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ATTACHMENT 2 FEB PROGRAM TABLE 1 PLANS LEAVING THE FEB PROGRAM Enrolled in these terminating plans who do not change health plans by making a positive election into another FEB plan during Open Season
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How to fill out election into anoformr fehb

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How to fill out election into anoformr fehb:

01
Obtain a copy of the election form from the FEHB (Federal Employees Health Benefits) program.
02
Review the form's instructions carefully to ensure you understand the requirements and procedures.
03
Provide your personal information, such as name, contact details, and identification number, as specified on the form.
04
Enter the effective date of the election, typically the date you want your FEHB coverage to start.
05
Indicate your selection for the health plan you wish to enroll in by checking the appropriate box or writing down its name.
06
If you are electing self-only coverage, no further action is typically required. However, if you are electing family coverage, provide the necessary information for your covered family members, including their names and relationship to you.
07
If applicable, indicate any additional coverage options you are selecting, such as dental or vision benefits.
08
Review the election form for any errors or omissions before submitting it. Make sure all fields are complete and accurate.
09
Sign and date the form, acknowledging your agreement to the terms and conditions.
10
Submit the completed election form according to the specified instructions, such as mailing it to the appropriate address or submitting it electronically through the FEHB program's online portal.

Who needs election into anoformr FEHB:

01
Federal employees who are eligible for the FEHB program and wish to enroll in health benefits.
02
Federal retirees who want to continue their FEHB coverage in retirement.
03
Certain former spouses and children of federal employees or retirees who may be eligible for FEHB coverage through specific circumstances, such as a court order or divorce decree.
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Election into anoformr fehb refers to the process of choosing or making a decision regarding enrollment in the Federal Employees Health Benefits (FEHB) program for a specific plan year.
Federal employees and annuitants who are eligible for FEHB coverage are required to file an election into anoformr fehb if they wish to enroll or make changes to their existing FEHB coverage.
To fill out an election into anoformr fehb, individuals need to complete the appropriate enrollment form provided by their employing agency or retirement system. They must provide the required personal information and indicate their desired FEHB plan and coverage options.
The purpose of election into anoformr fehb is to allow federal employees and annuitants to choose their healthcare coverage options under the FEHB program for a specific plan year.
The information that must be reported on election into anoformr fehb includes personal details such as name, address, Social Security number, and date of birth. Additionally, individuals must indicate their preferred FEHB plan and coverage options.
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