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Pensation, give "CSA", "CSI", or OWCP claim number: An employee A retiree A compensationer Place an "X" in the appropriate box. Social Security Number of Insured Department or agency in which the Insured is presently employed (If retired, last department or agency where the Insured worked): Department or agency Bureau or Division B. Location (City, state, and ZIP code) Information About the Assignee(s) (type or print) First name, middle initial, and last name of each assignee Social Se.

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Related content

Federal Employees Group Life Insurance Forms - OPM
Forms Federal Employees Group Life Insurance Forms. Form, Title. FE-6, Claim for Death...
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Federal Employees Group Life Insurance (FEGLI)...
Jun 14, 2018 — It is intended as a form of immediate protection against financial...
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United States Office of Personnel Management...
The United States Office of Personnel Management (OPM) is an independent agency of the...
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GSA 1500 1960 GSA Form 2053 2002 GSA 1432 1992 GSA Form 2255 2012

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Unlike many other employer-sponsored life insurance programs, FEGLI coverage can be continued into retirement. The FEGLI retirement benefit is prefunded by premium costs so that after age 65 (or at retirement, if later) some coverage can be continued by retirees at no cost.

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).

Here are your FEGLI options in retirement: Basic: 75% reduction: You maintain the Basic coverage in effect on your last day of employment, but after you turn 65 (or when you retire if you are already over 65), the coverage reduces by 2% per month until it reaches 25% of its original value.

FEGLI Life Insurance Rates by Age Chart: 45-80 Years Old for Option B – $75k Annual Salary Age GroupCost Per Pay PeriodCost Per Month45-49$22.50$4550-54$37.50$7555-59$67.50$13560-64$150$3004 more rows

Eligible employees enroll through their servicing human resources office. They can enroll by completing SF 2817 "Life Insurance Election" (some agencies have electronic enrollment). For information on obtaining the SF 2817 or on how to enroll in the FEGLI Program as a Federal employee, visit the enrollment page.

Abstract: Standard Form 2823 is used by any Federal employee or retiree covered by the Federal Employees' Group Life Insurance (FEGLI) Program, or an assignee who owns an insured's coverage, to instruct the Office of Federal Employees' Group Life Insurance how to distribute the proceeds of the FEGLI coverage when the ...

Coverage is free after you turn age 65 or retire (if later). You cannot choose No Reduction for Option A.

65 through 69—$6.13 per multiple per month* 70 through 74—$8.30 per multiple per month* 75 through 79—$12.48 per multiple per month* 80 and over—$16.90 per multiple per month*

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232