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Notice of Change in Health Benefits Enrollment efits Registration Form (Standard Form 2809) When an action requires a change in health benefits enrollment, prepare SF 2810 As Soon As the Effective Date Is Known and give the appropriate copies
Notice of Change in Health Benefits Enrollment When an action requires a change in health benefits enrollment, prepare OPM 2810 as soon as the effective date is known and dispose of copies as indicated below
Federal Employees Health Benefits (FEHB) Program SF 2810 refers to an enrollment action (Termination, Transfer-in, Reinstatement, Change in Name of Enrollee, Change in Enrollment-Survivor Annuitant) taken by an agency to change agency enrollment data
Notice of Change in Health Benefits Enrollment, Standard Form (SF) 2810 . . . This guidance explains why, when, and how the tribal employer must complete the Notice of Change in Health Benefits Enrollment, the SF 2810, for a tribal employee As explained above, some parts of this form do not apply to tribal employers and tribal employees