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Health Benefits Election Form Item 9. Uses for Standard Form (SF) 2809 Use this form to: Switch designated eligible family member; or Enroll or reenroll in the FEB Program; or Elect not to enroll

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What is health benefits election form?

The health benefits election form is a document used to select and enroll in health insurance coverage provided by an employer.

Who is required to file health benefits election form?

All employees who are eligible for health insurance benefits through their employer are required to file a health benefits election form.

How to fill out health benefits election form?

Employees can fill out the health benefits election form by providing their personal information, selecting the desired health insurance plan, and indicating any dependents who will be covered.

What is the purpose of health benefits election form?

The purpose of the health benefits election form is to allow employees to choose their health insurance coverage and enroll in the selected plan.

What information must be reported on health benefits election form?

Employees must report their personal information, selected health insurance plan, and information about any dependents who will be covered.

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