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Direct Premium Remittance System (DPRS)

New Enrollee SF 2809 Part B

The SF 2809 Part B page is used to document the event and date details that enable the participant to enroll. This is a continuation from the SF 2809 Part A page for the enrollment. The following pages display different fields based on the Public Law selected on Part A:

In This Section

For Public Law, TCC, Former Spouse and Child

For Public Law, Temporary Continuation of Coverage (TCC)

For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF)

For Public Law, Annuitants

For Public Law, Annuitants - Surviving Spouse or Child(ren)

For Public Law, Affordable Care Act (ACA)

See Also

New Enrollments in DPRW

Enrollment Records

New Enrollee SF2809 Part A Family Information

Public Law, Spouse Equity

New Enrollee SF 2809 Part A