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  • Open Season Form 2809 Page 2 - Nfc Usda

Get Open Season Form 2809 Page 2 - Nfc Usda

Page 2 FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM FEHB Read the enclosed instructions before completing this form. Return this form to: USDA/NFC, DPRS Billing Unit, P.O. Box 61760, New Orleans, LA.

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How to fill out the Open Season Form 2809 Page 2 - Nfc Usda online

Completing the Open Season Form 2809 Page 2 - Nfc Usda online can seem daunting, but with the right guidance, you can easily navigate through the process. This guide will provide you with clear instructions on how to accurately fill out each section of the form.

Follow the steps to successfully complete the form online.

  1. Click the ‘Get Form’ button to obtain the form and open it for completion.
  2. Begin with Section I, which requires you to provide your enrollee and family member information. Fill in your name, date of birth, social security number, gender, and home mailing address. Check the box if you need to correct your address.
  3. Indicate your marital status by answering whether you are married. Also, provide information regarding your coverage by Medicare and any other insurance you may have, including the name and policy number.
  4. For dependents, provide their names, dates of birth, social security numbers, relationship codes, and information on any insurance coverage, following the guidance for relational terms.
  5. Proceed to Section II to list the FEHB plan you are currently enrolled in, including the plan name and enrollment code.
  6. In Section III, indicate the FEHB plan you wish to change to by filling out the appropriate plan name and enrollment code.
  7. Finally, complete Section IV by signing and dating the form, and providing your email address and preferred telephone number.
  8. After you have filled out the form, review the information for accuracy. You can then save your changes, download the completed form, print it, or share it as necessary.

Start filling out your Open Season Form 2809 online today for a smooth experience.

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Related content

DPRS Open Season Brochure 2020 - National Finance...
SF-2809 form on page 2. Open ... web site for comprehensive information about your FEHB...
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HR Department - Benefits: Federal - Harvard CfA
Annual Open Season changes should be made online via the Employee Personal Page (EPP) at...
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The SF 2809 was written for all Federal employees and not all parts of the SF 2809 apply to tribal employees. You must complete the SF 2809 in order to: • enroll in the FEHB Program during your Initial Enrollment Opportunity. • enroll, change, or cancel your FEHB enrollment during the annual Open Season.

If you prefer to write, the address is: U.S. Office of Personnel Management Federal Employees Retirement System P.O. Box 45 Boyers, PA 16017-0045.

Send the last two pages of the SF-2809 to us by emailing APHIS.Open.Season@usda.gov OR fax it to us at (612) 336-3501.

Send the last two pages of the SF-2809 to us by emailing APHIS.Open.Season@usda.gov OR fax it to us at (612) 336-3501. Please keep a copy of the sent email OR the fax confirmation as proof of your timely submission.

Instead, use form OPM 2809, which is available at .opm.gov/forms/OPM-forms, or call the Retirement Information Office toll-free at 1-888-767-6738.

The FAX number is (202) 606-0910. Be sure to include the shipping address and an agency contact and telephone number. All Plan brochures are available for downloading from the FEHB web site: .opm.gov/insure.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232