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U.S. Office of Personnel Management - Recruiting, Retaining and Honoring a World-Class Workforce to Serve the American People


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This page can be found on the web at the following url:
http://www.opm.gov/insure/health/carriers/confirm.asp

Insurance Programs

Health

Carrier Application

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.

  1. Application for FEHB Word Document File [80 KB]
  2. Drug Free Workplace Certification Word Document File [27 KB]
  3. Sample Experience-Rated HMO Contract Word Document File [484 KB]
  4. Sample Community-Rated HMO Contract Word Document File [401 KB]
  5. Anti-lobbying form Word Document File [46 KB]