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Employees Dental

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FQHC/RHC - Department of Human Services

FQHC/RHC - Department of Human Services

www.dhs.pa.gov

6. If the services of a dental technician or dental laboratory, or both, are used as defined in 55 Pa.Code, §1149.2 (relating to definitions), the dentist shall furnish the dental technician or dental laboratory with a written prescription, which shall contain the following items listed in the Dental Law (63 P.S. §§ 120-130b):

  Dental

SF2809 - Health Benefits Election Form

SF2809 - Health Benefits Election Form

www.opm.gov

1. Employees eligible to enroll in or currently enrolled in the FEHB Program. Employees automatically participate in premium conversion unless they waive it, see page 6. 2. Annuitants in retirement systems other than the Civil Service Retirement System (CSRS) or Federal Employees Retirement System (FERS), including individuals receiving monthly

  Health, Form, Employee, Benefits, Election, Health benefits election form

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