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Form Approved: OMB No. 32060160Health Benefits Election FormUses for Standard Form (SF) 2809 Use this form to:Enroll or reenroll in the FEHB Program; orElect not to enroll in the FEHB Program (employees

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How to fill out sf-2809 - health benefits

01

Obtain an SF-2809 form from your Human Resources department or online from the OPM website.

02

Fill out your personal information, including name, address, Social Security Number, and date of birth.

03

Select the type of coverage you are enrolling in, such as self only, self and family, or self and children.

04

Provide information about your current health insurance plan, including the plan name, address, and policy number.

05

Sign and date the form, then submit it to your Human Resources department within the specified deadline.

Who needs sf-2809 - health benefits?

01

Federal government employees who are enrolling in or making changes to their health insurance benefits.

02

Retirees of the federal government who are enrolling in or making changes to their health insurance benefits.

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What is sf-2809 - health benefits?

SF-2809 is a form used by Federal employees to enroll in or change their health benefits.

Who is required to file sf-2809 - health benefits?

Federal employees eligible for health benefits coverage are required to file SF-2809.

How to fill out sf-2809 - health benefits?

SF-2809 should be filled out with personal information and health plan selection following the instructions provided on the form.

What is the purpose of sf-2809 - health benefits?

The purpose of SF-2809 is to enroll in or make changes to health benefits coverage for Federal employees.

What information must be reported on sf-2809 - health benefits?

Personal information, health plan selection, and any changes to health benefits coverage must be reported on SF-2809.

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