№ lp_1_2_03795
This document is a form for enrolling in or changing health benefits under the Federal Employees Health Benefits (FEHB) program, detailing instructions for eligible employees and their family members to manage their coverage choices.
Year: 2023
Region / City: United States
Subject: Health benefits enrollment for federal employees
Document Type: Form
Agency / Organization: Office of Personnel Management (OPM)
Author: N/A
Target Audience: Federal employees, annuitants, former spouses, individuals eligible for Temporary Continuation of Coverage (TCC)
Period of Action: N/A
Approval Date: N/A
Date of Revisions: N/A
Price: 8 / 10 USD
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