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This form is used by federal employees to elect coverage under the Federal Employees' Group Life Insurance Program (FEGLI), including Basic and optional life insurance options.
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How to fill out standard form 2817
How to fill out Standard Form 2817
01
Begin by obtaining a blank Standard Form 2817, either from your agency's HR department or online.
02
Fill in your personal information in the designated sections, including your name, address, and contact information.
03
Provide details about your employment, including your position, agency name, and employment dates.
04
Complete the section regarding the type of coverage you are applying for, ensuring you choose the appropriate options.
05
Sign and date the form at the bottom, confirming that the information provided is true and correct.
06
Submit the completed form to your agency's HR office or the specified submission location.
Who needs Standard Form 2817?
01
Federal employees seeking health insurance coverage.
02
Individuals applying for benefits under the Federal Employees Health Benefits Program (FEHBP).
03
Retirees or employees transitioning to retirement who need to maintain health coverage.
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What is Standard Form 2817?
Standard Form 2817 is a form used by federal employees to apply for Federal Employees Group Life Insurance (FEGLI).
Who is required to file Standard Form 2817?
Federal employees who wish to elect or change their life insurance coverage under the Federal Employees Group Life Insurance program are required to file Standard Form 2817.
How to fill out Standard Form 2817?
To fill out Standard Form 2817, a federal employee should provide personal information such as name, address, and Social Security number, select the desired coverage options, and sign the form to certify the information provided.
What is the purpose of Standard Form 2817?
The purpose of Standard Form 2817 is to facilitate the enrollment and changes in life insurance coverage for federal employees under the FEGLI program.
What information must be reported on Standard Form 2817?
Information that must be reported on Standard Form 2817 includes the employee's name, agency information, insurance coverage options selected, and any beneficiaries if applicable.
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