Form SF-2809 Health Benefits Election Form

Form SF-2809 Health Benefits Election Form

What Is Form SF2809?

This is a legal form that was released by the U.S. Office of Personnel Management on November 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SF2809?A: Form SF2809 is a Health Benefits Election Form.

Q: What is the purpose of Form SF2809?A: The purpose of Form SF2809 is to allow federal employees to enroll, change, or cancel their health benefits coverage.

Q: Who can use Form SF2809?A: Form SF2809 is used by federal employees and annuitants who are eligible for health benefits.

Q: When should Form SF2809 be submitted?A: Form SF2809 should be submitted during the annual Federal Benefits Open Season, within 60 days of a qualifying life event, or within 30 days of becoming eligible for health benefits.

Q: What information is required to complete Form SF2809?A: To complete Form SF2809, you will need to provide personal information, including your name, contact information, Social Security number, and the health benefits plan and options you wish to enroll in or change.

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Form Details:

  • Released on November 1, 2019;
  • 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 Form SF2809 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.

Download Form SF-2809 Health Benefits Election Form

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