U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce
Insurance Services Programs
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Federal Employees Health Benefits Program
FEHB Carrier Application for Download
If you want to apply to participate in the FEHB Program, please do the following:
- Download each of the Microsoft Word files below;
- Complete the application and certifications as directed;
- Send the completed application to OPM by January 31; and
- Complete the information form on the next screen. We will then be able to contact you with any significant updates to the materials you downloaded.
- Cover Letter
[31 KB] - Application for FEHB [80 KB]
- Anti-Lobbying Certification and Disclosure [34 KB]
- Drug Free Workplace Certification [27 KB]
- FEHB Fact-Sheet [15 KB]
- Sample Contract [414 KB]
U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532