Official Federal Forms
US Office Of Personnel Management
Standard
200 Ratings
Last updated: 5/17/2023
Employee Health Benefits Registration Form {SF 2809}
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Description
SF 2809 - HEALTH BENEFITS ELECTION FORM. Use this form to: • Switch designated eligible family member; or • Enroll or reenroll in the FEHB Program; or • Elect not to enroll in the FEHB Program (employees only); or • Change your FEHB enrollment; or • Cancel your FEHB enrollment; or • Suspend your FEHB enrollment (annuitants or former spouses only). www.FormsWorkflow.com
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