GEHA will perform system maintenance on Sunday (January 20) from 4-6 p.m. Eastern time. Portions of this website might not be available during this time. We apologize for any inconvenience.

Enrollment Questionnaire

GEHA Enrollment QuestionnaireWhen GEHA has been notified of your enrollment, you will receive an enrollment kit that includes a plan brochure and an Enrollment Questionnaire.

To save time and help speed up access to your benefits, you can complete and submit the Enrollment Questionnaire by fax to 816.257.3302; by emailing a copy to; or by mailing the completed form to GEHA, P.O. Box 4665, Independence, MO 64051-9804.