Web Procedure Manual

Viewing a 2810 Record

The View function allows users to view 2810 records.

To View a 2810 Record:

1. Select Forms tab on the CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System Main Menu.

   

2. Select 2810 at the top on the Forms Main page.The Form 2810 page is displayed.

   

3. Complete the following fields on the Form 2810 page:

   Payroll Office ID

   Year

   Quarter

   Agency ID

   POI

   Enrollment Code

   SSN

   User ID

   Last Name

   First Name

   Initial

   Display

   Order By

4. Select the Submit button to confirm the data entered. The Form 2810 Search Results page is displayed.

   OR

   Select the Reset button to clear all data entered.

   

   The data on the Payroll Office Contacts search results page is categorized into the following fields:

   Payroll Office ID

   Year/Quarter

   Enrollee SSN

   Last Name

   First Name

   Release Date

   Released By

   Status

   Options

5. Select the View button next to the applicable record. The Form 2810 View (Part A) page is displayed.

   

   The data on the Form 2810 View Part A page is categorized into the following fields:

   Payroll Office ID

   Year

   Quarter

   Personnel Office ID

   Last Name

   First Name

   Initial

   Address Line 1

   Address Line 2

   Address Line 3

   City

   State

   Zip

   Foreign Country

   SSN

   Date of Birth

   Enrollment Code

   Enrollment ID

   Effective Date

   Annuity Claim #

   Survivor Annuity Claim #

   Report #

   Last Changed ID

   Last Changed Date

   Last Changed Time

   Released ID

   Released Date

   Released Time

   Processed Date

   Processed Time

6. Select Part B through F to display the Form 2810 View Part B through F page.

   

   The data on the Form 2810 View page Part B - Termination is shown as indicated below.

   Part B - Termination

   The data on the Form 2810 View page Part C - Transfer In is shown as indicated below.

   Part C - Transfer In

   The data on the Form 2810 View page Part D - Reinstatement is shown as indicated below.

   Part D - Reinstatement

   The data on the Form 2810 View page Part E - Change of Enrollee Information is categorized into the following fields:

   Part E - Change of Enrollee Information

   Last Name

   First Name

   Initial

   Address Line 1

   Address Line 2

   Address Line 3

   City

   State

   Zip

   Foreign Country

   Date of Birth

   SSN

   Sex

   The data on the Form 2810 View page Part F - Change in Enrollment/Survivor Annuitant is shown as indicated below.

   Part F - Change in Enrollment/Survivor Annuitant

   New Enrollment Code Number

7. Select Part G thru H to display the Form 2810 View Part G thru H page.

   

   The data on the Form 2810 View page Part G - Remarks is categorized into the following fields:

   Remarks

   Date of Death

   The data on the Form 2810 View page Part H - Date of Notice is categorized into the following fields:

   Agency Name

   Address Line 1

   Address Line 2

   Address Line 3

   City

   State

   Zip

   Foreign Country

   Agency ID

   Personnel Office ID

   Agency Use

   Authorized Official Last Name

   Authorized Official First Name

   Authorized Official Initial

   Authorized Official Date

   Contact (Personnel) Last Name

   Contact (Personnel) First Name

   Contact (Personnel) Initial

   Contact (Personnel) Phone

   Contact (Payroll) Last Name

   Contact (Payroll) First Name

   Contact (Payroll) Initial

   Contact (Payroll) Phone

   Note: To view another record, select your browser’s Back button to return to the Form 2810 search results page then select the View button next to the applicable record.