Fers Life Insurance Form
Federal employees use this form to enroll or to cancel life insurance coverage.
Fers life insurance form. 2 elect basic and any or all of the options or 3 waive all life insurance your employing office will complete section 6 of this form or its coverage. Claim for death benefits federal employees group life insurance program. Federal employees group life insurance forms forms retirement insurance forms browse and download your choice of form s used to process retirement and insurance benefits. These forms do not affect the right of any person who is eligible for survivor annuity benefits.
Department of the treasury internal revenue service decedent insured to be filed by the executor with form 706 united states estate and generation skipping transfer tax return or form 706 na united states estate and generation skipping transfer tax return estate of nonresident not a citizen of the united states. Gsa 3703 full time telework arrangement analysis tool revised 9 2 2020. Federal withholding certificate for pension or annuity payments required or default withholding will be married with 3 exemptions. Continuation of life insurance required if you have life insurance and eligible to continue coverage.
1900 e street nw washington dc 20415. Gsa 7501 internal control audit tracking system icats access request revised 8 7 2020. Sf 94 statement of witness renewed 9 2 2020. Claim for dismemberment benefits.
New federal employees in eligible positions are automatically covered by basic insurance and do not need to use this form if they want only the basic coverage. If you are changing a previous election see the back of part 3 electronic equivalent and return your copy to you. Gsa 4003 procurement management review pmr small business compliance review sbcr checklist revised 8 18 2020. Federal employee csrs and fers retirement forms including the csrs retirement application sf 2801 application to make deposit or redeposit sf 2803 fegli life insurance election sf 2818 fers retirement application sf 3107 direct deposit sf 1199a and the application to make service credit payment sf 3108 and others.
A z index. Civil service retirement system csrs standard form 2808 designation of beneficiary 2 99 federal employees retirement system fers standard form 3102 designation of. Forms federal employees group life insurance forms. Annuitants do not use this form.
Office of personnel management.