OPM SF 2817 2000 free printable template
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All other editions are obsolete and unusable. Standard Form 2817 Rev. June 2000 Instructions for Agencies 1. Life Insurance Election Form Approved OMB No* 3206-0230 Federal Employees Group Life Insurance Program. See Privacy Act Statement on back of Part 3 General Instructions By law unless you waive all coverage or are ineligible you are Read the back of Part 3 - Employee Copy carefully. automatically covered for Basic life insurance as an employee. When Assignees completing this form should...
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How to fill out OPM SF 2817
How to fill out OPM SF 2817
01
Obtain the OPM SF 2817 form from the official OPM website or your HR department.
02
Fill out the 'Employee Information' section, including your name, social security number, and agency information.
03
In the 'Coverage' section, select the type of coverage you wish to elect (self, family, etc.).
04
Complete the 'Beneficiary Designation' section by providing full names, relationships, and addresses of your beneficiaries.
05
If applicable, fill out the 'Additional Information' section for any extra details or elections.
06
Sign and date the form at the bottom to certify the information is accurate.
07
Submit the completed form to your HR department or the designated office as instructed.
Who needs OPM SF 2817?
01
Any federal employee who wishes to elect or change their Federal Employees' Group Life Insurance (FEGLI) coverage.
02
Employees who are enrolling in or making changes to their life insurance benefits under OPM guidelines.
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People Also Ask about
What is the cash value of Fegli life insurance?
FEGLI insurance is a term insurance policy and has no cash value.
What is SF 2817 form?
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).
What is the maximum payout for Fegli life insurance?
The maximum coverage on your life available through FEGLI is about six times your salary (or about seven times for enrollees age 35 or under), through a combination of Basic, the Extra Benefit, Option A ($10,000), and Option B (maximum of 5 times your salary).
Is federal employee life insurance a good deal?
FEGLI is affordable, and eligible employees should take advantage of it — it's a decent, cheap starter policy — but it rarely provides adequate coverage, especially for breadwinners. But FEGLI can supplement your private term life insurance coverage.
Where do I send my SF 2817?
Submit form SF 2817 Life Insurance Election: FEGLI to the Retirement and Benefits Portal or mail original to U.S. Customs and Border Protection, Retirement and Benefits Advisory Services (RABAS), 90K Street NE, 5th Floor, Washington, DC 20229, Mail Stop 1400.
Does FEGLI cover all deaths?
Yes. FEGLI life insurance benefits are payable regardless of the cause or location of death.
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What is OPM SF 2817?
OPM SF 2817 is a form used by federal employees to designate beneficiaries for their Federal Employees' Group Life Insurance (FEGLI) coverage.
Who is required to file OPM SF 2817?
Federal employees who wish to designate beneficiaries for their life insurance coverage or change their existing beneficiary designations are required to file OPM SF 2817.
How to fill out OPM SF 2817?
To fill out OPM SF 2817, provide your personal information, including your name, address, and Social Security number, and list the beneficiaries with their names, relationships, and the percentage of benefits to be allocated to each. Sign and date the form before submission.
What is the purpose of OPM SF 2817?
The purpose of OPM SF 2817 is to allow federal employees to officially name beneficiaries for their federal life insurance policies, ensuring that benefits are distributed according to their wishes upon their death.
What information must be reported on OPM SF 2817?
The information that must be reported on OPM SF 2817 includes the employee's identification details, names and relationships of beneficiaries, and the percentage of benefits each beneficiary will receive.
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