PDF
Word
OPM Form DR25A Health Benefits Election Form
What Is OPM Form DR25A?
This is a legal form that was released by the U.S. Office of Personnel Management on January 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the OPM Form DR25A?
A: OPM Form DR25A is the Health Benefits Election Form.
Q: What is the purpose of OPM Form DR25A?
A: The purpose is to elect or make changes to health benefits coverage.
Q: Who should use OPM Form DR25A?
A: Federal employees and annuitants should use this form.
Q: What does OPM stand for?
A: OPM stands for Office of Personnel Management.
Form Details:
- Released on January 1, 2015;
- 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 printable version of OPM Form DR25A by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.
