PDF
Word
Form RI79-9 Health Benefits Cancellation / Suspension Confirmation
What Is Form RI79-9?
This is a legal form that was released by the U.S. Office of Personnel Management on August 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form RI79-9?
A: Form RI79-9 is a Health Benefits Cancellation/Suspension Confirmation.
Q: What is the purpose of Form RI79-9?
A: The purpose of Form RI79-9 is to confirm the cancellation or suspension of health benefits.
Q: Who uses Form RI79-9?
A: Form RI79-9 is used by individuals or employers to confirm the cancellation or suspension of health benefits.
Q: What information is required on Form RI79-9?
A: Form RI79-9 requires information such as the individual's or employee's name, contact information, and the effective date of the cancellation or suspension.
Q: Is there a deadline for submitting Form RI79-9?
A: The deadline for submitting Form RI79-9 may vary depending on the health benefits provider or employer. It is recommended to check with them for specific deadlines.
Q: Can I cancel or suspend health benefits without submitting Form RI79-9?
A: The process for canceling or suspending health benefits may vary depending on the health benefits provider or employer. It is recommended to contact them directly to understand their specific requirements.
Form Details:
- Released on August 1, 2014;
- 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 Form RI79-9 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.
Download Form RI79-9 Health Benefits Cancellation / Suspension Confirmation
1
2
