Form RI79-9 Health Benefits Cancellation / Suspension Confirmation

Form RI79-9 Health Benefits Cancellation / Suspension Confirmation

What Is Form RI79-9?

This is a legal form that was released by the U.S. Office of Personnel Management on August 1, 2014 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 RI79-9?
A: Form RI79-9 is a Health Benefits Cancellation/Suspension Confirmation.

Q: What is the purpose of Form RI79-9?
A: The purpose of Form RI79-9 is to confirm the cancellation or suspension of health benefits.

Q: Who uses Form RI79-9?
A: Form RI79-9 is used by individuals or employers to confirm the cancellation or suspension of health benefits.

Q: What information is required on Form RI79-9?
A: Form RI79-9 requires information such as the individual's or employee's name, contact information, and the effective date of the cancellation or suspension.

Q: Is there a deadline for submitting Form RI79-9?
A: The deadline for submitting Form RI79-9 may vary depending on the health benefits provider or employer. It is recommended to check with them for specific deadlines.

Q: Can I cancel or suspend health benefits without submitting Form RI79-9?
A: The process for canceling or suspending health benefits may vary depending on the health benefits provider or employer. It is recommended to contact them directly to understand their specific requirements.

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Form Details:

  • Released on August 1, 2014;
  • 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 RI79-9 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.

Download Form RI79-9 Health Benefits Cancellation / Suspension Confirmation

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