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Fehb coverage Form: What You Should Know
How to Fill SF 2809 Fill in the front and back of the form. The OPM Form 2809 does not have to be signed See the information for How to Get the OPM Form 2809 The OPM Form 2809 may be filed within 120 days from the date written on the front. Fill in all the information. You will not need more than 15 pages for this form. Please keep all the information on the paper to protect your privacy and to How to Get the Health Benefits Election Form OPM2809 Form SF 2809 -- Health Benefits Election Form -- OPM [PDF] Important to File Form Your employer is responsible for filing the form with your employer's payroll agency (see Who is Eligible to Claim FEB Benefits How to Apply for Health Benefits: Before you file your report of eligibility, you need to ask for information from the government agency that administers the program by phone and fax. You may do this by calling your employing office (see How the Employer Prepares to File the Form See Form SF 2809 -- Health Benefits Election Form -- OPM. You need to make these three steps to prepare for the health benefits election process: Obtain verification that your employer has enrolled you in coverage with FEB. If possible, get verification that you have been added to the Family and Medical Leave Act (FMLA). Complete a Health Benefits Election Form (SF 2809) (see the form instructions). Contact the office where you will be covered by the plan (see the link to locate your Employing office) and ask for their information. (Use the Employee Assistance Program Form [EO-566] or Form EOP-13 [PDF]. ) Make sure the office's contact information is accurate because they are responsible for contacting the other employers under your plan to notify them you are not being enrolled in the plan. Note: If both of your employers report your enrollment status, the office that received the notice must contact their employees first to inform them that you did not enroll in your plan.
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