This Federal Employees Receiving Premium Conversion Tax Benefits form provides a detailed table of permissible changes in FEHB enrollment and premium conversion elections. It outlines qualifying life events, allowed changes, and time limits, making it essential for federal employees managing their health benefits and tax-saving options.

Form SF-2809 – Health Benefits Election Form
Department: United States Office of Personnel Management
Source: https://www.opm.gov/
File Type: PDF



