Federal Employees Group Life Insurance Program Details
This document provides essential information regarding the Federal Employees' Group Life Insurance Program. It covers eligibility, coverage options, and important provisions. Employees and annuitants should refer to this booklet for guidance on their life insurance benefits.
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How do I fill this out?
To fill out this form, please read the accompanying instructions carefully to understand the required information. Gather all necessary documents and data specified in the guidelines. Complete each section accurately before submitting to ensure your coverage is processed without issues.

How to fill out the Federal Employees Group Life Insurance Program Details?
1
Read the instructions thoroughly.
2
Gather necessary documents.
3
Complete all required fields.
4
Review your entries for accuracy.
5
Submit the form via the designated method.
Who needs the Federal Employees Group Life Insurance Program Details?
1
Federal employees who require life insurance coverage.
2
Annuitants seeking information on retirement benefits.
3
Individuals on workers' compensation needing to understand their options.
4
Family members of federal employees wanting to know about potential benefits.
5
HR personnel assisting employees with insurance queries.
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What are the instructions for submitting this form?
Submit this form via your HR department or directly to the U.S. Office of Personnel Management. You may also send it by fax to the designated number or submit it through their online portal if available. Always ensure that you retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for the FEGLI form for 2024 and 2025. However, federal employees should be aware of open enrollment periods. Always check the OPM website for updates regarding any changes or deadlines.

What is the purpose of this form?
The purpose of this form is to inform federal employees about their options for life insurance coverage. It details the eligibility requirements for Basic and optional life insurance, including costs associated with each option. Understanding these facets can help employees make informed decisions about their insurance needs.

Tell me about this form and its components and fields line-by-line.

- 1. Eligibility: Information regarding who can apply for FEGLI.
- 2. Coverage Types: Details on Basic and optional coverages available.
- 3. Cost Structure: Breakdown of the costs associated with each insurance option.
- 4. Beneficiary Designation: Section for naming beneficiaries for the life insurance.
- 5. Application Instructions: Guidelines for completing the application form.
What happens if I fail to submit this form?
If you fail to submit this form, you may not receive the necessary insurance coverage. It could lead to a lack of security for you and your loved ones in the event of unforeseen circumstances.
- Loss of Coverage: Not submitting may leave you without life insurance.
- Missed Benefits: You may miss out on financial security for your family.
- Increased Risk: Failing to submit puts you at higher risk without coverage.
How do I know when to use this form?

- 1. Open Enrollment: Submit the form during designated enrollment periods.
- 2. Life Changes: Use the form when your life circumstances change.
- 3. Retirement: Necessary as you approach retirement to secure benefits.
Frequently Asked Questions
What is the purpose of this booklet?
This booklet provides information on federal employees' life insurance options.
Who is eligible for FEGLI?
Federal employees and some annuitants are eligible for FEGLI.
How can I change my insurance coverage?
You can change your coverage during open enrollment or when qualifying life events occur.
What happens if I do not submit this form?
Failing to submit may result in a lapse of coverage.
Are beneficiaries listed in the form?
Yes, you can designate beneficiaries for your insurance.
Can I fill out this form online?
Yes, the form can be filled out electronically.
Where can I find more information?
Visit www.opm.gov/life for more details.
Is there assistance available if I have questions?
Yes, you can contact HR or refer to the OPM website.
How do I file a claim?
Instructions for filing a claim are detailed in the booklet.
What time frame is there for coverage changes?
Coverage changes should be submitted as soon as possible.
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