U.S. General Services Administration
Health Benefits Election Form
- Title: Health Benefits Election Form
- Form #: SF2809
- Current Revision Date: 11/2019
- Authority or Regulation: Chapter 89, Title 5, U.S. Code
PDF versions of forms use Adobe Reader™. Download Adobe Reader™
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock
( )
or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.