Enrollment Questionnaire Online Form

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 enroll@geha.com; or by mailing the completed form to GEHA, P.O. Box 21542, Eagan, MN 55121-9930.