CLER for NFC

Viewing a 2809 Record

The View function allows users to view 2809 records.

To View a 2809 Record:

1. Select the Forms tab at the top of the CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System Main Menu. The Forms Main Page is displayed with the options 2809 and 2810.

   

2. Select the 2809 option on the Forms Main Page. The Form 2809 page is displayed.

   

3. Complete the fields as follows:

   Field	Instruction
   Payroll Office ID*	Required Select the payroll office identification number from the drop-down menu.
   Year*	Optional, default Select the reconciliation year from the drop-down menu. If no year is selected, this field automatically defaults to the current reconciliation year.
   Quarter*	Optional, default Select the reconciliation quarter from the drop-down menu. If no quarter is selected, this field automatically defaults to the current reconciliation quarter.
   Agency ID	Optional, alphanumeric, 4 positions Enter the Agency identification code for the enrollee's employing, personnel, or point of contact office (example: AG90 for U.S. Department of Agriculture, Office of the Chief Financial Officer).
   POI	Optional, alphanumeric, 4 positions Enter the personnel office identification number where the enrollee's records are maintained.
   Enrollment Code	Optional, alphanumeric, 3 positions Enter the enrollment/carrier enrollment code.
   SSN Social Security number	Required, alphanumeric, 9 positions Enter the enrollee’s Social Security number (SSN). If the enrollee does not want his/her SSN provided to the carrier, a pseudo SSN may be used if the pseudo SSN is also reported to CLER.
   User ID	Optional, alphanumeric, 8 positions maximum Enter the user identification number of the person creating the form.
   Last Name	Optional, alphanumeric, 25 positions maximum Enter the enrollee’s last name. If the enrollee has a title (e.g., Jr, Sr, I, II, or III), it should be entered after the last name without punctuation (e.g., Smith Jr or Smith III). If there is a case of an enrollee having only one name, enter that one name in this field.
   First Name	Optional, alphanumeric, 17 positions maximum Enter the enrollee’s first name.
   Initial	Optional, alphanumeric, 1 position Enter the enrollee’s middle initial.
   Display	Optional, default Defaults to the All display option. Allows users to display search results by the options listed below. To choose another display option, select the radio button next to one of the following options: All - Displays all records related to the search criteria. Released - Displays records released for processing. Cancelled - Displays records that have been cancelled. Not Released - Displays records not released for processing. Processed - Displays processed records.
   Order By	Optional, default Defaults to the Agency ID sort option. Allows users to sort search results by the options listed below. To choose another sort option, select the radio button next to one of the following options: Agency ID - Search by Agency identification code. SSN - Search by enrollee Social Security number. Name - Search by enrollee name. User ID - Search by user identification number. Status - Search by status (e.g., released, processed, not released, or cancelled release).

4. Click Submit. The Form 2809 Results page is displayed.

   

   Field	Description
   Payroll Office ID	System generated Displays the payroll office identification number.
   Year	System generated Displays the reconciliation year.
   Quarter	System generated Displays the reconciliation quarter.
   Enrollee SSN Social Security number	System generated Displays the enrollee’s SSN Social Security number.
   Last Name	System generated Displays the enrollee’s last name.
   First Name	System generated Displays the enrollee’s first name.
   Release Date	System generated Displays the date the record was released for processing.
   Released By	System generated Displays the user identification number of the individual who released the record for processing.
   Status	System generated Displays the status of the transmission. This field is populated by one of the following: Processed, Canceled, Released, or Not Released.

5. Click View next to the applicable record. The Form 2809 View (Part A) page is displayed.

   

   Field	Description
   Payroll Office ID	System generated Displays the payroll office identification number.
   Year	System generated Displays the reconciliation year.
   Quarter	System generated Displays the reconciliation quarter.
   Personnel Office ID	System generated Displays the personnel office identification number.
   Nature of Action	System generated A selected radio button indicates: Start - Enrollment in FEHB. Change - Change to a current FEHB enrollment. Suspend - Suspension of FEHB enrollment. Stop - Cancelation of FEHB enrollment.
   Last Name	System generated Displays the enrollee’s last name.
   First Name	System generated Displays the enrollee’s first name.
   Initial	System generated Displays the enrollee’s middle initial.
   Address Line 1	System generated Displays the first line of the enrollee’s domestic or foreign street, apartment number, or post office box, rural route, etc.
   Address Line 2	System generated Displays the second line of the enrollee’s domestic or foreign street, apartment number, or post office box, rural route, etc.
   Address Line 3	System generated Displays the third line of the enrollee’s domestic or foreign street, apartment number, or post office box, rural route, etc.
   City	System generated Displays the name of the enrollee’s domestic or foreign city. Note: If the address is an overseas military address, this field displays FPO for fleet post office or APO for army post office in lieu of the city.
   State	System generated Displays the enrollee's State, U.S. territory, or overseas military abbreviation. For a list and descriptions of State, U.S. territory, and overseas military abbreviations, see State, U.S. Territory, and Overseas Military Abbreviations Table.
   Zip	System generated Displays the enrollee's domestic or foreign ZIP Code or foreign postal code.
   Country	System generated Displays the enrollee’s country code. For a list and descriptions of country codes, see Country Codes Table.
   SSN	System generated Displays the enrollee’s SSN.
   Date of Birth	System generated Displays the enrollee’s date of birth.
   Sex	The selected radio button indicates the following values: M - Male F - Female
   Married	The selected radio button indicates the following values: Y - Enrollee is married. N - Enrollee is single.
   Phone	System generated Displays the enrollee's daytime area code and telephone number.
   Last Changed ID	System generated Displays the user identification number of the individual who made the most recent change to the record.
   Last Changed Date	System generated Displays the date of the most recent change.
   Last Changed Time	System generated Displays the time of the most recent change.
   Released ID	System generated Displays the user identification number of the individual who released the record for processing.
   Released Date	System generated Displays the date the record was released for processing.
   Released Time	System generated Displays the time the record was released for processing.
   Processed Date	System generated Displays the date the record was processed.
   Processed Time	System generated Displays the time the record was processed.

6. Select the Part A Continued option at the top of the Form 2809 View (Part A) page. The Form 2809 View (Part A Continued) page is displayed.

   

   Field	Description
   Last Name Line 1	System generated Displays the last name of the enrollee's first family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 1	System generated Displays the first name of the enrollee's first family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 1	System generated Displays the middle initial of the enrollee’s first family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 1	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s first family member who is enrolled/enrolling in FEHB.
   Code Line 1	System generated Displays the code that identifies the first family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 1	System generated Displays the SSN of the enrollee’s first family member who is enrolled/enrolling in FEHB.
   Sex Line 1	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 1	System generated Displays the Zip Code or foreign postal code of the enrollee’s first family member who is enrolled/enrolling in FEHB.
   Last Name Line 2	System generated Displays the last name of the enrollee's second family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 2	System generated Displays the first name of the enrollee's second family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 2	System generated Displays the middle initial of the enrollee’s second family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 2	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s second family member who is enrolled/enrolling in FEHB.
   Code Line 2	System generated Displays the code that identifies the second family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 2	System generated Displays the SSN of the enrollee’s second family member who is enrolled/enrolling in FEHB.
   Sex Line 2	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 2	System generated Displays the Zip Code or foreign postal code of the enrollee’s second family member who is enrolled/enrolling in FEHB.
   Last Name Line 3	System generated Displays the last name of the enrollee's third family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 3	System generated Displays the first name of the enrollee's third family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 3	System generated Displays the middle initial of the enrollee’s third family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 3	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s third family member who is enrolled/enrolling in FEHB.
   Code Line 3	System generated Displays the code that identifies the third family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 3	System generated Displays the SSN of the enrollee’s third family member who is enrolled/enrolling in FEHB.
   Sex Line 3	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 3	System generated Displays the Zip Code or foreign postal code of the enrollee’s third family member who is enrolled/enrolling in FEHB.
   Last Name Line 4	System generated Displays the last name of the enrollee's fourth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 4	System generated Displays the first name of the enrollee's fourth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 4	System generated Displays the middle initial of the enrollee’s fourth family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 4	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s fourth family member who is enrolled/enrolling in FEHB.
   Code Line 4	System generated Displays the code that identifies the fourth family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 4	System generated Displays the SSN of the enrollee’s fourth family member who is enrolled/enrolling in FEHB.
   Sex Line 4	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 4	System generated Displays the Zip Code or foreign postal code of the enrollee’s fourth family member who is enrolled/enrolling in FEHB.
   Last Name Line 5	System generated Displays the last name of the enrollee's fifth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 5	System generated Displays the first name of the enrollee's fifth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 5	System generated Displays the middle initial of the enrollee’s fifth family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 5	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s fifth family member who is enrolled/enrolling in FEHB.
   Code Line 5	System generated Displays the code that identifies the fifth family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 5	System generated Displays the SSN of the enrollee’s fifth family member who is enrolled/enrolling in FEHB.
   Sex Line 5	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 5	System generated Displays the Zip Code or foreign postal code of the enrollee’s fifth family member who is enrolled/enrolling in FEHB.
   Last Name Line 6	System generated Displays the last name of the enrollee's sixth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 6	System generated Displays the first name of the enrollee's sixth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 6	System generated Displays the middle initial of the enrollee’s sixth family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 6	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s sixth family member who is enrolled/enrolling in FEHB.
   Code Line 6	System generated Displays the code that identifies the sixth family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 6	System generated Displays the SSN of the enrollee’s sixth family member who is enrolled/enrolling in FEHB.
   Sex Line 6	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 6	System generated Displays the Zip Code or foreign postal code of the enrollee’s sixth family member who is enrolled/enrolling in FEHB.
   Last Name Line 7	System generated Displays the last name of the enrollee's seventh family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 7	System generated Displays the first name of the enrollee's seventh family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 7	System generated Displays the middle initial of the enrollee’s seventh family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 7	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s seventh family member who is enrolled/enrolling in FEHB.
   Code Line 7	System generated Displays the code that identifies the seventh family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 7	System generated Displays the SSN of the enrollee’s seventh family member who is enrolled/enrolling in FEHB.
   Sex Line 7	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 7	System generated Displays the Zip Code or foreign postal code of the enrollee’s seventh family member who is enrolled/enrolling in FEHB.
   Last Name Line 8	System generated Displays the last name of the enrollee's eighth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 8	System generated Displays the first name of the enrollee's eighth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 8	System generated Displays the middle initial of the enrollee’s eighth family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 8	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s eighth family member who is enrolled/enrolling in FEHB.
   Code Line 8	System generated Displays the code that identifies the eighth family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 8	System generated Displays the SSN of the enrollee’s eighth family member who is enrolled/enrolling in FEHB.
   Sex Line 8	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 8	System generated Displays the Zip Code or foreign postal code of the enrollee’s eighth family member who is enrolled/enrolling in FEHB.
   Last Name Line 9	System generated Displays the last name of the enrollee's ninth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 9	System generated Displays the first name of the enrollee's ninth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 9	System generated Displays the middle initial of the enrollee’s ninth family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 9	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s ninth family member who is enrolled/enrolling in FEHB.
   Code Line 9	System generated Displays the code that identifies the ninth family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 9	System generated Displays the SSN of the enrollee’s ninth family member who is enrolled/enrolling in FEHB.
   Sex Line 9	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 9	System generated Displays the Zip Code or foreign postal code of the enrollee’s ninth family member who is enrolled/enrolling in FEHB.
   Last Name Line 10	System generated Displays the last name of the enrollee's tenth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   First Name Line 10	System generated Displays the first name of the enrollee's tenth family member who is enrolled/enrolling in FEHB Federal Employees Health Benefits.
   Initial Line 10	System generated Displays the middle initial of the enrollee’s tenth family member who is enrolled/enrolling in FEHB.
   Date of Birth Line 10	System generated Displays the date of birth (MMDDYYYY) of the enrollee’s tenth family member who is enrolled/enrolling in FEHB.
   Code Line 10	System generated Displays the code that identifies the tenth family member's relation to the enrollee.The codes are: 01 - Spouse 09 - Adopted child 10 - Foster child 17 - Stepchild 19 - Unmarried dependent child under age 22 99 - Eligible unmarried disabled child over 22
   SSN Line 10	System generated Displays the SSN of the enrollee’s tenth family member who is enrolled/enrolling in FEHB.
   Sex Line 10	The values listed below indicate the following: M - Indicates the enrollee is male. F - Indicates the enrollee is female.
   Zip Line 10	System generated Displays the Zip Code or foreign postal code of the enrollee’s tenth family member who is enrolled/enrolling in FEHB.

7. Select the Parts B-H option at the top of the Form 2809 View (Part A Continued) page. The Form 2809 View (Parts B-H) page is displayed.

   

   Field	Description
   Present Plan Name	System generated Displays the name of the FEHB health insurance plan in which the enrollee is currently enrolled.
   Present Enrollment Code	System generated Displays the name of the enrollment code which the enrollee is currently enrolled.
   New Plan Name	System generated Displays the new FEHB health insurance plan name.
   New Enrollment Code	System generated Displays the new enrollment code.
   Event That Permits Change	System generated Displays the FEHB Event Code that identifies the event that initiated the enrollee's action. Refer to SF 2809 or OPM 2809 for a list of Event Codes.
   Date	System generated Displays the date (MMDDYYYY) of the event that initiated the enrollee's action.
   Date of Action	System generated Displays the date (MMDDYYYY) the enrollee made this election.
   Phone	System generated Displays the enrollee's daytime area code and telephone number.

8. Select the Part I option at the top of the Form 2809 View (Parts B-H) page. The Form 2809 View (Part I) page is displayed.

   

   Field	Description
   Agency Name	System generated Displays the name of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.
   Address Line 1	System generated Displays the first line of the domestic or foreign street, PO box, rural route, etc., of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.
   Address Line 2	System generated Displays the second line of the domestic or foreign street, P O Box, rural route, etc., of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.
   Address Line 3	System generated Displays the third line of the domestic or foreign street, PO box, rural route, etc., of the employing, personnel, or point of contact office that is responsible for coordinating the enrollee's FEHB coverage.
   City	System generated Displays the name of the domestic or foreign city for the enrollee's employing, personnel, or point of contact office. Note: If the address is an overseas military address, this field displays FPO for fleet post office or APO for army post office in lieu of the city.
   State	System generated Displays the State, U.S. territory, or overseas military abbreviation for the enrollee's employing, personnel or point of contact office. For a list and descriptions of State, U.S. territory, and overseas military abbreviations, see State, U.S. Territory, and Overseas Military Abbreviations Table.
   Zip	System generated Displays the ZIP Code or foreign postal code for the enrollee's employing, personnel, point of contact office.
   Country	System generated Displays the country code for the enrollee's employing, personnel, or point of contact office.
   Agency ID	System generated Displays the Agency identification code for the enrollee's employing, personnel, or point of contact office (example: AG90 for U.S. Department of Agriculture, Office of the Chief Financial Officer).
   Personnel Office ID	System generated Displays the personnel office number for the enrollee's employing, personnel, or point of contact office.
   Authorized Official Last Name	System generated Displays the the last name of the Agency official who is authorized to sign the Form 2809.
   Authorized Official First Name	System generated Displays the first name of the Agency official who is authorized to sign the Form 2809.
   Authorized Official Initial	System generated Displays the middle initial of the Agency official who is authorized to sign the Form 2809.
   Contact (Personnel) Last Name	System generated Displays the last name of the personnel office contact.
   Contact (Personnel) First Name	System generated Displays the first name of the personnel office contact.
   Contact (Personnel) Initial	System generated Displays the middle initial of the personnel office contact.
   Contact (Personnel) Phone	System generated Displays the personnel office contact's daytime area code and telephone number.
   Contact (Payroll) Last Name	System generated Displays the last name of the payroll office contact.
   Contact (Payroll) First Name	System generated Displays the first name of the payroll office contact.
   Contact (Payroll) Initial	System generated Displays the middle initial of the payroll office contact.
   Contact (Payroll) Phone	System generated Displays the payroll office contact's daytime area code and telephone number.
   Effective Date	System generated Displays the date (MMDDYY) the requested action goes into effect.
   Date Received	System generated Displays the date (MMDDYYYY) the Agency received the original 2809 form.
   Report #	System generated Displays the number of the original report (e.g., notification to carrier, transmittal number, etc.).
   Remarks	System generated Displays the remarks about this record.

   Note: To view another record, click your browser's Back button to return to the Form 2809 Search Results page and click View next to the applicable record.