OPM SF 2809 2004 free printable template

Personnel telephone number 4. Name and address of agency or retirement system This edition supersedes all previous editions of SF 2809 and SF 2809-1. Code Family Relationship Unmarried dependent child under age 22 Adopted Child Stepchild Foster Child Spouse This form supersedes all previous editions of SF 2809 and SF 2809-1. Form Approved OMB No. 3206-0160 Health Benefits Election Form Uses for Standard Form SF 2809 Use this form to Enroll or reenroll in the FEHB Program or Elect not to...

How to fill out OPM SF 2809

How to fill out OPM SF 2809

1. Obtain a copy of the OPM SF 2809 form from the official website or your HR department.
2. Fill in the employee's personal information in the designated fields, including name, address, and Social Security number.
3. Indicate the type of coverage you are applying for, whether it is self-only, self plus one, or family coverage.
4. Provide details of the employments involved, such as agency name and employee identification number.
5. Make sure to include any required documentation that supports your application, such as marriage certificates or dependent verification.
6. Sign and date the form at the indicated section.
7. Submit the completed form to your HR office or the proper agency as instructed.

Who needs OPM SF 2809?

1. Federal employees who wish to enroll in or change their health insurance coverage under the Federal Employees Health Benefits Program (FEHBP).
2. Individuals eligible for health benefits who need to add or remove dependents.
3. Retired federal employees who are making changes to their health insurance plans.

• Who needs a Health Benefits Election Form?
• What is the purpose of the Health Benefits Election Form?
• What documents must accompany the Health Benefits Election Form?
• How long does it take to fill the Health Benefits Election Form out?
• • What information should be provided in the Health Benefits Election Form?
  • What do I do with the form after its completion?

Who needs a Health Benefits Election Form?

This form is used by Federal employees and other individuals (retirees, survivors of the federal employees) eligible to enroll in Federal Employees Health Benefits (FEB) Program. The employees may use this form to enroll in the FEB Program, re-enroll, elect not to enroll, cancel the enrollment or make changes to the existed enrollment.

What is the purpose of the Health Benefits Election Form?

This form is used to choose the right type of enrollment in the FEB Program or to cancel the enrollment. The form contains the main information about the enrolled, his family members and information about the FEB plan and the enrolled’s intentions as for this plan. This data is used by the office that maintains the enrollment to make the appropriate changes to the enrollment plan or start a new enrollment.

What documents must accompany the Health Benefits Election Form?

The employing office or office that maintains your enrollment may need some evidence and other documents if you want to enroll in FEB Program. You should provide it on request.

How long does it take to fill the Health Benefits Election Form out?

The estimated time for completing the form is 30 minutes.

What information should be provided in the Health Benefits Election Form?

The enrolled has to provide the following information:

• Name
• Social Security Number
• Date of birth
• Sex
• Marital status
• Address
• Insurance information
• Email address
• Information about the family members

If the enrolled wants to change the FEB Plan, he must name the current FEB Plan and indicate the enrollment code, code and date of the event that permits to change.

If other action is required, the enrolled has to choose the appropriate checkbox (cancellation, election not to enroll, suspension of FEB Plan). The form should also be signed and dated.

What do I do with the form after its completion?

The completed form is forwarded to the appropriate agency (depends on the status of the enrolled).

Instructions and Help about OPM SF 2809

So to fill in the UCAS form, you need to go to the UCAS website and click on the Apply section It's pretty straightforward once you get into the form, there's just different sections that you need to fill in. So when you log in your need to register first. So give some of your personal details. This will generate a username for you and a personal ID and you need to choose a password. So just use your username and password every time you want to log in. I need to choose a password see just use your username/password every time you want to log in and I when you log in you can do as much articulate the phone you want to see you have to do all along well, and you don't have to do any particular order so the different sections you need to complete, and he looked down the left-hand side of the screen will have all the different sections the need to do and the key at the bottom it shows how much it would be to the section you've done so three green dots means is in progress and to correct taking it to show you completed that section so personally but your personal information any personal details, so we'll ask things like he is residential status weather not looking for funding but two important things you think about me section is festival nominated access back asks if you want to nominate somebody that you cast can discuss your application for life, so it is up to you whether you want to do that, but it could come in handy me you're not available at some point to discuss something so that's your choice the second thing is that asks the email address so this is the email that you castle correspond review and also all the universities see need to make sure it's in the check on a regular basis and that is something as well think about the actual address the email could he know this is going to be that very few emails I have seen used on Newcastle that I wouldn't want to say out loud so just thinking about what your email Jesse's she's another section is for additional information so that will ask about your ethnic origin you nationality and wanting to fly that he is asked if he'd done any activities in preparation higher education so that could be useful so if you've done some schools all taster sessions he can include in their I think as you get more space later on still passing out maybe personal statement depending on how you can send questions to ask you about sheep finance so basically asked if you wanna often of data sharing information is she finance people, and I'll be tailored to your specific region so if you often it just saves time has what it could do is fled some information from me, you cast from MTS finance for when you come to fetch the feeling that, and he's angry choices section so with the choices you cannot maximum five options 85 institutions Sony couple things you need to remember if you apply for medicine then she about me signs you can cook for those courses down so the thought has to be something different say she something...

People Also Ask about

What is the OPM 5 year rule?

you are entitled to retire on an immediate annuity under a retirement system for civilian employees; you have been insured for the 5 years of service immediately before the date your annuity starts, or for the full period(s) of service during which you were eligible to be insured if less than 5 years; and.

What is OPM Form 2809 for annuitants?

OPM 2809, Health Benefits Election, is used by annuitants and former spouses to elect, cancel, suspend, or change health benefits enrollment during periods other than open season.

How much is federal health insurance going up in 2023?

For most federal employees and annuitants, the government contribution towards health insurance premiums will increase by 6.6%. The enrollee share will increase an average of 8.7%. This means that the majority of the premium increase will be shouldered by those receiving FEHB coverage.

How much will FEHB go up in 2023?

OPM recently released a first look at the 2023 Federal Employees Health Benefits Open Season and employees and annuitants will, on average, pay 8.7% more in FEHB premiums next year, the largest percentage increase in the last decade.

What are the federal BCBS premiums for 2023?

For 2023, the biweekly program-wide weighted average premiums for Self Only, Self Plus One, and Self and Family enrollments with a government contribution are $360.72, $778.50, and $849.19, respectively.

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What is OPM SF 2809?

OPM SF 2809 is the form used by federal employees to initiate, change, or cancel their Federal Employees Health Benefits (FEHB) program enrollment.

Who is required to file OPM SF 2809?

Federal employees who want to enroll in, change, or cancel their health benefits coverage under the FEHB program are required to file OPM SF 2809.

How to fill out OPM SF 2809?

To fill out OPM SF 2809, you need to complete the required personal information sections, indicate the action (enroll, change, or cancel), provide details about the health plan, and sign the form. Ensure that all sections are accurately filled.

What is the purpose of OPM SF 2809?

The purpose of OPM SF 2809 is to manage health insurance enrollment for federal employees, allowing them to make necessary changes to their FEHB coverage.

What information must be reported on OPM SF 2809?

The information that must be reported on OPM SF 2809 includes employee personal details (name, address, etc.), the proposed action regarding health benefits, the selected health plan, dependent information, and any necessary signatures.