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Get Opm Ri 79-9 2002
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How to fill out the OPM RI 79-9 online
The OPM RI 79-9 form is essential for individuals seeking to cancel or suspend their enrollment in the Federal Employees Health Benefits Program. This guide provides a clear and supportive approach to filling out the form online, ensuring users understand each section's purpose and requirements.
Follow the steps to fill out the OPM RI 79-9 form online effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Review the information regarding your status as an annuitant or benefit recipient. Understand the implications of your cancellation or suspension request. Only check one of the applicable blocks on the form.
- If you are canceling your FEHBP enrollment to be covered under a family member's plan, complete the relevant section by providing your spouse's name and claim number. Attach a copy of their SF 2809 form if necessary.
- For cancellations for reasons other than a family member's coverage, ensure to understand that you will not be eligible for reenrollment, and fill out the certification section by signing and adding your daytime telephone number.
- If you are suspending coverage due to enrollment in a Medicare-sponsored plan, provide evidence of your enrollment. Ensure all necessary documentation showing the effective date is attached.
- Follow the same documentation procedure as described for TRICARE or CHAMPVA eligibility if you are suspending coverage for those reasons.
- If suspending for Medicaid or state-sponsored programs, send the enrollment card or eligibility letter with the form.
- After filling the appropriate sections and attaching all necessary documentation, review the completed form for accuracy. Save changes, download, print, or share the form as needed.
Complete your OPM RI 79-9 form online today to ensure proper processing of your health benefits request.
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Surviving spouses of federal employees may be eligible for benefits such as survivor annuities, health insurance coverage, and death benefits. These benefits can provide significant support during a challenging time. Familiarizing yourself with OPM RI 79-9 can clarify what options are available and how to access them.
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