OPM Form DR25A Health Benefits Election Form

OPM Form DR25A Health Benefits Election Form

What Is OPM Form DR25A?

This is a legal form that was released by the U.S. Office of Personnel Management on January 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the OPM Form DR25A?A: OPM Form DR25A is the Health Benefits Election Form.

Q: What is the purpose of OPM Form DR25A?A: The purpose is to elect or make changes to health benefits coverage.

Q: Who should use OPM Form DR25A?A: Federal employees and annuitants should use this form.

Q: What does OPM stand for?A: OPM stands for Office of Personnel Management.

ADVERTISEMENT

Form Details:

  • Released on January 1, 2015;
  • 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 printable version of OPM Form DR25A 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 DR25A Health Benefits Election Form

4.7 of 5 (60 votes)
  • OPM Form DR25A Health Benefits Election Form, Page 1
ADVERTISEMENT