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Action Code Field Instruction
Action Code
Required, numeric, three positions
Code that indicates the type of Federal Employees Health Benefits (FEHB) change being accomplished during the pay period. Valid values are identified below.
001 - Name change
002 - FEHB master update Agency and employing office
003 - Social Security number (SSN) deletion
004 - SSN substitution
010 - Add, new coverage from Standard Form (SF) 2809, Health Benefits Election Form
011 - Add, Change in carrier
020 - Add, Change in option from SF 2809
030 - Add, Transfer in from SF 2809
040 - Add, Reinstatement return from military furlough
041 - Add, Change in option no SF 2809
042 - Add, Change in carrier no SF 2809
043 - Add, Gain in coverage no SF 2809
044 - Add, Reinstatement from SF 2809
045 - Add, Reinstatement
050 - Loss, Cancellation from SF 2809
060 - Loss, Change in option from SF 2809
070 - Loss, Separated
071 - Loss, Reduction-in-Force System (RIF) furlough
072 - Loss, Retired FEHB terminated
073 - Loss, Death FEHB terminated
074 - Loss, Changed to position ineligible
075 - Loss, 365 days leave without pay (LWOP)
076 - Loss, Termination
080 - Loss, Change in carrier from SF 2809
090 - Loss, Transfer out of Agriculture
091 - Transfer FEHB to Office of Personnel Management (OPM)
092 - Loss, Death Transfer FEHB to OPM
093 - Transfer FEHB to Office of Workers’ Compensation Programs (OWCP)
100 - Equal Employment Opportunity (EEO) military furlough