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Enroll Dependents up to Age 26

To add your child(ren) to your Self Plus One or Self and Family enrollment, please click Fill In Form Online below. After we receive your submission, GEHA might follow up with you to ask for a copy of your child's birth certificate or other documentation in order to verify eligibility for coverage.

Please note: This form is NOT for use for the FEDVIP dental plan. To add dependents to your FEDVIP enrollment, please call BENEFEDS at (877) 888-3337.