Standard Form 2809. Web who may use opm form 2809 • annuitants retired under the civil service retirement system (csrs) or federal employees retirement system (fers) • survivor annuitants under csrs or fers • former. This topic has been updated to replace sf 2809 with the latest version.
Department of Defense (DOD) PDF Forms Page 9
Or elect not to enroll in the fehb program (employees only); Chapter 89, title 5, u.s. Pdf versions of forms use adobe reader ™. This topic has been updated to replace sf 2809 with the latest version. • switch designated eligible family member; The medicare claim number field has been changed to medicare beneficiary identifier. Web sf 2809, health benefits election form. Web uses for standard form (sf) 2809 use this form to: Enroll in the fehb program; Or elect not to enroll in the fehb program (employees only);or change your.
Or enroll or reenroll in the fehb program; • switch designated eligible family member; Chapter 89, title 5, u.s. Or enroll or reenroll in the fehb program; Web uses for standard form (sf) 2809 use this form to: Web uses for standard form (sf) 2809 use this form to: Web sf 2809, health benefits election form. This topic has been updated to replace sf 2809 with the latest version. Or change your fehb enrollment from self only to self and family and/or from. Or elect not to enroll in the fehb program (employees only); The medicare claim number field has been changed to medicare beneficiary identifier.
