Standard Form 2809. By human capital november 1, 2019. For agency distribution of copies, see page 5.
OPM Form 2809 Edit, Fill, Sign Online Handypdf
Web uses for standard form (sf) 2809 use this form to: Previous edition is not usable. Web data standards request form: By human capital november 1, 2019. •annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) •survivor annuitants under csrs or fers. Notice of change in health. Employee health benefits registration form: Report of withholdings and contributions for health benefits, life insurance, and retirement: Report of withholdings and contributions for health benefits by enrollment code Web health benefits election form.
Report of withholdings and contributions for health benefits by enrollment code Or • elect not to enroll in the fehb program (employees only);or • change your fehb enrollment; Chapter 89, title 5, u.s. Web health benefits election form uses for standard form (sf) 2809 use this form to: Notice of change in health benefits enrollment: Notice of change in health. •annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) •survivor annuitants under csrs or fers. Or cancel your fehb enrollment; Pdf versions of forms use adobe reader ™. Health benefits registration form (only for use by annuitants and former spouses of annuitants) opm 2810: •children and former spouses who are eligible for temporary continuation of coverage.
