Get Fehb Worksheet

The Fehb Worksheet is a crucial document for managing your Federal Employees Health Benefits enrollment. This guide will provide you with a clear, step-by-step approach to filling out the worksheet online, ensuring a smooth and efficient process.

Follow the steps to complete your Fehb Worksheet online.

1. Click ‘Get Form’ button to obtain the worksheet and access it in the online editor.
2. Begin with Part 1: Employee Information. Enter your name (last, first, middle initial) and your Employee ID as printed on your earnings statement.
3. Proceed to Part 2: Type Of Action You Are Requesting. Indicate whether you are enrolling during Open Season, as a new hire, or if you are making changes to your current enrollment.
4. In Part 3, focus on any Qualifying Life Event actions. If applicable, provide supporting documentation for events such as marriage, divorce, or the birth of a child.
5. In Part 5: Your Other Group Insurance, indicate if you have coverage other than Medicare by selecting yes or no, and specify the type of insurance if applicable.
6. Continue to Part 6: Personal Information. Here, provide your gender and marital status, along with your daytime telephone number.
7. For Part 7: Dependent Information, enter details for each dependent that will be covered under your health benefits, ensuring to include a complete mailing address if different from your own.
8. Finally, in Part 8, sign the worksheet, write the date, and include your email address along with your preferred contact number.
9. After reviewing all the fields for accuracy, save your changes, and you may opt to download, print, or share the completed form.

Start managing your Federal Employees Health Benefits enrollment by completing the Fehb Worksheet online today.