Adding a 2809 Record
Standard Form 2809. Employee health benefits registration form: Or cancel your fehb enrollment;
Employee health benefits registration form: Or • suspend your fehb enrollment (annuitants or former spouses only). Web fehb sf 2809 health benefits application form. • enroll or reenroll in the fehb program; Or elect not to enroll in the fehb program (employees only); Notice of change in health benefits enrollment: •annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) •survivor annuitants under csrs or fers. Or enroll or reenroll in the fehb program; •children and former spouses who are eligible for temporary continuation of coverage. Or elect not to enroll in the fehb program (employees only);or change your fehb enrollment;
Enroll in the fehb program; Web health benefits election form. •annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) •survivor annuitants under csrs or fers. Or change your fehb enrollment from self only to self and family and/or from your present plan or option to another plan or option because of an event described in the table beginning on page 6; Web uses for standard form (sf) 2809 use this form to: Chapter 89, title 5, u.s. Report of withholdings and contributions for health benefits by enrollment code Or elect not to enroll in the fehb program (employees only);or change your fehb enrollment; Web health benefits election form form approved: Or • cancel your fehb enrollment; • enroll or reenroll in the fehb program;
