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OPM SF 2817 2011-2025 free printable template

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If approved the employee should make the election on the SF 2817 and submit to the employing agency. Otherwise Coverage is effective the first day receipt of the SF 2817. Time Limit - Employee must submit the SF 2817 and be OFEGLI s approval. If employee is not in a pay and duty status or doesn t submit the SF 2817 within those 60 days Option A does not become effective and the employee must start over. Time Limit - Agency must receive the SF 2817 and proof of the event within 60 days after...
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How to fill out opm life insurance form

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How to fill out OPM SF 2817

01
Obtain the OPM SF 2817 form from the official website or your HR department.
02
Read the instructions carefully at the top of the form.
03
Fill out your personal information in Section 1, including name, address, and contact details.
04
In Section 2, indicate the type of insurance coverage you are applying for.
05
Provide information about your current insurance coverage, if applicable, in Section 3.
06
In Section 4, make sure to fill out the beneficiaries' information accurately.
07
Review the completed form for any errors or missing information.
08
Sign and date the form at the bottom.
09
Submit the completed form to your HR department or the appropriate agency.

Who needs OPM SF 2817?

01
Federal employees looking to enroll in life insurance programs.
02
Retirees who want to continue their life insurance coverage.
03
Individuals who are changing their life insurance coverage or beneficiaries.
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People Also Ask about retirement application

An employee may at any time file an SF 2817 to waive or reduce coverage, unless the employee has assigned his/her insurance coverage. If the employee has assigned the insurance, only the assignee(s) may waive or reduce the coverage (except for Option C which cannot be assigned).
The SF 2821 should be completed to reflect the retiring employee's insurance status at the time of separation for retirement and attached to the Application for Retirement.
Federal Employees' Group Life Insurance (FEGLI) Program. Instructions for Completing this SF 2818. Complete this form when you retire or when you are receiving compensation payments from the Office of Workers' Compensation Programs (Department of Labor) and your FEGLI coverage as an employee ends.
In most cases, if you are a new Federal employee, you are automatically covered by Basic life insurance and your payroll office deducts premiums from your paycheck unless you waive the coverage.
Please call the Office of Federal Employees' Group Life Insurance (OFEGLI) at 1-800-633-4542 to file a FEGLI claim. When making the call, mention the emergency situation. Specially designated personnel will take your claim over the phone.
Eligible employees enroll through their servicing human resources office. They can enroll by completing SF 2817 "Life Insurance Election" (some agencies have electronic enrollment). For information on obtaining the SF 2817 or on how to enroll in the FEGLI Program as a Federal employee, visit the enrollment page.
The Federal Employees' Group Life Insurance Program (FEGLI) offers Basic Life Insurance that is equal to your annual basic pay, rounded to the next higher $1,000, plus $2,000.

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OPM SF 2817 is a form used for designating a beneficiary under the Federal Employees' Group Life Insurance (FEGLI) program.
All federal employees and retirees who wish to designate or change their life insurance beneficiaries are required to file OPM SF 2817.
To fill out OPM SF 2817, start by providing personal information including your name, address, and social security number. Then, list the names and details of the beneficiaries you wish to designate, indicating the share of benefits each will receive, and finally sign and date the form.
The purpose of OPM SF 2817 is to allow federal employees to specify who will receive their life insurance benefits in the event of their death.
The information that must be reported on OPM SF 2817 includes the employee's personal details, the beneficiary's name, relationship to the employee, social security number, address, and the percentage of benefits each beneficiary will receive.
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