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U.S. Federal Form sf-2817a Life Insurance Election Federal Employees Group Life Insurance 1 Form Approved: OMB No. 3206-0230 Federal Employees' Group Life Insurance Program See Privacy Act Statement
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How to fill out US Federal Form SF-2817a:

01
Start by downloading the form SF-2817a from the official website of the US government or obtain a physical copy from the relevant agency.
02
Read the instructions carefully to understand the purpose and requirements of the form.
03
Begin by providing your personal information, including your name, address, contact details, and social security number, in the designated fields.
04
If applicable, indicate your marital status and provide information about your spouse, including their name, social security number, and date of birth.
05
Proceed to the next section, which typically requires you to disclose any prior retirement coverage, such as military service, federal employment, or previous civil service positions.
06
In the following sections, provide details about your current employment status, including your agency or department, position, and retirement system.
07
If you have any previous federal service, ensure that you accurately document the information related to your prior employment, retirement system, and dates of service.
08
The next section of the form usually requires you to indicate your coverage under the Federal Employees Health Benefits (FEHB) program and provide any necessary dependent information.
09
If you are already enrolled in Medicare, be sure to indicate this and provide the required details.
10
Review your completed form carefully to ensure accuracy and completeness. Make any necessary corrections or additions before finalizing it.
11
Sign and date the form in the designated areas.
12
Keep a copy of the filled-out form for your records and submit the original to the appropriate agency or office.

Who needs US Federal Form SF-2817a:

01
Federal employees who are seeking retirement coverage or making changes to their existing coverage.
02
Individuals with prior federal service who are applying for retirement benefits or transferring their retirement coverage.
03
Spouses of federal employees who wish to apply for survivor annuities or make changes to their existing survivor benefits.
04
Individuals who are eligible for federal retirement and wish to enroll in the Federal Employees Health Benefits (FEHB) program.
05
Current federal employees who need to provide updated information regarding their retirement coverage or survivor benefits.
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Form SF-2817A is a federal form used for documenting an employee's decision on whether to continue FEHB coverage into retirement.
Federal employees who are retiring and want to continue their FEHB coverage into retirement are required to file Form SF-2817A.
To fill out Form SF-2817A, you need to provide your personal information, retirement status, FEHB coverage details, and sign the form to indicate your decision.
The purpose of Form SF-2817A is to document a federal employee's decision on whether to continue FEHB coverage into retirement.
Form SF-2817A requires personal information such as the retiree's name, contact details, retirement status, FEHB plan information, and the retiree's decision on continuing FEHB coverage.
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