required to fill out the SF 2809 form, for which the companion guide provides instructions.
How to fill out sf 2809 companion guide?
To fill out the SF 2809 companion guide, you should follow the instructions provided in the guide. It will walk you through the process of completing the SF 2809 form for enrolling in the Federal Employees Health Benefits (FEHB) Program.
What is the purpose of sf 2809 companion guide?
The purpose of the SF 2809 companion guide is to assist federal employees in correctly completing the SF 2809 form for enrolling in the Federal Employees Health Benefits (FEHB) Program. It provides instructions and explanations to ensure the form is filled out accurately.
What information must be reported on sf 2809 companion guide?
The SF 2809 companion guide does not require any information to be reported. It only provides instructions and explanations on how to fill out the SF 2809 form for enrolling in the Federal Employees Health Benefits (FEHB) Program.
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