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Filling out the OPM Form 2809 is a vital step for individuals enrolling in the Federal Employees Health Benefits (FEHB) Program. This guide will provide detailed instructions on completing the form accurately and efficiently online.

Follow the steps to complete the OPM Form 2809.

1. Click the ‘Get Form’ button to access the OPM Form 2809 and open it in the form editor.
2. Complete Part A - Enrollee and Family Member Information. Enter your full legal name, Social Security number, date of birth, and gender. Indicate your email address and preferred telephone number.
3. Fill in the family member details. For each eligible family member, provide their name, Social Security number, date of birth, relationship to you, and Medicare details if applicable.
4. In Part B, enter your currently enrolled FEHB plan name and enrollment code if applicable. This section is crucial only if you are changing, canceling, or suspending your enrollment.
5. Move to Part C to enter the FEHB plan you wish to enroll in or change to, including the plan name and enrollment code.
6. In Part D, specify the event that permits you to change enrollment, using the event code and date of the qualifying life event.
7. For Part E, if you wish to suspend or cancel your enrollment, indicate your choice by marking the corresponding box and provide necessary documentation.
8. Finally, sign and date Part F, including your retirement claim number. Ensure all required fields are completed.
9. Once the form is completed, you can save your changes, download the document, print it for your records, or share it as needed.

Complete your OPM Form 2809 online today for seamless health benefits enrollment.