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FEHBAR

Part Number: 1653

Federal Employee Health Benefits Acquisition Regulation

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.