Western Oregon district offices with delegated authority, and the Oregon State Office, Branch of Personnel Management, will be responsible for resolving these errors. All completed SF-2809's must be reviewed prior to being forwarded for processing or being processed by those offices with delegated authority. It is important that the information on all pages of the SF-2809 be complete. Special attention should be given to see that all copies are filled out in entirely and that the last copy, the employee copy, of the SF-2809 be legible. The August 1992 version of the Health Benefit Enrollment Form, SF-2809, is the only version of the form which is acceptable.
All previous editions are obsolete and unusable.
Obsolete versions will not be accepted. Employees will be required to provide additional information relating to eligible family members when completing this version. The social security number of family members will be required. The FEHB may use the information on the enrollment form for computer matching with federal, state or local agencies' files to determine whether an employee or other family member qualifies for benefits, payments or eligibility in the Federal Employees Health Benefits Program, Medicare, or other government benefits programs. The Health Benefit Registration Form, SF-2809, must be received by your staff no later than the close of business, December 8, 1997.