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SF-2809 Form: What You Should Know

Use this form to: • Switch designated eligible family member • Enroll or re-enroll in health benefits program Use this form to: • Change health benefits plan enrollment • Change health benefits plan coverage Use this form to: • Change health benefits plan designation • Change health benefits policy eligibility, form(s) or class • Change the primary-care/preventive services or hospital services that are covered under the health benefits plan • Change health benefits policy, form(s) or class(BS) • Change health benefits amount or coverage • Change health benefits maximum amount • Change health benefits deductible or co-insurance • Re enroll in health benefits program or switch to new policy/plan Use this form to: • Change class of health plan (individual or group) Use this form to: • Change class of health benefits policy (individual or group) Use this form to: • Change the primary-care/preventive service or hospital services that are covered under the health benefits plan Use this form to: • Change health benefits plan enrollment • Change health benefits plan coverage Use this form to: • Change health benefits policy classification • Change health benefits policy class Use this form to: • Change the health benefits plan designation • Change health benefits policy or group membership Note: If you use this form to change the class of a health benefits policy you can only do so for policy types which have the same class. • If you change class of plan from individual to group Use this form to: • Change class of group or group to individual (if not yet used in a previous year) Use this form to: • Change class of group or group to individual (if not yet used in previous year) See Appendix V. Instructions on Completing the SF-2809 for a copy of the most recent version of the SF-2809. You may wish to download the complete set. Current edition of this form for the 2 edition of this form is not reusable. Previous editions are not usable. The most recent edition is used for all previous editions of this form, which is not currently supported. New edition of this form for the 2 edition of this form is not reusable. Previous editions are not usable. The most recent edition is used for health plans for coverage beginning on or after January 1, 2020.

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  1. On the site with all the document, click on Begin immediately along with complete for the editor.
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  5. Very carefully confirm the content of the form as well as grammar along with punctuational.
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  9. Deliver the particular prepared document by way of electronic mail or facsimile, art print it out or perhaps reduce the gadget.

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Video instructions and help with filling out and completing SF-2809

Instructions and Help about SF-2809

Hello and welcome to the FY19 NAP Application Helpful Tips video on the SF-424A Budget Informationform.During this video, I will show you some helpful tips as well as show you how to complete someimportant sections of the Budget Information Form within HRSA's Electronic Handbooks.This form collects information about the budget for your proposed NAP project.The SF-424A is the Budget Information form, including Sections A-C and D-F.The first step in the Budget Information form is to make sure that the correct health centerpopulation types are selected for the types of funding you are requesting.The four health center population types are listed here, but what if you are requestingfunding for two types?Click the "Update Sub Program" button to change the types that are listed.Check the box next to the sub-programs for which you are requesting funding.Or uncheck a box to remove a sub-program.So you see in this example, we have selected Community Health Centers and Migrant HealthCenters.Now, click Save and Continue.After you select and save your sub-programs, they will appear throughout the Budget Informationform, in Section A, Section C, and in Section E.To enter your overall budget amounts for the first 12-month budget period, click on theUpdate button to the right of the Section A: Budget summary heading.This is where we update Section A. In the Federal column under New or Revised Budget,enter the amount of Federal funds requested for each sub-program.Remember the total cannot exceed $650,000 for the federal funding request.And, in the Non-Federal column under New or Revised Budget, you will enter the Non-NAPrelated grant funds that will support the project for the first 12-month budget periodfor each sub-program.When you click save and continue, the system will add the totals and move on to SectionB.This is Section B, Budget Categories.The totals here represent the entire NAP project, separated into the...

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