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This form is used by federal employees to elect or waive Group Life Insurance under the Federal Employees' Group Life Insurance Program (FEGLI).
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How to fill out standard form 2817
How to fill out Standard Form 2817
01
Obtain a copy of Standard Form 2817 from the official website or designated office.
02
Read the instructions carefully to understand what information is required.
03
Fill in your personal information in the designated sections, such as name, address, and contact details.
04
Fill in the information regarding the type of coverage you are applying for.
05
Provide details about the family members you want to include in the coverage, if applicable.
06
Review all the information provided for accuracy and completeness.
07
Sign and date the form at the bottom where indicated.
08
Submit the completed form to the appropriate agency or office as directed in the instructions.
Who needs Standard Form 2817?
01
Federal employees and their families who are applying for life insurance coverage under the Federal Employees' Group Life Insurance (FEGLI) program.
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What is Standard Form 2817?
Standard Form 2817 is a form used by federal employees to apply for Federal Employees Health Benefits (FEHB) coverage.
Who is required to file Standard Form 2817?
Federal employees who wish to enroll in, change, or cancel their health insurance coverage under the Federal Employees Health Benefits Program are required to file Standard Form 2817.
How to fill out Standard Form 2817?
To fill out Standard Form 2817, provide personal details such as your name, address, and Social Security number, select the health plan you wish to enroll in, and provide any necessary beneficiary information. Follow the instructions carefully and sign the form.
What is the purpose of Standard Form 2817?
The purpose of Standard Form 2817 is to facilitate the enrollment process for federal employees wishing to participate in the Federal Employees Health Benefits Program.
What information must be reported on Standard Form 2817?
Information that must be reported on Standard Form 2817 includes personal identification details, health plan choice, dependent information, and any required signatures.
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