Loading
Get Opm Sf 2809 2004
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the OPM SF 2809 online
The OPM SF 2809, or Health Benefits Election Form, is essential for federal employees to manage their health insurance enrollment. This guide provides clear, step-by-step instructions for completing the form online, ensuring a smooth filing process for users of all experience levels.
Follow the steps to fill out the OPM SF 2809 online effectively.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Part A - Enrollee and Family Member Information: Fill in your name, Social Security number, date of birth, and address. Include information for any family members only if you are enrolling in ‘Self and Family’.
- Part B - Present Plan: If changing your enrollment, enter the current plan name and enrollment code.
- Part C - New Plan: Here, provide the name of the new health plan you wish to enroll in and the associated enrollment code.
- Part D - Event Code: Enter the event code corresponding to the life event prompting your enrollment or change.
- Parts E and F - Employees Only: If you do not wish to enroll or choose to cancel your enrollment, mark the appropriate boxes in these sections.
- Part G - Suspension (for annuitants/former spouses only): If applicable, indicate if you are suspending your enrollment.
- Part H - Signature: Sign and date the form certifying that you have read and understood the necessary information.
- Part I - Leave this section blank; it is for agency or retirement system use only.
- Once completed, you may save changes, download the form, or print it for submission.
Complete the OPM SF 2809 online to manage your health benefits efficiently.
Get form
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
The SF 2809 form is an essential document used by federal employees to enroll in health benefits. Completing this form is necessary when you need to change your health coverage or enroll for the first time. It plays a key role in ensuring that you have the appropriate health benefits throughout your federal service.
Get This Form Now!
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.