PDF
Word
OPM Form 2810 Notice of Change in Health Benefits Enrollment - Federal Employees Health Benefits Program
What Is OPM Form 2810?
This is a legal form that was released by the U.S. Office of Personnel Management on December 1, 2017 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 2810?A: OPM Form 2810 is a notice of change in health benefits enrollment for the Federal Employees Health Benefits Program.
Q: Who uses OPM Form 2810?A: Federal employees use OPM Form 2810 to make changes to their health benefits enrollment.
Q: What is the Federal Employees Health Benefits Program?A: The Federal Employees Health Benefits Program is a health insurance program for federal employees, retirees, and their dependents.
Q: What changes can be made using OPM Form 2810?A: OPM Form 2810 can be used to make changes to health benefits enrollment, such as adding or removing dependents, changing plans, or updating personal information.
Form Details:
- Released on December 1, 2017;
- 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 2810 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Office of Personnel Management.
Download OPM Form 2810 Notice of Change in Health Benefits Enrollment - Federal Employees Health Benefits Program
1
2
3
4
