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Health Benefits Election Form SF2809 (Federal)

Members of the Plans administered by the District of Columbia Retirement Board (DCRB) who were hired prior to October 1, 1987, participate in federal health insurance programs.

Note:Please submit all supporting documents with your enrollment form if you are adding or removing a dependent from your healthcare plan. Examples would be:

  • Divorce
  • Marriage
  • Adoption
  • Birth
  • Adult disabled child