Click here to skip navigation
OPM.gov Home  |  Subject Index  |  Important Links  |  Contact Us  |  Help

U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce
Advanced Search

This page can be found on the web at the following url:
http://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 Contract Word Document File [414 KB]
  4. Anti-lobbying form Word Document File [46 KB]
 
PDF Help U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532