OPM Form 2810 Notice of Change in Health Benefits Enrollment - Federal Employees Health Benefits Program

OPM Form 2810 Notice of Change in Health Benefits Enrollment - Federal Employees Health Benefits Program

What Is OPM Form 2810?

This is a legal form that was released by the U.S. Office of Personnel Management on December 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is OPM Form 2810?
A: OPM Form 2810 is a notice of change in health benefits enrollment for the Federal Employees Health Benefits Program.

Q: Who uses OPM Form 2810?
A: Federal employees use OPM Form 2810 to make changes to their health benefits enrollment.

Q: What is the Federal Employees Health Benefits Program?
A: The Federal Employees Health Benefits Program is a health insurance program for federal employees, retirees, and their dependents.

Q: What changes can be made using OPM Form 2810?
A: OPM Form 2810 can be used to make changes to health benefits enrollment, such as adding or removing dependents, changing plans, or updating personal information.

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Form Details:

  • Released on December 1, 2017;
  • The latest available edition released by the U.S. Office of Personnel Management;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of OPM Form 2810 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.

Download OPM Form 2810 Notice of Change in Health Benefits Enrollment - Federal Employees Health Benefits Program

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  • OPM Form 2810 Notice of Change in Health Benefits Enrollment - Federal Employees Health Benefits Program

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