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  • Employee Health Benefits Election Form - Gordon Army

Get Employee Health Benefits Election Form - Gordon Army

Visit our website at http://www.opm.gov/insure. Employee Express ... former spouse's opportunity to file the SF 2809 ends 60 days after the change in status. .... At Part D of the SF 2809,.

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Initial Election Period Your completed Health Benefits Election Form, SF-2809, must be submitted to your servicing Human Resources Office in a timely manner. If you fail to make an election within the required deadline, you are considered to have declined coverage.

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.

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.

SF 2810, Notice of Change in Health Benefits Enrollment.

OPM Form 2809 is used by annuitants and former spouses to elect, cancel, suspend, or change health benefits enrollment during periods other than open season.

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.

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.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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