OPM Form 1522 Request for Offset for Health Benefits Premiums From Monies Payable Under the Civil Service Retirement System or the Federal Employees Retirement System (In Lieu of SF 2805)

OPM Form 1522 Request for Offset for Health Benefits Premiums From Monies Payable Under the Civil Service Retirement System or the Federal Employees Retirement System (In Lieu of SF 2805)

What Is OPM Form 1522?

This is a legal form that was released by the U.S. Office of Personnel Management on June 1, 2006 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is OPM Form 1522?
A: OPM Form 1522 is a form used to request offset for health benefits premiums from money payable under the Civil Service Retirement System or the Federal Employees Retirement System.

Q: When should OPM Form 1522 be used?
A: OPM Form 1522 should be used when requesting offset for health benefits premiums from retirement benefits.

Q: Can OPM Form 1522 be used instead of SF 2805?
A: Yes, OPM Form 1522 can be used in lieu of SF 2805 to request offset for health benefits premiums.

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Form Details:

  • Released on June 1, 2006;
  • The latest available edition released by the U.S. Office of Personnel Management;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of OPM Form 1522 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.

Download OPM Form 1522 Request for Offset for Health Benefits Premiums From Monies Payable Under the Civil Service Retirement System or the Federal Employees Retirement System (In Lieu of SF 2805)

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  • OPM Form 1522 Request for Offset for Health Benefits Premiums From Monies Payable Under the Civil Service Retirement System or the Federal Employees Retirement System (In Lieu of SF 2805), Page 1
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