Skip to page navigation
U.S. flag

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

You have reached a collection of archived material.

The content available is no longer being updated and as a result you may encounter hyperlinks which no longer function. You should also bear in mind that this content may contain text and references which are no longer applicable as a result of changes in law, regulation and/or administration.

Standard Form 2811 is no longer available

United States
Office of
Personnel Management

The Federal Government's Human Resources Agency

Retirement and Insurance Service
Benefits Administration Letter

Number: 00-225 Date: December 7, 2000

Subject: Federal Employees Health Benefits Program: Standard Form 2811 is no longer available

Several years ago, we made the use of Standard Form 2811, Transmittal and Summary Report to Carrier, optional. Since then, most of you have stopped using this form. We have decided to discontinue the availability of the form because of its low usage. We are revising the FEHB Handbook to remove any references to the SF 2811.


Abby L. Block, Chief
Insurance Policy and Information Division

Control Panel