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.

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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 or browse more documents and templates provided by the U.S. Office of Personnel Management.

Download OPM Form DR25A Health Benefits Election Form

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  • OPM Form DR25A Health Benefits Election Form, Page 1
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