Opm Life Insurance Form
Be sure to read the instructions on the form.
Opm life insurance form. Continue to the form preview. If you wish to designate your life insurance use the sf 2823 if you wish to designate your life insurance use the sf 2823. If the insured assigned ownership of his her life insurance to someone else generally by filing an ri 76 10 assignment form. A z index.
The federal government established the federal employees group life insurance fegli program on august 29 1954. Continue opm service credit payment form. If you wish you may complete the claim form ahead of time by downloading the form from this website. For more information on who will receive life insurance proceeds when an insured person dies please check out our faq pages.
Opm will send you and anyone who appears eligible for life insurance benefits the life insurance claim form. Please use this form to make repayment of early withdrawal or payment of service without retirement deduction. Sf 1152 designation of beneficiary unpaid compensation of deceased civilian employee pdf. Claim for dismemberment benefits.
If the insured did not assign ownership and there is a valid court order on file with the agency or the u s. It is the largest group life insurance program in the world covering over 4 million federal employees and retirees as well as many of their family members. Assignment of federal employee s group life insurance please be aware that this form is used to assign your life insurance. Office of personnel management opm as appropriate ofegli will pay benefits according to the court order.
Federal employees use this form to enroll increase decrease or cancel life insurance coverage. Please use this form to pay your life insurance premiums. Bank account ach debit or credit card. Office of personnel management opm life insurance form before you begin complete agency form enter payment info review submit confirmation about this form please use this form to pay your life insurance premiums.
This allows a payment. Claim for death benefits federal employees group life insurance program. That form will take precedence over any fegli designation form on file as long as you sign it have two witnesses sign and complete the rest of the form properly. Annuitants do not use this form.
Office of personnel management. New federal employees in eligible positions are automatically covered by basic. Forms federal employees group life insurance forms. Office of personnel management opm forms the office of personnel management provides online access to office of personnel management forms opm standard forms sf optional forms of and federal employees group life insurance forms fegli.
Some agencies such as the department of defense use an electronic sf 2817 form ask the agency human resources office for more information. Download the form fe 6.