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Last Name Line 5 Field Instructions
Last Name Line 5 |
Conditional, alphanumeric, 25 positions maximum If the Enrollment Code indicates coverage is for Self and Family, enter the last name of the enrollee's fifth family member who is enrolled/enrolling in FEHB; otherwise, do not complete this field. If the enrollee's family member 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). |