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FEHBAR

Part Number: 1653

Federal Employee Health Benefits Acquisition Regulation

1653.000 FEHBP forms.

1653.000 FEHBP forms.

The following forms specified in FAR subparts 53.2 and 53.3 are applicable to FEHBP acquisitions:

53.2 53.3 Form title
53.201–1 53.301–1402 SF 1402–Certificate of Appointment.
53.203 53.301–119 SF 119—Statement of Contingent or Other Fees.
53.204–2(a) 53.301–279 SF 279 FPDS—Individual Contract Action Report (over $10,000).
53.204–2(b) 53.301–281 SF 281 FPDS—Summary of Contract Actions of $10,000 or less.
53.229 53.301–1094 SF 1094—U.S. Tax Exemption Certificate.
53.229 53.301–1094A SF 1094A—Tax Exemption Certificates Accountability Record.