(202) 833-4910
Health Insurance
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The fastest and quickest way to receive your claims reimbursements.
Electronic Fund Transfer (EFT)/Direct Deposit Authorization Form
If you would like to submit this form by fax or mail, you may download the form here.
FOREIGN SERVICE BENEFIT PLANPO Box 14079Lexington, KY 40512-4079FAX: (959)282-1516
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