FE 2004 |
FEGLI 2004 Open Season Election Form |
September 2004 |
Use: Federal employees use this form for belated FEGLI 2004 Open Season elections to enroll in the FEGLI Program, or to change/increase their existing coverage. Employees must first receive a written determination from their agency human resources office that they are eligible to make a belated FEGLI 2004 Open Season election. After receiving such determination, employees have 31 days in which to elect coverage on this FE-2004. |
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Electronic Copies:
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Paper Copies: Employees: Download the form locally . However, if you can't access the Adobe-Acrobat PDF fillable form, contact your servicing human resources office for more information on how to obtain a copy. Agencies:
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