| A |
| Accessibility |
| Account Type Field Instruction |
| Account Type Field Instruction |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Action Effective Date Field Instruction |
| Action Effective Date Field Instruction |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Add Registration SF2809 Field Instruction |
| Add Registration SF2809 Field Instruction |
| DPRS Menu |
| Address 1 Field Instruction |
| Address 1 Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Address 2 Field Instruction |
| Address 2 Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Address Field Instruction |
| Address Field Instruction |
| New Enrollee SF 2809 Part C |
| Agency Inquiries |
| Agency Responsibilities |
| Appendix |
| Appendix I, Public Laws Guidelines |
| Appendix II, Instructions on Completing the SF 2809 |
| Appendix II, Instructions on Completing the SF 2809 |
| Latest Update Information |
| Appendix III, Instructions on Completing the SF 2810 |
| B |
| Background |
| C |
| Cell Phone Field Instruction |
| Cell Phone Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Change Password |
| City Field Instruction |
| City Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF 2809 Part C |
| New Enrollee SF2809 Part A Family Information |
| Claim Number Field Instruction |
| Claim Number Field Instruction |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Command Buttons |
| Complete (Registration) Field Instruction |
| Complete (Registration) Field Instruction |
| Reports from DPRW |
| Completing an Incomplete SF 2809 Report in DPRW |
| Confirm New Password Field Instruction |
| Change Password |
| Confirm New Password Field Instruction |
| Correct Registration SF2809 Field Instruction |
| Correct Registration SF2809 Field Instruction |
| DPRS Menu |
| Correcting Registration in DPRW |
| Corrections |
| Country Field Instruction |
| Country Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Current Enrollment Plan Field Instruction |
| Current Enrollment Plan Field Instruction |
| New Enrollee SF 2809 Part A |
| D |
| Date Field Instruction |
| Date Field Instruction |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| Date of Birth Field Instruction |
| Date of Birth Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Date of Certification Field Description |
| Date of Certification Field Description |
| New Enrollee SF 2809 Part C |
| Date Received Field Instruction |
| Date Received Field Instruction |
| New Enrollee SF 2809 Part C |
| Delete (Registration) Field Instruction |
| Delete (Registration) Field Instruction |
| Reports from DPRW |
| Delete Field Instruction |
| Delete Field Instruction |
| New Enrollee SF2809 Part A Family Information |
| DOB Field Instruction |
| DOB Field Instruction |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Public Law, Spouse Equity |
| DOD Activity Field Instruction |
| DOD Activity Field Instruction |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| DOD Component Field Instruction |
| DOD Component Field Instruction |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| DOD Location Field Instruction |
| DOD Location Field Instruction |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| Domestic Field Instruction |
| Domestic Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| DPRS 1501 and 1601 Reports |
| DPRS Incomplete SF 2809 Report |
| DPRS Menu |
| DPRS Reports Generated |
| DPRS Transaction Batch Codes |
| Drop-Down Menus |
| E |
| Edit Field Instruction |
| Edit Field Instruction |
| New Enrollee SF2809 Part A Family Information |
| Effective Date Field Description |
| Effective Date Field Description |
| New Enrollee SF 2809 Part C |
| Email Field Instruction |
| Email Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Enrollment Records |
| Enter New Password Field Instruction |
| Change Password |
| Enter New Password Field Instruction |
| Establish Enrollment |
| Event Code Field Description |
| Event Code Field Description |
| For Public Law, Affordable Care Act (ACA) |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| For Public Law, TCC, Former Spouse and Child |
| For Public Law, Temporary Continuation of Coverage (TCC) |
| Public Law, Spouse Equity |
| Event Date Field Instruction |
| Event Date Field Instruction |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| For Public Law, Temporary Continuation of Coverage (TCC) |
| Exiting DPRW |
| F |
| Field Instructions |
| First Name (Certifying Official) Field Description |
| First Name (Certifying Official) Field Description |
| New Enrollee SF 2809 Part C |
| First Name Field Instruction |
| First Name Field Instruction |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Public Law, Spouse Equity |
| For Public Law, Affordable Care Act (ACA) |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| For Public Law, TCC, Former Spouse and Child |
| For Public Law, Temporary Continuation of Coverage (TCC) |
| Forms and Reports |
| Forms That are Required for DPRS |
| H |
| Home Phone Field Instruction |
| For Public Law, Affordable Care Act (ACA) |
| Home Phone Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| I |
| Inquiries |
| Insurance Policy Number Field Instruction |
| Insurance Policy Number Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Introduction |
| L |
| Last Date of Pay Period Field Instruction |
| For Public Law, Affordable Care Act (ACA) |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| For Public Law, Temporary Continuation of Coverage (TCC) |
| Last Date of Pay Period Field Instruction |
| Last Name (Certifying Official) Field Description |
| Last Name (Certifying Official) Field Description |
| New Enrollee SF 2809 Part C |
| Last Name Field Instruction |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Last Name Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Public Law, Spouse Equity |
| Latest Update Information |
| Log in to DPRW |
| Latest Update Information |
| Log in to DPRW |
| M |
| Married Field Instruction |
| Married Field Instruction |
| New Enrollee SF 2809 Part A |
| Medicare Claim Number Field Instruction |
| Medicare Claim Number Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Middle Initial Field Instruction |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Middle Initial Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Public Law, Spouse Equity |
| N |
| Name of Agency/Retirement System Field Instruction |
| Name of Agency/Retirement System Field Instruction |
| New Enrollee SF 2809 Part C |
| National Finance Center (NFC) Inquiries |
| National Finance Center (NFC) Responsibilities |
| New Enrollee SF 2809 Part A |
| New Enrollee SF 2809 Part B |
| New Enrollee SF 2809 Part C |
| Correcting Registration in DPRW |
| New Enrollee SF 2809 Part C |
| Search/Complete Registration SF 2809 |
| New Enrollee SF2809 Part A Family Information |
| New Enrollment Plan Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollment Plan Field Instruction |
| New Enrollment Requirements |
| New Enrollments in DPRW |
| Number Hours (DOD Only) Field Instruction |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| Number Hours (DOD Only) Field Instruction |
| O |
| Office of Personnel Management (OPM) Responsibilities |
| Operating Features |
| OPM Inquiries |
| Other Insurance Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Other Insurance Field Instruction |
| Other Insurance Name Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Other Insurance Name Field Instruction |
| Overall Functional Description of Direct Premium Remittance Web (DPRW) |
| P |
| Password Field Instruction |
| Log in to DPRW |
| Password Field Instruction |
| Payroll Contact First Name Field Instruction |
| New Enrollee SF 2809 Part C |
| Payroll Contact First Name Field Instruction |
| Payroll Contact Last Name Field Instruction |
| New Enrollee SF 2809 Part C |
| Payroll Contact Last Name Field Instruction |
| Payroll Office Number Field Instruction |
| New Enrollee SF 2809 Part C |
| Payroll Office Number Field Instruction |
| Payroll Phone Number Field Instruction |
| New Enrollee SF 2809 Part C |
| Payroll Phone Number Field Instruction |
| Personnel Phone Number Field Instruction |
| New Enrollee SF 2809 Part C |
| Personnel Phone Number Field Instruction |
| Popups |
| Public Law Field Instruction |
| New Enrollee SF 2809 Part A |
| Public Law Field Instruction |
| Public Law, Spouse Equity |
| R |
| Relationship Field Instruction |
| New Enrollee SF2809 Part A Family Information |
| Relationship Field Instruction |
| Relationship To Employee Field Instruction |
| New Enrollee SF 2809 Part A |
| Relationship To Employee Field Instruction |
| REMARKS Field Instruction |
| For Public Law, Affordable Care Act (ACA) |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| For Public Law, TCC, Former Spouse and Child |
| For Public Law, Temporary Continuation of Coverage (TCC) |
| Public Law, Spouse Equity |
| REMARKS Field Instruction |
| Reports from DPRS Mainframe |
| Reports from DPRW |
| Resources |
| Responsibilities |
| S |
| Search/Complete Registration SF 2809 |
| Search/Complete Registration SF2809 Field Instruction |
| DPRS Menu |
| Search/Complete Registration SF2809 Field Instruction |
| Security Access |
| Separation Date Field Instruction |
| For Public Law, Affordable Care Act (ACA) |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| For Public Law, Temporary Continuation of Coverage (TCC) |
| Separation Date Field Instruction |
| Separation/Event Date Field Instruction |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Separation/Event Date Field Instruction |
| Sex Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Sex Field Instruction |
| SF 2809 and SF 2810 for Corrections |
| Latest Update Information |
| SF 2809 and SF 2810 for Corrections |
| SF 2809, Health Benefits Election Form |
| Latest Update Information |
| SF 2809, Health Benefits Election Form |
| SF 2809, Types of New Enrollments |
| Latest Update Information |
| SF 2809, Types of New Enrollments |
| SF 2810 and Original SF 2809 for Transfer Enrollees |
| SF 2810 and Original SF 2809 for Transfer Enrollees |
| Transfers |
| SF 2810, Notice of Change in Health Benefits Enrollment |
| Signature Date Field Instruction |
| For Public Law, Affordable Care Act (ACA) |
| For Public Law, Annuitants |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| For Public Law, Temporary Continuation of Coverage (TCC) |
| Public Law, Spouse Equity |
| Signature Date Field Instruction |
| Signature Field Instruction |
| For Public Law, Department of Defense separated under the Reduction in Force (DOD-RIF) |
| Signature Field Instruction |
| Social Security Number Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Social Security Number Field Instruction |
| SON Number Field Instruction |
| New Enrollee SF 2809 Part A |
| SON Number Field Instruction |
| SSN Field Instruction |
| For Public Law, Annuitants - Surviving Spouse or Child(ren) |
| For Public Law, TCC, Former Spouse and Child |
| Public Law, Spouse Equity |
| SSN Field Instruction |
| State Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF 2809 Part C |
| New Enrollee SF2809 Part A Family Information |
| State Field Instruction |
| Submitting Transfers and Corrections |
| System Access to DPRW |
| T |
| Transfers |
| U |
| User ID Field Instruction |
| Log in to DPRW |
| User ID Field Instruction |
| UserID (Certifying Official) Field Description |
| New Enrollee SF 2809 Part C |
| UserID (Certifying Official) Field Description |
| V |
| View Certified SF 2809 |
| View Certified SF2809 Field Instruction |
| DPRS Menu |
| View Certified SF2809 Field Instruction |
| W |
| Who May Use an SF 2809 |
| Work Phone Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF2809 Part A Family Information |
| Work Phone Field Instruction |
| Z |
| Zip Field Instruction |
| New Enrollee SF 2809 Part A |
| New Enrollee SF 2809 Part C |
| New Enrollee SF2809 Part A Family Information |
| Zip Field Instruction |