Get the free GSA Form SF 2817-A. FEDERAL EMPLOYEES GROUP LIFE INSURANCE PROGRAM (PAMPHLET) 10/16/...
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U.S. GSA: GSA Form SF 2817-A ... GSA Forms Management Officer. U.S. GSA. PDF. (1) GSA.gov, (2) USA-Federal-Forms.com, (3) Fillable.com. T. T. T. T.
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How to fill out gsa form sf 2817-a
How to fill out gsa form sf 2817-a?
01
Start by downloading the form from the official GSA website or pick up a hard copy from a GSA office.
02
Begin by filling out the top section of the form, including your personal information such as name, address, and contact details.
03
Proceed to the next section where you will provide information about your employment, including your job title, agency, and years of federal civilian service.
04
In the following section, indicate whether you are electing to continue your health benefits coverage or if you are waiving it. If you choose to continue, provide all necessary information and sign the appropriate statement.
05
Next, if you have other health insurance coverage, indicate the type and details of that coverage.
06
If you have any eligible family members who will be covered under your health benefits, provide their information in the relevant section.
07
Finally, sign and date the form, and make a copy for your records before submitting it to the appropriate GSA office or mailing it to the provided address.
Who needs gsa form sf 2817-a?
01
Federal civilian employees who wish to continue their health insurance coverage after retirement or separation from service.
02
Family members of federal employees who are eligible to be covered under their health insurance plans.
03
Individuals who have other health insurance coverage but still wish to be covered under their federal health benefits.
Note: It is always recommended to consult with the official GSA guidelines or seek assistance from a GSA representative to ensure accurate and up-to-date information when filling out the form.
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What is gsa form sf 2817-a?
GSA Form SF 2817-A is a form used by federal employees to apply for continuation of life insurance coverage. It is specifically used for employees covered under the Federal Employees' Group Life Insurance (FEGLI) program.
Who is required to file gsa form sf 2817-a?
Federal employees who wish to continue their life insurance coverage under the FEGLI program are required to file GSA Form SF 2817-A.
How to fill out gsa form sf 2817-a?
To fill out GSA Form SF 2817-A, you need to provide information such as your name, contact details, social security number, employment history, and beneficiary designation. You should also indicate the type of FEGLI coverage you wish to continue.
What is the purpose of gsa form sf 2817-a?
The purpose of GSA Form SF 2817-A is to allow federal employees to apply for continuation of life insurance coverage under the FEGLI program.
What information must be reported on gsa form sf 2817-a?
The information that must be reported on GSA Form SF 2817-A includes your personal details, employment history, beneficiary designation, and the specific FEGLI coverage you wish to continue.
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