New Enrollment Requirements

To Establish a New Enrollment

Agencies	Advise eligible individuals of coverage available under P.L. 98-615 and P.L. 100-654.
Eligible Enrollees	Prepare an SF 2809 and forward to Agency.
Agencies	Complete an SF 2809 and establish enrollee into DPRW for a DPRS enrollment.
NFC	Generate an SF 2809 copy to FEHB carrier. Forward enrollee coupon book for making payments through lock box. Monitor enrollee accounts. Provide reporting to OPM and carrier.

Before entering into DPRW, the Agency must enter the following information on the SF 2809:

Effective date of the enrollment
Enrollment code
Submitting Office Number (SON) (the document will fail processing if the SON is missing or incorrect and enrollment of the applicant may be delayed.)
The following information must be included in the Remarks block in exactly the order shown, as appropriate for the class of the enrollee:

Separated employee:

Relationship (self)
P.L. under which the applicant is eligible using the law's whole number
(i.e., P.L. 100-654 (5 U.S.C. 8905a))
Date of separation
Last day of pay period

Former spouse and child of a current employee:

Relationship (ex-spouse, child)
P.L. under which the applicant is eligible for benefits, using the law's whole number (e.g., P.L. 98-615 or P.L. 100-654 (5 U.S.C. 8905a))
Name of the employee
SSN of the employee
Date of birth (DOB) for the employee
Date of the qualifying event (e.g., divorce, annulment, date of 26th birthday,
P.L. 100-654 enrollees only)

Former spouse and child of a separated employee:

Persons in this category should contact NFC directly for enrollment information.

Former spouse and child of CSRS, FERS, or other retirement systems' annuitants:

OPM will continue to process all accounts for their annuitants' children or former spouses. Forms for these individuals should be sent to OPM, not to NFC.
The original employee/former employee information will be needed to establish a DPRS enrollee master, to determine the enrollment expiration date in the case of
P.L 100-654 enrollees, and to provide this information to the carrier.
After all information is complete, the submitting office should return the enrollee's copy to the enrollee and keep the new carrier copy for the records.

Upon receipt of the initial SF 2809 for enrollment into a plan, NFC will generate a copy of the
SF 2809 to the carrier and establish an enrollee master in the DPRS database.

Direct Premium Remittance System (DPRS)