April 2014
Federal Employees’ Group
Life Insurance (FEGLI)
Program Handbook
INTRODUCTION
What Is FEGLI?
FEGLI at a Glance
OPM Responsibilities
OFEGLI Responsibilities
Agency Responsibilities
Insured Individual Responsibilities
Correction of Errors
Incontestability
Initial Decision and Reconsideration
Historical Information
WHAT IS FEGLI?
The Federal Employees’ Group Life Insurance (FEGLI) Program is a life insurance program
for Federal and Postal employees and annuitants, authorized by law (Chapter 87 of Title 5,
United States Code). The Office of Personnel Management (OPM) administers the Program
and sets the premiums. The FEGLI regulations are in Title 5 of the Code of Federal
Regulations, Part 870.
FEGLI is group term life insurance. It does not build up cash value. You cannot take a loan
out against your FEGLI insurance.
OPM has a contract with the Metropolitan Life Insurance Company (MetLife) to provide this life
insurance. MetLife has an administrative office called the Office of Federal Employees’ Group
Life Insurance (OFEGLI). OFEGLI is the contractor that adjudicates claims under the FEGLI
Program.
FEGLI AT A GLANCE
Purpose
Law and Regulations
Basic Insurance
Optional Insurance
Accidental Death and
Dismemberment Benefits
Initial Election
Effective Date
Effect of Separation from Service
on Waiver
Termination of Insurance
31-Day Extension of Coverage and
Conversion of Insurance
Eligibility for Life Insurance as an
Annuitant or Compensationer
Post-65 Reductions in the Amount
U.S. Office Of Personnel Management
2
Waiver/Cancellation of Insurance
Cancellation of Waiver by
Proving Insurability
Cancellation of Waiver Due to
Life Event
Open Seasons
Nonpay Status
of Insurance
Order of Precedence
Designation of Beneficiary
Court Orders
Assignment
Living Benefits
Filing a Claim
Purpose
This section provides a summary of the major features of the Federal Employees' Group Life
Insurance (FEGLI) Program. This information is repeated in more detail in the individual
chapters of this Handbook. This section also provides links from the summary information to the
individual chapter that provides more detailed information on each topic.
Law and Regulations
Public Law 83-598 authorized the creation of the FEGLI Program; the law governing the
Program is found in Chapter 87 of Title 5, United States Code. FEGLI Program regulations are
found in part 870 of Title 5, Code of Federal Regulations. Links to the law and regulations are on
the FEGLI homepage at http://www.opm.gov/healthcare-insurance/life-insurance/reference-
materials/.
Basic Insurance
As an eligible employee, you are automatically enrolled in Basic insurance unless you waive this
coverage. Basic insurance covers your life for whichever is greater:
1) Your annual rate of basic pay, rounded up to the next even $1,000, plus $2,000; or
2) $10,000.
This is called the Basic Insurance Amount, or BIA. The Government pays one-third of the
premium cost for Basic and you pay two-thirds. The U.S. Postal Service pays the entire cost of
Basic insurance for its employees.
If you are under age 45, you automatically have extra coverage without paying any additional
premium. This Extra Benefit increases the amount of Basic insurance payable at the time of
your death if you die before age 45.
U.S. Office Of Personnel Management
3
Optional Insurance
If you have Basic insurance, you may also elect Optional insurance. You are not automatically
covered by Optional insurance like you are with Basic insurance. You must take action to elect
Optional insurance. You pay the full cost for all Optional insurance you elect. You must have
Basic insurance to elect any Optional insurance. Optional insurance provides coverage in
addition to what you have with Basic insurance.
There are three types of Optional insurance: Option A-Standard, Option B-Additional, and
Option C-Family.
Option A insures your life for $10,000.
Option B insures your life for 1, 2, 3, 4, or 5 multiples of your annual rate of basic pay rounded
up to the next even $1,000.
Option C insures the lives of your spouse and eligible dependent children. It comes in 1, 2, 3, 4,
or 5 multiples of coverage. Each multiple is equal to $5,000 for a spouse and $2,500 for each
eligible dependent child.
Accidental Death & Dismemberment Benefits
Accidental death and dismemberment (AD&D) coverage is an automatic part of Basic insurance
and Option A insurance (if elected) for employees, at no additional cost. There is no accidental
death and dismemberment coverage with Options B and C, and there is none for annuitants or
enrollees on workers’ compensation (“compensationers”).
Accidental death benefits are payable when you sustain injuries by accidental means and, within
one year afterwards, you die resulting directly from those injuries. Under Basic insurance,
accidental death benefits are equal to your BIA (without the Extra Benefit). Under Option A,
accidental death benefits are equal to your Option A coverage.
Accidental dismemberment benefits are payable when you sustain injuries by accidental means
and, within one year afterwards, you lose a limb or sight in one or both eyes resulting directly
from those injuries. Under Basic insurance, accidental dismemberment benefits are equal to one-
half of your BIA for the loss of one limb or sight in one eye. Under Option A, accidental
dismemberment benefits are equal to one-half of your Option A coverage for the loss of one limb
or sight in one eye.
Initial Election
U.S. Office Of Personnel Management
4
Unless your position is excluded from FEGLI coverage by law or regulation, you are
automatically enrolled in Basic insurance. If you do not want this coverage, you can either
waive it when you first become eligible for coverage, or cancel it at a later date. Optional
insurance is not automatic; you must specifically elect the types of Optional insurance you want
within 60 days of becoming eligible.
Effective Date
Basic insurance coverage is effective on the first day you are in a pay and duty status in an
eligible position. Option A and Option B insurance coverage is effective on the first day you are
in a pay and duty status on or after the day your employing office receives your election. If the
employee is not in a pay and duty status on the date the employing office receives the election,
the coverage becomes effective the next date that the employee is in pay and duty status. Option
C insurance coverage is effective on the day your employing office receives your election
without regard to pay and duty status.
Waiver/Cancellation of Insurance
When you first become eligible for FEGLI coverage, you must specifically waive Basic
insurance if you do not want it. If you do not want any Optional insurance, you do not have
to do anything. Any Optional insurance you do not elect is automatically waived.
You may cancel your Basic and/or Optional insurance coverage at any time, unless you have
assigned your insurance. When you cancel Basic insurance, you automatically cancel all
Optional insurance. Canceling Optional insurance has no effect on Basic insurance.
The cancellation is effective on the last day of the pay period in which you file it with your
employing office. As an employee your employing office maintains your FEGLI records. OPM
does not have records for employees. OPM’s Retirement Services maintains records for
annuitants and for compensationers who receive worker’s compensation for more than one year.
Cancellation of Waiver by Providing Medical Information
You may cancel your waiver and obtain Basic insurance and/or Options A and B if at least one
year has passed since the effective date of the waiver and you provide satisfactory medical
information at your own expense. You must have Basic insurance to elect Optional insurance.
If you want to cancel a waiver, you must be an eligible employee and you must complete a
Request for Insurance (SF 2822). Your agency will complete part of the form first. Then you
complete your section. Your physician or other medical professional will examine you and
complete the rest of the form.
U.S. Office Of Personnel Management
5
Your physician must send the completed SF 2822 to the Office of Federal Employees'
Group Life Insurance (OFEGLI), and OFEGLI must receive the form within 60 days of the
date of the medical examination. If OFEGLI approves coverage it will notify your human
resources office. Your human resources office will automatically enroll you in Basic insurance
(if you do not have Basic already). Basic coverage becomes effective on the first day you enter
on duty in pay status on or after OFEGLI's approval, provided you enter on duty in pay status
within 60 days after OFEGLI’s approval. If you do not enter on duty in pay status within 60
days after OFEGLI’s approval, the approval is revoked automatically.
You have 60 days from the approval date to elect Option A and/or Option B or increase your
Option B multiples (up to a total of five times your annual rate of basic pay rounded up to the
next even $1,000). You cannot elect Family Option-C based on this request.
Cancellation of Waiver Due to Life Event
You may cancel your waiver and elect any FEGLI coverage, including Basic insurance, Option
A, Option B, and Option C, based on a FEGLI qualifying life event. FEGLI qualifying life
events include:
Marriage;
Divorce;
Death of a spouse;
Acquiring an eligible child.
You must file the election with your employing office on a Life Insurance Election (SF 2817), or
its electronic equivalent, along with proof of the event, from 31 days before to 60 days after the
change in family status.
Open Seasons
There are no regularly scheduled open seasons to elect, increase, or change coverage under
FEGLI. Open seasons are held only when specifically scheduled by OPM. You do not have to
wait for an Open Season to reduce or cancel coverage. You can do so at any time (unless you
assigned your coverage).
Nonpay Status
Your FEGLI coverage continues during your first 12 months in nonpay status. No premium
payments are required, unless you are receiving benefits from the Office of Workers’
Compensation Programs (OWCP). Your life insurance coverage terminates at the end of this 12-
month period, with a 31-day extension of coverage and right to convert to an individual policy.
U.S. Office Of Personnel Management
6
Employees who separate from service to enter the military are considered to be in a nonpay
status for FEGLI purposes. As long as you have reemployment rights under the Uniformed
Services Employment and Reemployment Rights Act of 1994 (USERRA), you can keep your
FEGLI coverage for up to 24 months in nonpay status, or until 90 days after your military service
ends, whichever is earlier. Coverage is free for the first 12 months; however, employees must
pay both the employee and agency contributions of premiums for their Basic coverage and
continue to pay the entire cost (there is no agency share) for any Optional insurance they may
have for the second 12 months of coverage.
Effect of Separation from Service on Waiver
When you return to work after a break in service of less than 180 days, you automatically get
back whatever life insurance coverage you had before leaving Government service. Any
previous waiver of coverage remains in effect.
When you return to work after a break in service of 180 days or more, you will automatically get
Basic insurance (even if you previously waived it) and the same optional insurance (if
applicable) that you had in your prior position. You can elect any type of optional coverage or
increase the multiples of optional coverage within 60 days of returning to service. If you do not
submit an election of optional insurance, you will get back whatever optional insurance you had
before you separated, and you will be considered to have waived any other optional insurance.
Termination of Insurance
Your life insurance stops when:
You cancel it;
You separate from service;
You complete 12 months in nonpay status;
You move to a position that is excluded from FEGLI coverage;
You retire and are not eligible to continue coverage into retirement;
Your annuity terminates;
Your compensation stops (or when OWCP finds that you are able to return to duty); or
You die.
31-Day Extension of Coverage and Conversion of Insurance
When your life insurance terminates, except by your waiver or cancellation, your coverage
automatically continues without cost for another 31 days. You are entitled to convert to an
U.S. Office Of Personnel Management
7
individual policy. You may convert all or any part of your Basic and Optional coverage. No
medical examination is required, although you may be asked a few questions about your health
to see if you qualify for a lower premium. You do not have to answer these questions, but if you
do not, you may be paying a higher premium than necessary.
You (or your assignee if you assigned your life insurance) must request conversion information
within 31 days of the date on the conversion notice you receive from your employing agency, or
within 60 days after the terminating event, whichever is sooner. Regardless of the date you
purchase the conversion policy, conversion is effective and premiums begin at the end of the 31-
day extension of coverage. For information about assignment of life insurance, please refer to
“Assignment.”
Exception: If you are physically unable to convert to an individual policy, a person having a
power of attorney for you may convert on your behalf. If you have assigned your insurance, the
assignee(s), rather than you, are entitled to convert Basic, Option A and Option B coverage.
Your family members may convert your Option C coverage, if you were enrolled in Option C.
Example
Glen separates from his agency October 23. Glen later contacts his agency to tell them he needs a
conversion notice. His agency issues the conversion notice to him December 15. His conversion
request must be received by OFEGLI by December 22 (60 days after October 23) since this is the
last date he can make this request.
Eligibility for Life Insurance as an Annuitant or Compensationer
When you retire, you are eligible to continue FEGLI if you meet all of the following
requirements:
You are entitled to retire on an immediate annuity under a retirement system for civilian
employees;
You have been insured for the 5 years of service immediately before the starting date of
your annuity, or for the full period(s) of service during which you were eligible to be
insured if less than 5 years;
You are enrolled in FEGLI on the date of retirement; and
You have not converted to an individual policy.
The requirements for continuing life insurance as a compensationer are similar.
Compensationers must meet the 5-year/all-opportunity requirement as of the date they started
receiving compensation.
U.S. Office Of Personnel Management
8
Post-65 Reductions in the Amount of Insurance
If you are eligible to continue your Basic insurance as an annuitant or compensationer, you must
choose the amount of Basic insurance you want to continue after age 65 (or retirement, if you are
already age 65 or older when you retire). The choices are 75 Percent Reduction, 50 Percent
Reduction, and No Reduction. NOTE: Your coverage does NOT reduce when you reach age 65
if you are still an employee at that time.
If you choose 75 Percent Reduction, your Basic insurance reduces by 2 percent of the pre-
retirement amount each month beginning at age 65 until 25 percent of the pre-retirement amount
remains. If you choose 50 Percent Reduction, your Basic insurance reduces by 1 percent of the
pre-retirement amount each month beginning at age 65 until 50 percent of the pre-retirement
amount remains. If you choose No Reduction, your Basic insurance will not reduce and 100
percent of the pre-retirement amount is payable as a death benefit.
If you choose 75 Percent Reduction, the coverage will be free after you are retired and reach age
65.
If you choose 50 Percent Reduction or No Reduction, you will pay an extra premium for this
coverage after you are retired and reach age 65.
When you are retired and reach age 65, Option A coverage automatically begins reducing by 2
percent of the pre-retirement amount each month until 25 percent of the pre-retirement amount
remains. Option A is free once it starts to reduce. There is no reduction election to make at time
of retirement for Option A.
At the time you retire or become insured as a compensationer (for compensationers, typically
after 12 months in nonpay status), you must choose how many of your Option B and/or C
multiples you want to continue. You must also choose whether to have some or all of those
multiples reduce (Full Reduction) or not reduce (No Reduction) after age 65 (or retirement,
if later). You may choose Full Reduction for some multiples and No Reduction for other
multiples of your Option B and/or C coverage. In addition, shortly before reaching age 65, you
will receive a notice providing you a second opportunity to make this election. You can elect to
keep your original reduction election(s) made at retirement, or change them by returning the
notice to OPM at that time.
If you choose Full Reduction, after you are retired and upon reaching age 65, each multiple starts
reducing by 2 Percent of the pre-retirement amount each month until the amount has been
reduced by 100 Percent and the final value = $0. Until the reduction starts, you pay the same
premiums as active employees, appropriate to your age. When the reduction starts at age 65,
withholdings stop and Options B and/or C become free.
If you choose No Reduction, your Options B and/or C coverage will not reduce at all. After age
65, you will continue to pay the same premiums as active employees, appropriate to your age.
U.S. Office Of Personnel Management
9
Order of Precedence
When you die, OFEGLI will pay benefits in a particular order, as set by law:
If you assigned ownership of your life insurance by filing an Assignment, Federal
Employees’ Group Life Insurance (RI 76-10), OFEGLI will pay benefits:
First, to the beneficiary(ies) designated by your assignee(s), if any;
Second, if there is no such beneficiary(ies), to your assignee(s).
If you did not assign ownership and there is a valid court order on file, OFEGLI will pay
benefits in accordance with that court order.
If you did not assign ownership and there is no valid court order on file, OFEGLI will
pay benefits:
First, to the beneficiary(ies) you validly designated;
Second, if no such beneficiary(ies), to your widow or widower;
Third, if none of the above, to your child or children in equal shares, and the
descendants of any deceased children;
Fourth, if none of the above, to your parents in equal shares, or the entire amount to
the surviving parent;
Fifth, if none of the above, to the court-appointed executor or administrator of your
estate;
Sixth, if none of the above, to your other next of kin entitled under the laws of the
State where you lived.
Option C benefits are paid to you, the insured, upon the death of your spouse or eligible
child(ren).
FEGLI forms are available online at http://www.opm.gov/healthcare-insurance/life-
insurance/reference-materials/#url=Publications-and-Forms
Designation of Beneficiary
You must designate a beneficiary if:
You want benefits to be paid to a person, firm, organization, or other legal entity not
listed in the order of precedence;
You want benefits to be paid in a different order than the order of precedence; or
You want benefits to be paid to a trust you have established for your minor children; or
Completing a Designation of Beneficiary (SF 2823) is the preferred way for you to make a
designation of your FEGLI benefits. Your signature must be witnessed (signed) by two persons
who are not named as beneficiaries. Your employing office (or OPM, if you are an annuitant or
compensationer) must receive the form before you die. IMPORTANT: If you have a designation
on file, keep it current in the event of family status changes. Make sure it accurately reflects
your intentions.
U.S. Office Of Personnel Management
10
FEGLI forms are available online at http://www.opm.gov/healthcare-insurance/life-
insurance/reference-materials/#url=Publications-and-Forms
Court Orders
FEGLI benefits must be paid in accordance with the terms of a valid court order, regardless of
whether you actually complete a Designation of Beneficiary (SF 2823) form. The valid court
order supersedes any of your prior designations (and the rest of the order of precedence), if the
appropriate office receives a certified copy of the court order before your death. For employees,
your employing agency is the appropriate office. For retirees, the appropriate office is OPM.
FEGLI forms are available online at http://www.opm.gov/healthcare-insurance/life-
insurance/reference-materials/#url=Publications-and-Forms
Assignment
Assignment is the transfer of ownership of life insurance to another individual, corporation, or
trustee. You are still the insured person, but you no longer own the insurance. Assignment is
voluntary and irrevocable.
When you make an assignment, you assign Basic insurance, and Option A and Option B
insurance if you have them. You cannot assign dismemberment insurance, the Extra Benefit, or
Option C. You cannot make a partial assignment or assign only one type of insurance.
After making the assignment, you continue to pay the premiums from your salary or annuity.
The assignee or another third party cannot make premiums payments on your behalf. If the
assignee agrees to pay the premiums, you must make separate arrangements. This is a private
business arrangement between you the insured and the assignee.
After making the assignment, the assignee has the right to:
Cancel or reduce insurance;
Change your Basic post-65 reduction election to 75 Percent Reduction;
Change your Option B post-65 reduction election from No Reduction to Full Reduction.
Designate and change beneficiaries;
Convert to a private policy when FEGLI terminates (except if your annuity or
compensation terminates); and
Reassign the insurance.
You still have the right to:
Elect a post-65 reduction for Basic, Option B and Option C at the time of retirement.
Elect more insurance if you are an active employee(all of the new insurance, except
Option C, will come under the existing assignment); and
Continue Option C coverage, if you have it.
U.S. Office Of Personnel Management
11
An assignment automatically cancels prior designations of beneficiary. Once your assignment
becomes effective, only your assignee has the right to designate a beneficiary for your life
insurance proceeds. When you die, benefits are paid to your assignee's beneficiary. If your
assignee does not designate a beneficiary, benefits are paid to your assignee. An assignment
supersedes the order of precedence and a valid court order.
Living Benefits
Living benefits are life insurance benefits paid to you while you are still living, rather than paid
to a beneficiary or survivor when you die. You can elect a living benefit if you are diagnosed as
terminally ill with a life expectancy of nine months or less, and you have not assigned your
insurance. If you are physically or mentally incapable of electing living benefits, an individual
having power of attorney can apply for living benefits on your behalf.
Only Basic insurance is available for a living benefit. Optional insurance cannot be paid as a
living benefit. If you are an employee, you can elect either a full living benefit (all of your Basic
insurance) or a partial living benefit (expressed as a multiple of $1,000). Annuitants and
compensationers can elect only a full living benefit.
Filing a Claim
If you are employed at the time of your death, your claimant(s) should notify your employing
office of your death. Your employing office will provide each claimant with a Claim for Death
Benefits (FE-6). Each claimant must submit a separate claim form to your employing office or
directly to OFEGLI if instructed to do so by the employing office.
If you are retired or insured as a compensationer at the time of your death, your claimant(s)
should notify OPM of your death at 1-88-US-OPM-RET (1-888-767-6738) outside the
Washington DC metropolitan area or 202-606-0500 within the Washington, DC area. OPM will
provide each claimant with a Claim for Death Benefits (FE-6). Each claimant must submit a
separate claim form to OFEGLI at their mail facility: P.O. Box 6080, Scranton PA 18505-6080.
OFEGLI can only pay death benefits after it has received:
Claim for Death Benefits (FE-6) from someone entitled to the benefits;
Satisfactory proof of death, including a certified copy of the death certificate;
Agency Certification of Insurance Status (SF 2821) by the agency for employees or OPM
for retirees; and
Other supporting documentation as appropriate, including court orders, assignments,
powers of attorney, birth certificates, guardianship papers, and election forms verifying
FEGLI coverage.
U.S. Office Of Personnel Management
12
FEGLI forms are available online at http://www.opm.gov/healthcare-insurance/life-
insurance/reference-materials/#url=Publications-and-Forms
OPM RESPONSIBILITIES
The Office of Personnel Management has the overall responsibility for administration of the
FEGLI Program. This includes:
Receiving all payments from agencies to the Employees' Life Insurance Fund (the Fund);
Depositing these payments in the Treasury of the United States;
Authorizing payment of life insurance premiums from the Fund to OFEGLI;
Determining whether retiring employees and employees receiving workers' compensation
benefits are eligible to continue life insurance coverage. (For retirement systems other
than the Civil Service Retirement System [CSRS] and the Federal Employees Retirement
System [FERS], OPM bases its determination on certifications by the administrative
office of the system involved);
Publishing regulations, forms, and documents (such as the FEGLI Program Booklet and
FEGLI Handbook);
Providing guidance to employing offices; and
Administering the life insurance contract.
OFEGLI RESPONSIBILITIES
OFEGLI’s responsibilities include:
Processing and paying claims, including determining who is entitled to the benefits;
Determining whether an insured individual is eligible for a living benefit;
Determining whether accidental death and dismemberment benefits are payable;
Determining an employee’s eligibility to cancel a waiver of insurance based on
satisfactory medical information; and
Processing requests for conversion.
AGENCY RESPONSIBILITIES
Headquarters Insurance Officer;
Field Installation Responsibilities;
Counseling;
U.S. Office Of Personnel Management
13
Other Agency Responsibilities; and
Life Insurance Questions.
Headquarters Insurance Officer
The head of each agency must designate a person to serve as the headquarters Insurance Officer
(Insurance Officer) for the agency. The agency must notify OPM of the designee's name or any
change in the designation. The Insurance Officer is OPM's contact for agency-wide insurance
matters.
The agency should email their notification to [email protected].
Field Installation Responsibilities
The head of each agency is responsible for appointing staff at the employing office level who
will be responsible for certifying and processing claims, notices, or other information.
An agency may also delegate responsibility for counseling and advising employees and
maintaining records to decentralized local operating offices or field installations.
Counseling
Agencies must make insurance information and counseling available to employees. Agencies
must become especially familiar with the participation requirements for continuing Basic and
Optional insurance at the time of retirement (as stated in this Handbook) and make this
information available to employees, especially those considering retirement. OPM encourages
agencies to develop counseling programs which meet the needs of their employees. OPM will
provide the necessary technical assistance on insurance benefits to headquarters Insurance
Officers upon request. We also strongly encourage agencies to make their human resources
office staffs available to attend continuing education training conferences hosted by OPM.
Other Agency Responsibilities
Agencies are also responsible for:
Determining employees’ eligibility for coverage under OPM's regulations;
Processing life insurance elections and cancellations;
Verifying prior insurance elections for employees with previous Federal service;
Advising employees of the requirements for canceling previously-filed insurance
waivers;
U.S. Office Of Personnel Management
14
Certifying coverage at time of separation, retirement, end of 12 months nonpay status,
and death;
Informing employees of the right to convert insurance at the time group coverage ends,
other than by voluntary cancellation;
Withholding premiums from pay;
Sending and reporting withholdings and contributions to OPM;
Maintaining insurance records;
Supplying insurance forms, booklets, and other guidance as appropriate to employees and
survivors;
Obtaining continuing education on the FEGLI Program;
Providing information and counseling to employees;
Giving assistance to persons filing claims;
Providing prepayment verification based on the death of an employee to OFEGLI when
requested;
Maintaining designation of beneficiary forms, assignments, and court orders; and
Performing reconsiderations of initial decisions regarding life insurance upon an
employee’s written request.
Life Insurance Questions
Agency personnel offices and field installations must direct their questions to their agency
headquarters Insurance Officer.
Agency headquarters Insurance Officers can direct their questions to the Individual Benefits and
Life Office, Federal Employee Insurance Operations, Healthcare and Insurance, at OPM. The
email address is [email protected].
INSURED INDIVIDUAL RESPONSIBILITIES
Responsibilities
Life Insurance Questions
Responsibilities
Your responsibilities include:
Familiarizing yourself with the aspects of the FEGLI Program that affect you, such as
your level of coverage, and knowing when you can make changes to your coverage;
U.S. Office Of Personnel Management
15
Filing a designation of beneficiary form if you decide the order of precedence is not
satisfactory, filing a new form when your current designation on file is not satisfactory or
when your beneficiary’s address changes, and making sure your designation accurately
reflects your intentions;
Retaining copies of your FEGLI enrollment and beneficiary records;
Knowing where your agency human resources or personnel office is located, and whom
to contact if you have a question about your FEGLI coverage; and
Knowing when your coverage terminates, and requesting conversion on a timely basis (if
you wish to convert).
Life Insurance Questions
Current employees must direct questions to their employing office. The employing office
maintains the FEGLI records for their employees. Neither OPM nor OFEGLI has access to the
employee’s records.
Annuitants and compensationers should direct questions to OPM's Retirement Information
Office at 1-88-US-OPM-RET (1-888-767-6738) outside the Washington, D.C., metropolitan area
or 202-606-0500 within the Washington area. The email address is [email protected]. Annuitants
should send written inquiries to the Retirement Operations Center, P.O. Box 45, Boyers, PA
16017-0045. Please include your retirement claim number (CSA or CSF) number on any
correspondence.
CORRECTION OF ERRORS
Employing Office
OPM
Premiums
Erroneous Suspensions and Firings
Employing Office
Your employing office can correct administrative errors regarding coverage or changes in
coverage at any time. If the correction involves the election of new coverage, the effective date
is the same as if the error had not happened.
OPM
U.S. Office Of Personnel Management
16
In situations in which your agency does not have the authority to correct an error, OPM may
order correction of an administrative error after reviewing evidence that it would be against
equity (fairness) and good conscience not to do so. You or your agency should send the request
for review to OPM, Individual Benefits and Life, RM 3400, 1900 E Street, NW, Washington DC
20415.
Premiums
If the correction of an error gives you retroactive coverage, OPM must receive the premiums for
the retroactive coverage for all periods during which you were in pay status.
Erroneous Suspensions and Firings
If there is an official finding that you were suspended or fired erroneously, no withholdings are
made from your back pay award for any Basic or Optional insurance. Exceptions:
If you die or have an accidental dismemberment between your removal and the finding
that your agency’s action was erroneous, premiums will be withheld from the back pay
award; and
If you have Option C, and a covered family member dies between your removal and the
finding that your agency’s action was erroneous, Option C premiums will be withheld
from the back pay award.
If you are awarded a settlement with no determination that your firing or suspension was
erroneous, your employing office will ask OPM to determine whether your insurance will be
reinstated and whether withholdings are required. Keep in mind a settlement cannot provide you
FEGLI coverage, terminated or otherwise not in effect, contrary to law.
INCONTESTABILITY
What Is Incontestability?
Getting Erroneous Coverage
If You Don’t Want the Coverage
Documenting Incontestability
If Incontestability Doesn’t Apply
What Is Incontestability?
U.S. Office Of Personnel Management
17
Incontestability is a provision of law that allows erroneous coverage to remain in effect under
certain conditions. Those conditions are:
The coverage must have been in effect for at least two years between the time the error
was made and the time the error is discovered; and
You must have paid the applicable premiums for the erroneous coverage while it was in
effect.
All conditions must be met for incontestability to apply.
Getting Erroneous Coverage
There are four ways you can get erroneous coverage:
Your agency may allow you to elect coverage when you are not entitled to do so;
Your agency may code your SF 50 (Notification of Personnel Action) incorrectly, giving
you more coverage than you elected;
Your payroll office may collect premiums for a coverage that you did not elect on the
election form;
OPM may allow you to continue your coverage beginning when you became an annuitant
or compensationer when you are not eligible to do so.
Note: Erroneous coverage always involves getting more coverage than you are entitled to or
more coverage than you elected. If your employing office’s error results in premiums being
withheld for less coverage than you elected, that is not erroneous coverage; that is, instead, an
overpayment of salary, annuity, or compensation.
If You Do Not Want the Coverage When Incontestability Applies
If you do not want the erroneous coverage and incontestability applies, you may cancel it.
However, the cancellation is prospective. There is no refund of premiums. Exception: If you
got Option C-Family erroneously, and you did not have any eligible family members, then this
coverage may be cancelled retroactively and you would get a refund of your erroneous Option C
premiums retroactive to when you ceased having any eligible family members.
Example
Andy is single and has no children. As a new employee he waived all FEGLI. Three years later
he transferred to another agency with no break in service, so his waiver was still in effect.
Andy’s new agency erroneously coded his SF 50 “E1” (Basic and 1 multiple of Option C).
These premiums were withheld from Andy’s pay. Four years later Andy noticed the FEGLI
withholdings. He brought the error to his agency’s attention. Since the erroneous coverage had
been in effect for more than 2 years and Andy paid the premiums during that time, the Basic
coverage is valid because of incontestability.
U.S. Office Of Personnel Management
18
Andy says he does not want the coverage and he wants his money back. Since the coverage is
now valid, Andy must complete a “Life Insurance Election” (SF 2817) to cancel the unwanted
coverage. The cancellation of Basic insurance is prospective and effective the end of the pay
period in which he submits the request. Andy cannot get a retroactive refund of his Basic
insurance premiums. Since Andy had no eligible family members, however, the cancellation of
Option C will be retroactive and the agency will refund all the Option C premiums Andy paid.
Documenting Incontestability
Once your employing office or retirement system determines that your coverage should be
allowed to stand, it must prepare a note for the file explaining the details of the error, the date it
occurred, the date it was discovered, and the fact that your coverage is now valid due to
incontestability.
Coverage allowed to stand due to incontestability becomes valid. It must still meet the 5-yr/all-
opportunity rule for it to be continued into retirement. If you were covered under the FEGLI
Program for the 5 years immediately prior to retirement (or for all opportunities to be covered),
even if the coverage was in error but was allowed to stand because of incontestability, you are
entitled to carry the coverage into retirement.
Upon your retirement, your employing office must forward the note explaining the details of the
validated coverage, along with any Life Insurance Elections (SF 2817s), to the retirement
system. If there is no SF 2817, the employing office must provide the SF 50 “Notification of
Personnel Action” documenting the coverage to the retirement system. The employing office
should also make a note in the “Remarks section of the Agency Certification of Insurance Status
(SF 2821) explaining that incontestability was used to ratify erroneous coverage.
If an employee is erroneously allowed to continue insurance coverage into retirement or while on
compensation, the coverage will remain in effect:
1. If at least two years pass before the error is discovered; and
2. If the annuitant or compensationer has paid the applicable premiums during that
time.
FEGLI coverage that is acquired erroneously during the initial period of
retirement/compensation processing and meets these criteria is valid if the error is discovered on
or after October 30, 1998.
If an individual becomes erroneously enrolled in life insurance on or after the date he retires or
begins receiving compensation, the coverage cannot remain in effect even if two years pass and
the individual paid applicable premiums. The coverage is voided retroactively to the date the
error occurred, and a refund in withholdings is necessary.
U.S. Office Of Personnel Management
19
If Incontestability Does Not Apply
If the error is discovered before two years, incontestability does not apply and the erroneous
coverage is not valid. The employing office or retirement system must void the coverage and
refund the premiums.
Example
Alicia elected Basic insurance when she became employed on 11/1/2010. One year later, she got
married and added two multiples of Option B using a life event election. However, her
employing office processed an election of five multiples. One year later Alicia died, and the
agency discovered the error when it was preparing the Agency Certification of Insurance Status
(SF 2821) to certify the death to OFEGLI for payment of the life insurance. Since the error was
discovered before two years had passed, the erroneous coverage is not valid. The agency must
certify the correct amount of Alicia’s coverage Basic and two multiples of Option B. The
premiums for the extra three multiples of Option B must be refunded.
INITIAL DECISION AND RECONSIDERATION
Initial Decision
Reconsideration Right
How to Request Reconsideration
Time Limit
Who Does the Reconsideration?
Final Decision
Effective Date
Initial Decision
Your employing office has the initial responsibility for determining whether you are eligible to
elect life insurance or change your coverage. Your employing office also has the responsibility
for determining whether you may designate a beneficiary or assign your insurance.
This determination is an initial decision when your employing office gives it to you in writing
and informs you of the right to an independent level of review (reconsideration) by the
appropriate agency office.
Exception: OFEGLI determines your eligibility to cancel a waiver based on satisfactory medical
information and your eligibility for a living benefit. There is no reconsideration right for these
decisions.
U.S. Office Of Personnel Management
20
Note: Your employing office cannot make decisions about payment of claims (OFEGLI makes
these decisions).
Reconsideration Right
If you disagree with your agency’s initial decision, you have the right to request your employing
office reconsider its initial decision. The request for reconsideration must be in writing.
The reconsideration review determines if your employing office acted properly and in
accordance with the law and regulations in making its initial decision. Initial decisions that
comply with law and regulations cannot be overturned by reconsideration.
Example 1
Bruce, who had waived Optional life insurance coverage, separated from service and was
reemployed two months later. Upon his reemployment, he attempted to elect Option B. His
employing office denied the election and gave him this initial decision in writing. Bruce has the
right to request reconsideration of his agency’s decision not to allow him to elect Option B. (In
this case, the initial decision cannot be overturned by reconsideration because by regulation
previous waivers remain in effect when an employee returns to Federal service with a break in
service of less than 180 days.)
Example 2
Beth, who had Basic insurance only, got married 6/25/12; her new husband has no children.
Two weeks later she completed an SF 2817 “Life Insurance Election” adding five multiples of
Option B as a life event election. Her agency, however, told Beth that she could only elect one
multiple of Option B. Beth requested this decision in writing and the agency complied. Beth has
the right to request reconsideration of her agency’s decision to limit her election to one multiple.
(In this case, the initial decision will not be upheld, because the regulations do not limit the
number of Option B multiples that may be elected with a life event to the number of eligible
family members gained with the event. The initial decision will be overturned upon
reconsideration.)
How to Request Reconsideration
If you are an employee and you wish to request a reconsideration of an initial decision, you must
make your request to your employing agency in writing. The request must include:
Your full name and address;
Your date of birth; and
The reason(s) for the request.
Note: If you are retired or receiving workers’ compensation, you must make your request
to OPM’s Retirement Services, P.O. Box 45, Boyers, PA 16017. You must include your
retirement claim number or compensation claim number with your request.
U.S. Office Of Personnel Management
21
Time Limit
If you want the initial decision to be reconsidered, you must request reconsideration within 31
calendar days (60 days if overseas) from the date of the initial decision.
This time limit can be extended if you show that you were not notified of the time limit and were
not otherwise aware of it, or that you were unable for reasons beyond your control to make the
request within the time limit.
Who Does the Reconsideration?
Agencies are responsible for performing reconsiderations for employees. OPM is responsible for
performing reconsiderations for annuitants and for compensationers who have separated from
service or completed 12 months in nonpay status. A reconsideration must take place at or above
the level at which the initial decision was made.
Final Decision
After reconsideration, your employing office or OPM’s Retirement Operations must issue a final
decision. This decision must be in writing and must fully state the findings. There is no further
administrative appeal process after the reconsideration. If you disagree with the final decision
issued by your employing office, you may seek judicial review as described in section 8715, title
5, United States Code.
Effective Date
If your employing office decides that you should have been allowed to make an election or
change coverage, it will accept your Life Insurance Election (SF 2817) making the change. The
new coverage is effective according to the dates set out in the FEGLI regulations (5 CFR
Part 870) and discussed in this Handbook. If this results in retroactive coverage, you are
responsible for the retroactive premiums for all periods during which you were in pay status.
HISTORICAL INFORMATION
Extension of Benefits to Married Federal Employees, Annuitants, and Their
Families
Legislative History
Incontestability
U.S. Office Of Personnel Management
22
Extension of Benefits to Married Federal Employees, Annuitants, and
Their Families
On June 26, 2013, the United States Supreme Court ruled that Section 3 of the Defense of
Marriage Act (DOMA) is unconstitutional, thus allowing Executive Departments and Agencies
to recognize legally married same-sex spouses of Federal employees and annuitants for Federal
benefits. Effective June 26, 2013, a same-sex spouse of a valid marriage is recognized as a
family member for benefits under the FEGLI Program. Legal same-sex marriages entered into
following this decision will be treated in the same manner as opposite sex marriages, regardless
of an employee’s or annuitant’s state of residency. Consistent with OPM’s long-standing policy
of recognizing the legal foreign marriages of opposite-sex couples for purposes of FEGLI, OPM
will also recognize legal same-sex marriages granted in countries that authorize such marriages,
regardless of an employee’s or annuitant’s state of residency, for purposes of these programs.
Legislative History
The legislative changes are available in the “Table of Legislation Affecting FEGLI.”
Incontestability
Prior to October 28, 1998, incontestability was not statutory. It was a contractual provision and
did not apply if the erroneous coverage was in violation of a statutory provision. Effective
October 28, 1998, incontestability became a statutory provision and applies to all erroneous
coverage.
U.S. Office Of Personnel Management
23
TYPES AND AMOUNTS OF INSURANCE
Kind of Insurance
Types of Insurance
Amount of Basic Insurance
Annual Rates of Pay
Amount of Optional Insurance
Concurrent Employment
Changes in Amount of Insurance
Accidental Death and Dismemberment Benefits
Historical Information
KIND OF INSURANCE
Federal Employees' Group Life Insurance (FEGLI) is group term life insurance coverage. It
does not build up a cash or paid-up value. You cannot obtain a loan by borrowing from this
insurance.
FEGLI provides coverage wherever you are, not just when you are at work. FEGLI benefits are
payable regardless of cause or location of death.
TYPES OF INSURANCE
There are two types of life insurance under the FEGLI Program: Basic and Optional.
There are three types of Optional insurance: Option A-Standard, Option B-Additional, and
Option C-Family.
AMOUNT OF BASIC INSURANCE
Basic Insurance Amount (BIA)
Minimum and Maximum BIA
Extra Benefit/Age Multiplication Factor
Post-Election BIA
U.S. Office Of Personnel Management
24
Basic Insurance Amount (BIA)
Basic insurance covers your life for an amount known as your Basic Insurance Amount (BIA),
which is based on your actual current pay.
To calculate your BIA:
1. Take your annual rate of basic pay;
2. Round it up to the next even $1,000 (if it is not already an even thousand dollar amount);
and
3. Add $2,000.
Example
Carlos has an annual salary of $48,586. Round to $49,000. Then add $2,000. His Basic
Insurance Amount is $51,000.
See the Table of Basic Insurance Amounts.
Your BIA automatically changes whenever your annual pay is increased or decreased by an
amount that will raise or lower pay to a different $1,000 bracket.
If you are eligible to continue Basic life insurance coverage as an annuitant or compensationer,
your BIA is the amount in effect at the time your insurance as an employee stops. Your
insurance as an employee stops either at your separation from service or your completion of 12
months in nonpay status, whichever is earlier.
Minimum and Maximum BIA
The minimum amount of Basic insurance is $10,000. Any employee whose annual pay is less
than $8,000 has $10,000 in Basic insurance, even if the employee is part-time. Exception: If
you elected a partial living benefit, it is possible that your remaining BIA may be less than
$10,000.
There is no maximum BIA. However, if your salary is “capped” by law, the amount of your
Basic insurance is based on the capped amount; i.e., the amount you are actually being paid. It is
not based on the amount your pay would be without the cap.
Extra Benefit/Age Multiplication Factor
If you are under age 45 and you are covered under Basic insurance, you automatically have extra
coverage without paying any additional premium. This Extra Benefit increases the amount of
Basic insurance payable at the time of your death, if you die before age 45.
U.S. Office Of Personnel Management
25
To determine the amount of the Extra Benefit, multiply your BIA by the appropriate age
multiplication factor as follows:
Your Age
at
Death
35 or under
36
37
38
39
40
41
42
43
44
45 and over
Example
Clara dies at age 40, with an annual salary of $57,126. Her BIA is $60,000. The age
multiplication factor is 1.5. The amount of Basic life insurance payable is $90,000 ($60,000 x
1.5).
Living Benefit Post-Election BIA
The post-election BIA is the amount of Basic insurance left after you elect a living benefit.
If you elect a full living benefit, your post-election BIA is $0.
If you elect a partial living benefit, you still have some Basic insurance left. OFEGLI provides
the post-election BIA on the FE-8C Explanation of Benefits that is sent to your employing
agency. OFEGLI determines this amount by taking your BIA on the date OFEGLI receives your
completed living benefit application and reducing it by a percentage. This percentage represents
the amount of your partial living benefit payment, compared to the amount you could have
received if you had elected a full living benefit. The amount that is left is rounded up or down to
the nearest multiple of $1,000. (If the amount is midway between multiples, it is rounded up to
the next higher multiple.)
Your post-election BIA cannot change, even if your salary increases or decreases.
U.S. Office Of Personnel Management
26
If you elect a partial living benefit and are under age 45 when you die, OFEGLI will multiply
your post-election BIA by the Extra Benefit age factor that was in effect on the date 9 months
after the date OFEGLI received your completed living benefit application.
ANNUAL RATES OF BASIC PAY
Determination
Included
Not Included
Hourly, Daily, and Similar Rates
Part-Time Rates
Piecework Rates
Multiple Rates Regular Schedule
Multiple Rates No Regular Schedule
Part-Time Flexible Schedule
Intermittent Employment Rates
Certifying the Amount of Insurance When There Is No Regularly Scheduled Tour
of Duty
Determination
Your annual pay is your annual rate of basic pay as fixed by law or regulation. If your pay is
“capped” by law, your annual pay for FEGLI purposes is the capped amount; i.e., the amount
you are actually being paid.
Example:
If an individual’s current salary is $125,078 and the individual receives authorized premium pay
of 25 Percent or $31,269.50, the total would be $156,347.50. However, if the salary is capped at
$143,471, then FEGLI is based on the capped amount of $143,471. The FEGLI BIA would then
be $146,000 (the capped amount rounded to the next higher thousand, plus $2,000).
Included
The following are included in annual pay:
Interim geographic adjustments and locality-based comparability payments (i.e. locality
pay), as provided by Pub. L. 101-509;
Night differential pay for wage employees;
Environmental differential pay for employees exposed to danger or physical hardship;
Tropical differential pay for citizen employees in Panama;
Special pay adjustments for law enforcement officers;
Premium pay for standby duty under 5 U.S.C. 5545(c)(1)*;
U.S. Office Of Personnel Management
27
Premium pay for administratively uncontrollable overtime under 5 U.S.C. 5545(c)(2) for
law enforcement officers, as defined under 5 U.S.C. 8331(20) and 5 CFR 831.902 and
842.802*;
Availability pay for criminal investigators under 5 U.S.C. 5545a*;
Market pay for physicians and dentists of the Department of Veterans Affairs under 38
U.S.C. 7431;
Premium pay for overtime inspectional service for customs officers, as provided by Pub.
L. 103-66; and
Straight-time pay for regular overtime hours for firefighters, as provided in 5 U.S.C.
5545b and 5 CFR part 550, subpart M.
*If your annual pay includes this, your annual pay is determined by multiplying your annual rate
of basic pay by the applicable percentage factor.
If you are legally serving in more than one position at the same time, and at least one of those
positions entitles you to life insurance coverage, the annual pay for life insurance purposes is the sum
of the annual rate of basic pay fixed by law or regulation for each position. This does not apply to an
employee of the Postal Service who works a part-time flexible schedule, or to a temporary,
intermittent decennial census worker.
Not Included
The following are not included in annual pay:
Foreign post differential for wage employees with the exception of wage employees in
Guam who were recruited from outside Guam and are paid a recruitment and retention
incentive;
Night differential pay and foreign or nonforeign post differential pay of General Schedule
employees;
Bonuses, allowances, overtime, holiday, and military pay not listed above as included;
Premium pay authorized for certain air traffic controllers under Pub. L. 97-276;
Lump-sum payments for accrued leave;
Supervisory differentials;
Retention allowances; and
Physicians' comparability allowances.
Hourly, Daily, and Similar Rates
To convert a pay rate of other than annual salary to an annual rate, multiply the pay rate by the
number of the pay units in a 52-week work year.
Example
Dave is paid $18.89 an hour and works 2,087 hours per year. His annual pay is $39,423
($18.89 x 2,087).
U.S. Office Of Personnel Management
28
If part of your basic 40-hour week is paid at an overtime rate, your basic pay is determined at
your base rate for 40 hours. The overtime rate is not counted toward your basic pay for life
insurance purposes.
Example
Dottie is paid $19.02 an hour, works 2,087 hours per year, and is assigned a workweek of four
10-hour days. She is paid $28.53 per hour for two hours of each 10-hour day. Since her
overtime hours are part of the 40-hour week, they are counted at the base rate, not the overtime
rate. Her annual pay is $39,695 ($19.02 x 2,087).
Part-Time Rates
If you are a part-time employee, your annual pay is your basic pay applied to your tour of duty
on record (as shown on your most recent Standard Form 50 Notification of Personnel Action or
equivalent document) in a 52-week work year.
Example
The annual salary for Ernest’s position is $48,638, and Ernest works 24 hours per week. His
annual pay for FEGLI purposes is $29,183. ($48,638 ÷ 52 weeks ÷ 40 hours x 24 hours x 52
weeks).
Piecework Rates
If you are an employee on piecework rates, your annual pay is your total basic earnings for the
previous calendar year, not counting premium pay for overtime or holidays.
Whenever the piecework rate changes, your annual pay is adjusted by applying the percentage of
increase or decrease in rate.
If you had leave without pay during the year, your annual pay is determined by dividing the
year's earnings (or adjusted earnings) by the number of days for which you were paid (days
worked plus leave with pay); this gives the average daily rate. This average daily rate is
multiplied by 260.
Example
Erica’s 2011 earnings were $37,489 and she was paid for 190 days. Her average daily rate is
$197.31 ($37,489 ÷ 190). Her 2012 annual pay for FEGLI purposes is $51,301 ($197.31 x 260).
If you are a new employee, your first year's annual pay for life insurance purposes is the average
earned or adjusted annual basic pay during the previous calendar year for piecework employees
U.S. Office Of Personnel Management
29
doing similar work in your group, subject to any further adjustment of the average during the
first year.
Multiple Rates Regular Schedule
If you are regularly scheduled to work at different pay rates (such as day and night rates), your
annual pay is the weighted average of the rates at which you are paid, projected to an annual
basis. A regular schedule can exist even if your schedule varies within a year or even within a
pay period.
Example
Franklin is paid $14.92 per hour on a day shift and $18.37 per hour on a night shift and is
regularly scheduled to work eight months on day shift and four months on night shift. Multiply
$14.92 by 1,391 hours (2,087 hours ÷ 12 months x 8 months) and $18.37 by 696 hours (2,087
hours ÷ 12 months x 4 months). Franklin’s annual pay is $33,539.
Multiple Rates No Regular Schedule
If you work at different pay rates, but not on a regular schedule, your annual pay is the annual
rate you were receiving at the end of the pay period. In the event of your death or
dismemberment, it is the annual rate you were receiving at the time of your death or accident.
The employing office will determine the amount of insurance and withholdings for multiple rate
employees with no regular schedule at the end of each pay period.
Example
Francesca does not work a regular schedule. During the latest biweekly pay period, she worked
50 hours on the day shift at $14.47 per hour and 30 hours on the night shift at $16.96 per hour.
Her annual rate of pay at the end of this pay period is $32,040 ([$14.47 x 50 hours x 26 pay
periods = $18,811] + [$16.96 x 30 hours x 26 pay periods = $13,229] = $32,040).
Part-Time Flexible Schedule
If you hold more than one appointment, of which at least one is a part-time flexible schedule
appointment in the Postal Service, your Basic and Option B insurance amounts are based on the
higher of your pay rates.
U.S. Office Of Personnel Management
30
Intermittent Employment Rates
If you are a non-Postal intermittent employee (a non-full time employee with no prearranged
regularly scheduled tour of duty) with FEGLI coverage (see Note below), and you are not a
temporary, intermittent decennial (every ten years) census worker, your annual pay is the annual
rate you received at the end of the pay period. In the event of your death or dismemberment, it is
the annual rate you were receiving at the time of your death or accident.
The employing office must determine the amount of insurance and withholdings for non-Postal
intermittent employees at the end of each pay period.
For FEGLI purposes, during pay periods in which you are not scheduled to work, you are
considered to be in nonpay status. If you are in a nonpay status for 12 consecutive months, your
FEGLI coverage terminates, with a 31-day extension of coverage and the right to convert. If you
return to pay and duty status, your coverage is automatically reinstated.
Note: If you are an intermittent employee, you are excluded from FEGLI coverage by
regulation, except when your intermittent employment follows, with a break in service of no
more than three days, a position in which you were insured and to which you are expected to
return. Your agency makes this determination, not OPM.
Example
Greg is an intermittent employee and is paid $17.84 per hour. His annual rate of basic pay fixed
by law is therefore $37,232 ($17.84 x 2,087 hours). If Greg works only two days (16 hours)
during a particular biweekly pay period, his annual rate of pay for insurance purposes for that
pay period is $7,421 ($17.84 x 16 x 26). (However, he would be covered for the minimum
$10,000 of Basic insurance.)
Certifying the Amount of Insurance When There Is No Regularly
Scheduled Tour of Duty
When you do not have a regularly scheduled tour of duty, upon your death, your employing
office will base its certification of the amount of insurance upon the number of hours you worked
in the last full pay period during which you worked.
Example
Gail, an intermittent employee earning $16.72 per hour, dies. During the last full pay period
before her death, she did not work. During the previous pay period, she worked 64 hours. The
annual rate of pay the employing office would certify is $27,822 ($16.72 x 64 hours x 26 pay
periods = $27,822).
U.S. Office Of Personnel Management
31
AMOUNT OF OPTIONAL INSURANCE
Option A-Standard
Option B-Additional
Option C-Family
Option A-Standard
Option A coverage is $10,000. An additional benefit for accidental death and dismemberment
(AD&D) of $10,000 is added if you are under 45 (see “Accidental Death and Dismemberment
(AD&D) Benefits”).
Option B-Additional
Option B coverage comes in 1, 2, 3, 4, or 5 multiples of your annual pay (after your pay is
rounded up to the next even thousand). It does not include the extra $2,000 added for Basic
insurance and does not include an Extra Benefit.
Example
Homer earns $52,578. His BIA is $55,000. He elected 3 multiples of Option B coverage. Each
multiple is worth $53,000.
The amount of your Option B coverage automatically changes whenever your annual pay is
increased or decreased by an amount that will raise or lower pay to a different $1,000 bracket.
If you are eligible to continue Option B coverage as an annuitant or compensationer, the amount
of your Option B is the amount in effect at the time your insurance as an employee stops. Your
insurance as an employee stops either at your separation from service or your completion of 12
months in nonpay status, whichever is earlier.
There is no minimum amount of Option B coverage. This is different than Basic coverage.
Option B coverage for an employee whose annual pay is less than $8,000 is calculated on the
actual salary, not the minimum Basic coverage amount.
There is no maximum Option B amount. However, if your salary is “capped” by law, the
amount of your Option B is based on the capped amount, the amount you are actually being paid.
It is not based on the amount your pay would be without the cap.
The same things that are included in your annual pay for Basic insurance are also included for
Option B. The same things that are not included for Basic insurance are not included for Option
B. (See [link]“Annual Rates of Pay.”)
With Option B there is no Extra Benefit if you are under age 45.
U.S. Office Of Personnel Management
32
Option C-Family
Option C covers the lives of your spouse and eligible dependent children. When you elect
Option C, all of your eligible family members are automatically covered. You may elect 1, 2, 3,
4 or 5 multiples of coverage. Each multiple is equal to $5,000 for your spouse and $2,500 for
each eligible dependent child. It does not include the extra $2,000 added for Basic insurance and
does not include an Extra Benefit.
Example
If you elect three multiples of Option C, and your spouse dies, you would receive $15,000 (3
times $5,000). If one of your eligible dependent children dies, you would receive $7,500 (3 times
$2,500).
Eligible family members for Option C include a spouse (including a spouse from a valid
common law marriage or from a valid same-sex marriage) and eligible dependent children.
Eligible dependent children must be unmarried and under age 22, or if age 22 or over, incapable
of self-support because of a mental or physical disability that existed before the child reached
age 22.
Eligible dependent children include your natural children, adopted children, stepchildren (if they
live with you in a regular parent-child relationship), recognized natural children and foster
children (if they live with you in a regular parent-child relationship, including foster children).
Stillborn children are not covered.
If you have any questions about eligible family members, please consult your human resources
office. That office is responsible for determining eligibility.
The number of multiples you elect applies to all of your eligible family members. You cannot
elect a number of multiples for your spouse that is different from the number of multiples for
your eligible dependent children. The number of multiples is also not connected to the number
of family members. You can elect 5 multiples of Option C even if you have only one child, for
example.
There is no Extra Benefit for Option C if you (or a covered family member) are under age 45.
CONCURRENT EMPLOYMENT
Eligibility
Amount of Insurance
Multiple Rate Employee with Part-Time Flexible Schedule Appointment
U.S. Office Of Personnel Management
33
Eligibility
If you are legally serving in more than one position at the same time whether in the same or in
different agencies you are eligible for life insurance coverage as long as at least one of your
positions is a covered position.
You cannot have more than one FEGLI election for each type of coverage, so you cannot have
FEGLI in more than one position. In other words, you cannot carry “two FEGLI policies” even
though you are serving in more than one position or you become reemployed to a FEGLI-eligible
position.
Amount of Insurance
The amount of Basic and Option B insurance is based on the sum of the annual pay for all of
your positions, including the annual pay for a position excluded from life insurance coverage.
The agency which pays the higher salary does the withholding and pays the Government
contribution. Exception: If you are in nonpay status from one position, the agency that is still
paying salary does the withholdings and pays the Government contribution
Exceptions:
This does not apply to part-time flexible schedule employees in the Postal Service.
This does not apply to temporary, intermittent decennial (every ten years) census
workers. If one of your positions is a temporary, intermittent, position with the decennial
census, it has no effect on the amount of your Basic or Option B insurance, the
withholdings or Government contribution for your insurance, or determining when 12
months in nonpay status ends.
If you are in nonpay status from your covered position and you accept a temporary
appointment in which you would normally be excluded from coverage, the amount of
your Basic and Option B coverage is based on the sum of the annual rate of pay for each
position.
If one of your positions is an excluded position, and you go into nonpay status in that
position, at the end of 12 months in nonpay status, the amount of coverage is no longer
based on the combined salary, but only on the salary from the covered position.
The two salaries are added together before rounding up to the next even thousand and before
adding the additional $2,000 for Basic insurance.
U.S. Office Of Personnel Management
34
Example
Hannah works full-time for the Department of Energy, with an annual salary of $57,319. She
also works part-time for the IRS; her part-time annual salary is $21,432. Her BIA is $81,000
($57,319 + $21,432 = $78,751, rounded up to $79,000 + $2,000). If Hannah has Option B
coverage, each multiple is worth $79,000 up to a maximum of five multiples.
Concurrent employment does not affect the amount of Option A or Option C coverage. You can
only have one each of those respective coverages.
Multiple Rate Employee with Part-Time Flexible Schedule
Appointment
When you are a multiple rate employee who holds more than one appointment, with at least one
of them being a part-time flexible schedule appointment in the Postal field service, the amount of
Basic and Option B insurance is based on the higher (highest) of the pay rates.
CHANGES IN AMOUNT OF INSURANCE
Automatic Changes
Correction of Errors in Annual Pay
Automatic Changes
If you are insured as an employee, the amount of Basic insurance and Option B coverage
automatically changes whenever your annual pay is increased or decreased by an amount that
will raise or lower pay to a different $1,000 bracket. Exception: If you have elected a living
benefit, the amount of your post-election BIA cannot change.
The effective date of your increased/decreased insurance amount is the effective date of your
increased/decreased annual pay.
The amount of your Option A and Option C coverage does not change due to changes in annual
pay.
If you are insured as an annuitant or compensationer, your BIA will not change.
However, the amount of Basic insurance in force as an annuitant or compensationer may
start to reduce when you reach age 65, depending on the election you made at the time
you retired or became insured as a compensationer.
U.S. Office Of Personnel Management
35
Your Option B and Option C coverage as an annuitant or compensationer may also start
to reduce at age 65 depending on the election you make at retirement regarding post-65
reduction.
Your Option A coverage as an annuitant or compensationer will automatically start to
reduce at age 65.
Correction of Errors in Annual Pay
When a pay change is retroactive, any resulting change in the amount of Basic and Option B
insurance becomes effective retroactively on the effective date of the pay adjustment. The
premiums must be adjusted accordingly.
ACCIDENTAL DEATH AND DISMEMBERMENT (AD&D)
BENEFITS
When Are Benefits Payable?
Exclusions
Automatic Coverage
Amount of Accidental Death Benefits under Basic Insurance
Amount of Accidental Dismemberment Benefits under Basic Insurance
Amount of Accidental Death & Dismemberment Benefits under Option A
Benefits for Different Accidents
Benefits following a Living Benefit Election
When Are Benefits Payable?
Accidental death and dismemberment (AD&D) benefits are payable when you sustain bodily
injury solely through violent, external, and accidental means, and as a direct result of the bodily
injury, independently of all other causes, and within one year afterwards, you lose your life, limb
(hand or foot), or eyesight.
Loss of hand means loss by severance at or above the wrist joint, or equivalent loss, as
determined by OFEGLI.
Loss of foot means loss by severance at or above the ankle joint, or equivalent loss, as
determined by OFEGLI.
Loss of eyesight means total and permanent absence of any usable vision in one eye.
Accidental death benefits, if payable, are payable in addition to “regular” FEGLI benefits.
U.S. Office Of Personnel Management
36
Exclusions
AD&D benefits will not be paid if your death or loss in any way results from, is caused by, or is
contributed to by:
physical or mental illness;
the diagnosis of or treatment of a physical or mental illness;
ptomaine or bacterial infection. However, accidental death and dismemberment benefits
will be paid if the loss is caused by an accidentally sustained external wound;
a war (declared or undeclared), any act of war, or any armed aggression against the
United States, in which nuclear weapons are actually being used;
a war (declared or undeclared), any act of war, or any armed aggression or insurrection in
which you are in actual combat at the time bodily injury is sustained;
suicide or attempted suicide;
injuring yourself on purpose;
illegal or illegally obtained drugs that you administer to yourself; or
driving a vehicle while intoxicated, as defined by the laws of the jurisdiction in which
you were operating the vehicle.
“Regular” Basic insurance and any Optional insurance are payable when you die, regardless of
the cause, even if accidental death benefits are not payable.
Automatic Coverage
AD&D coverage is an automatic part of Basic and Option A insurance for employees at no
additional cost.
There is no AD&D coverage:
With Options B and C;
For annuitants or persons insured as compensationers; and
During the 31-day extension following termination of coverage.
Accidental death benefits are paid to your beneficiary(ies); accidental dismemberment benefits
are paid to you, the insured.
Amount of Accidental Death Benefits under Basic Insurance
Under Basic insurance, accidental death benefits are equal to your BIA, but without the age
multiplication factor. These benefits are payable in addition to your Basic insurance and any
Optional insurance payable.
U.S. Office Of Personnel Management
37
Example
At age 37, Ian dies as the result of injuries received in a car accident. His BIA at the time of his
death is $48,000. Ian also has 3 multiples of Option B, each worth $46,000. The benefits
payable to Ian’s beneficiary(ies) are as follows:
Regular Death Benefit
Accidental Death Benefit
Basic Insurance
(Includes Extra Benefit)
$86,400 ($48,000 x age
multiplication factor of 1.8)
$48,000
Option B
$138,000
N/A
Since Ian is under age 45 on the date of death, he is eligible for the Extra Benefit. The total
amount payable is $272,400 ($86,400 [Basic] + $48,000 [AD&D] +$138,000 [Option B]).
Amount of Accidental Dismemberment Benefits under Basic
Insurance
Under Basic insurance, accidental dismemberment benefits for the loss of one hand, one foot, or
eyesight in one eye are equal to one-half of your BIA.
For the loss of two or more of these in the same accident, benefits are equal to your full BIA.
Total AD&D benefits for a single accident, no matter how many losses occur, cannot be more
than your full BIA.
Example
Ileana, age 46, has Basic coverage only. She loses an arm in a climbing accident. Her BIA is
$42,000. The amount of accidental dismemberment benefits payable to her is $21,000 for the
loss of her arm. Six months later, she loses sight in both eyes due to the same accident. She is
eligible for another accidental dismemberment payment of $21,000. The total accidental
dismemberment benefit payable to Ileana from this accident is $42,000, equaling her BIA, even
though she suffered three losses (one arm and sight in both eyes).
Two weeks later, Ileana dies as the result of other injuries sustained in that accident. While a
regular death benefit of $42,000 is payable, no accidental death benefit will be payable, since
any additional payment for this accident would be more than Ileana’s BIA.
Amount of Accidental Death & Dismemberment Benefits under Option A
Under Option A, accidental death benefits are equal to the amount of Option A coverage
($10,000). Accidental dismemberment benefits for the loss of one hand, one foot, or eyesight in
one eye are equal to one-half of your Option A coverage ($5,000). For the loss of two or more of
these, benefits are equal to your full Option A coverage.
U.S. Office Of Personnel Management
38
Total AD&D benefits under Option A for a single accident, no matter how many losses occur,
cannot be more than your Option A benefits of $10,000.
These benefits are payable in addition to your Basic insurance and any Option B insurance
payable. AD&D benefits for Option A are payable only if you were enrolled in Option A at the
time of your accident.
Benefits for Different Accidents
AD&D benefits are payable for each separate accident, regardless of whether benefits were paid
to you for a previous accident.
Example
Jeremy’s BIA is $60,000 and he loses an eye (eyesight in one eye) in an accident. He will be
paid $30,000 in accidental dismemberment benefits. If he later dies in another separate
unrelated accident, his beneficiaries will receive the full $60,000 in accidental death benefits for
the second accident.
Benefits following a Living Benefit Election
If you elect a full living benefit, your post-election BIA is $0. The amount of your AD&D
coverage therefore is also $0.
If you elect a partial living benefit, you still have some Basic insurance left. The amount of your
AD&D coverage is reduced to correspond to your post-election BIA.
A living benefit election has no effect on AD&D benefits under Option A.
HISTORICAL INFORMATION
Basic Insurance
Option A
Option B
Option C
Accidental Death and Dismemberment (AD&D)
Basic Insurance
U.S. Office Of Personnel Management
39
The FEGLI Program started in 1954. At that time, what is now called Basic insurance was the
only coverage offered. In 1968, when Option A insurance began being offered, what is now
called Basic insurance became known as “Regular” insurance. The term “Basic insurance came
into use in 1981 with the introduction of Options B and C.
Until February 1968 there was no minimum amount of “Regular” insurance and no additional
$2,000 of insurance.
The Extra Benefit (age multiplication factor) became effective in October 1981.
Prior to October 1998, Basic insurance was subject to a maximum salary cap.
Option A
Option A (Standard Optional Insurance) came into effect in February 1968. At that time it was
simply called “optional” insurance. When Options B and C were introduced in 1981, Option A
became known by its current name.
When Basic insurance was subject to a maximum, Option A could be increased beyond the
normal $10,000 amount to compensate for the limitation on Basic. When the maximum on Basic
was removed in 1998, there was no longer a need for Option A to be more than $10,000. Since
then, the only persons with more than $10,000 in Option A coverage were those who retired or
became insured as compensationers with a higher amount of Option A before the removal of the
maximum on Basic.
Option B
Option B (Additional Optional Insurance) became effective in April 1981.
Until October 1998, like Basic insurance, Option B was subject to a maximum salary cap.
Option C
Option C (Family Optional Insurance) became effective in April 1981. Initially, the amount of
coverage was $5,000 for the death of a spouse and $2,500 for the death of an eligible child.
In April 1999 multiples of Option C went into effect, with each multiple (up to five) worth
$5,000 for the death of a spouse (for a maximum of $25,000) and $2,500 for the death of an
eligible child (for a maximum of $12,500 for each child).
Accidental Death and Dismemberment (AD&D)
U.S. Office Of Personnel Management
40
In November 2000, we added the exclusion for “driving a vehicle while intoxicated, as defined
by the laws of the jurisdiction in which you were operating the vehicle”.
Previously, AD&D benefits were payable only if the death or dismemberment happened within
90 days of the accidental injury. In February 2003, the 90-day period was extended to one year.
In August 2004, we removed the exclusion for hernia.
U.S. Office Of Personnel Management
41
ELIGIBILITY
Eligibility for Life Insurance
Employees Excluded from Coverage
Eligible Family Members under Option C
Foster Child
Child Incapable of Self-Support
Historical Information
ELIGIBILITY FOR LIFE INSURANCE
Basic Insurance
Optional Insurance
Basic Insurance
As a Federal employee, you automatically have Basic insurance, unless you waive it or you are
in a position excluded from FEGLI by law or regulation.
Optional Insurance
Optional insurance is not automatic; you must elect it.
You may elect Optional insurance if:
You have Basic insurance;
You do not have a waiver of that type of Optional insurance still in effect (or a waiver of
that number of Option B or Option C multiples still in effect); and
Your periodic pay, after all other deductions, is enough to cover the full cost.
EMPLOYEES EXCLUDED FROM COVERAGE
Exclusions by Law
Exclusions by Regulation
U.S. Office Of Personnel Management
42
Exclusions by Law
The law excludes you from FEGLI coverage if:
You are an employee of a corporation supervised by the Farm Credit Administration, if
private interests elect or appoint a member of the board of directors;
You are not a citizen or national of the United States and your permanent duty station is
outside the United States. Exception: You are eligible for FEGLI if you met the
definition of employee on September 30, 1979, by service in an Executive agency (as
defined in 5 U.S.C. 105), the United States Postal Service, or the Smithsonian Institution
in the area which was then known as the Canal Zone;
You are a teacher in a Department of Defense dependents school overseas, if employed
by the Federal Government in a non-teaching position during the recess period between
school years; or
You were first employed by the Government of the District of Columbia on or after
October 1, 1987. Exceptions: You are eligible for FEGLI if you are:
o An employee of St. Elizabeth's Hospital, who accepts employment with the
District of Columbia Government following Federal employment without a break
in service, as provided in section 6 of Pub. L. 98-621;
o The Corrections Trustee or an employee of the Trustee who accepts employment
with the District of Columbia Government within three days after separating from
the Federal Government;
o The Pretrial Services, Parole, Adult Probation and Offender Supervision Trustee
or an employee of the Trustee;
o Effective October 1, 1997, a judicial or non-judicial employee of the District of
Columbia Courts, as provided by Pub. L. 105-33; or
o Effective April 1, 1999, an employee of the Public Defender Service of the
District of Columbia, as provided by Pub. L. 105-274.
Exclusions by Regulation
The regulations exclude you from FEGLI coverage if:
You are serving under an appointment limited to one year or less. Exceptions: You are
eligible for FEGLI coverage if:
o Your full-time or part-time temporary appointment has a regular tour of duty and
follows a position in which you were insured, with a break in service of no more
than three days (unless during that prior position you had already completed 12
months in nonpay status);
o You are an acting postmaster;
o You are a Presidential appointee appointed to fill an unexpired term; or
o You are a temporary employee who receives a provisional appointment as defined
in 5 CFR 316.403;
U.S. Office Of Personnel Management
43
You are employed for an uncertain or purely temporary period, employed for brief
periods at intervals, or are expected to work less than six months in each year. Exception:
You are eligible for FEGLI coverage if you are employed as in intern under the Pathways
Programs under Schedule D or under an OPM-approved career-related work-study
program under Schedule D lasting at least 1 year, and you are expected to be in pay status
for at least one-third of the total period of time from the date of your first appointment to
the completion of the work-study program;
You are an intermittent employee (a non-full-time employee without a regularly
scheduled tour of duty). Exception: You are eligible for FEGLI coverage if your
appointment follows, with a break in service of no more than three days, a position in
which you were insured and to which you are expected to return (unless during that prior
position you had already completed 12 months in nonpay status);
Your pay, on an annual basis, is $12 a year or less;
You are a beneficiary or patient employee in a Government hospital or home;
You are paid on a contract or fee basis. Exception: You are eligible for FEGLI coverage
when you are a United States citizen, appointed by a contract between you and the
Federal employing authority which requires your personal service, and paid on the basis
of units of time; or
You are paid on a piecework basis. Exception: You are eligible for FEGLI coverage
when your work schedule provides for full-time or part-time service with a regularly
scheduled tour of duty.
OPM makes the final determination about whether the above categories apply to a specific
employee or group of employees.
If you were an employee of the Senate Restaurants after the operations of the Senate Restaurants
were contracted to be performed by a private contractor, and
you accepted employment with the private business concern as part of the transition; and
you elected to continue your Federal retirement benefits and FEGLI coverage; and
you did not waive FEGLI coverage;
you are eligible for FEGLI coverage as long as you remain continuously employed with the
private contractor..
If you were a Federal employee who was employed by the Department of Defense to support the
Civilian Marksmanship Program as of the day before the date of the transfer of the Program to
the Corporation for the Promotion of Rifle Practice and Firearms Safety, and
if you accepted employment by the Corporation as part of the transition; and
you did not waive FEGLI;
U.S. Office Of Personnel Management
44
you are eligible for FEGLI coverage as long as you remain continuously employed with
the Corporation..
If you have an interim appointment under 5 CFR 772.102, you are eligible for FEGLI coverage
even if your position is excluded by regulation. You are not eligible if your position is excluded
by law.
ELIGIBLE FAMILY MEMBERS UNDER OPTION C
Family Members
Spouse
Children
Recognized Natural Child
Parent-Child Relationship
Family Members
The FEGLI law defines family members for Option C coverage as your spouse and your
unmarried dependent children under age 22.
No other family members are eligible under your Option C coverage.
Spouse
Option C covers your spouse (opposite-sex or same-sex) from a valid religious or civil
ceremony. It also covers your opposite-sex or same-sex spouse from a valid common-law or
valid foreign marriage. See “Extension of Benefits to Married Federal Employees, Annuitants,
and Their Families,” in the Introduction section under Historical Information.
NOTE: You need to check with your state, not your agency or OPM, to determine the validity of
a common-law marriage.
Option C does not include a former spouse, so even if you are paying Option C premiums, you
cannot file an Option-C claim based on the death of a former spouse. Your spouse loses
eligibility (and coverage) on the date your divorce is final. There is no 31-day extension of
coverage or right to convert.
Children
Children must be unmarried and under age 22 to be eligible under Option C.
U.S. Office Of Personnel Management
45
Exception: A child age 22 or over is eligible only if the child is incapable of self-support because
of a physical or mental disability that existed before the child reached age 22.
Your eligible dependent children include:
A child born within or outside of a marriage;
An adopted child;
A recognized natural child (including children born out of wedlock); or
A stepchild or foster child who lives with you in a regular parent-child relationship.
Children born within marriage and adopted children are eligible whether or not they live with
you or are financially dependent upon you.
Stepchildren and foster children must live with you in a regular parent-child relationship to be
eligible under Option C.
A stillborn child is not an eligible family member under Option C.
A grandchild is not an eligible family member under Option C (unless the grandchild meets all
the requirements of a foster child).
If your child’s marriage ends and he/she is under the age of 22 or over the age of 22 and
incapable of self-support, the child is again an eligible family member under Option C.
Recognized Natural Child
A recognized natural child is your child born outside of marriage whom you have acknowledged
as your child. A recognized natural child is an eligible family member if he/she lives with you or
if you contribute to the support of the child.
An insured individual is considered to be the father of such a child if one or more of the
following conditions are met:
The individual acknowledged paternity in writing;
A court ordered the individual to provide support;
Before the individual died, a court pronounced him to be the father;
The individual named himself as the father on a certified copy of the public record of
birth or church record of baptism; or
Public records, such as records of schools or social welfare agencies, show that with his
knowledge the individual was named as the father of the child.
If paternity is not established by one of the above means, OFEGLI may consider other evidence,
such as the child's eligibility as a recognized natural child under other State or Federal programs
or proof that the father included the child as a dependent child on his income tax returns.
U.S. Office Of Personnel Management
46
Parent-Child Relationship
A regular parent-child relationship” means that you are:
Exercising parental authority, responsibility, and control over the child;
Caring for, supporting, disciplining, and guiding the child; and
Making decisions about the child's education and medical care.
FOSTER CHILD
Eligibility Requirements
When Coverage Ends
When a Child Is Not Considered a Foster Child
How to Get a Foster Child Covered
Sample Certification
Eligibility Requirements
Your foster child is eligible to be covered under Option C when:
The child is unmarried and under age 22 (if the child is over age 22, he/she must be
incapable of self-support because of a physical or mental disability that existed before the
child reached age 22);
The child lives with you;
The parent-child relationship is with you, not the child’s biological parent;
You are the child’s primary source of financial support; and
You expect to raise the child to adulthood.
You do not need to be related to the child, nor do you need to legally adopt him/her. As long as
the above requirements are met, the child is an eligible foster child, even if:
The child's natural parents are alive;
The child’s natural parent(s) lives with you; or
The child receives some financial support from other sources (for example, social
security payments or support payments from a parent).
Common examples of a foster parent-child relationship are:
You are living with, supporting, and raising a child whose parents have died.
A child is living with you under a pre-adoption agreement.
A child is in your legal custody.
U.S. Office Of Personnel Management
47
When Coverage Ends
Your foster child’s coverage continues until he/she:
Marries;
Reaches age 22;
Becomes capable of self-support if age 22 or over;
Is no longer living with you; or
Is no longer financially dependent on you.
If your foster child moves out of your home to live with a biological parent, the child cannot
again be covered as your foster child unless:
The biological parent dies;
The biological parent is imprisoned;
The biological parent becomes unable to care for the child due to a disability; or
You obtain a court order for custody that takes parental responsibility from the biological
parent and gives it to you.
When a Child Is Not Considered a Foster Child
A child is not considered a foster child when:
The child has been placed in your home by a welfare or social service agency under an
agreement where the agency retains control of the child and/or pays for maintenance.
The child is living with you temporarily, or you are raising the child temporarily.
Example 1
Joyce’s nephew moves in with Joyce while he is attending a nearby college. The nephew does
not qualify as a foster child, since the living arrangement is a temporary one for convenience.
Example 2
Keith’s unmarried teenage daughter has a baby. Keith and his wife are raising the grandchild
while their daughter finishes school. The grandchild does not qualify as a foster child since
Keith is raising the child only temporarily and there is no expectation that Keith will be raising
the child to adulthood.
U.S. Office Of Personnel Management
48
How to Get a Foster Child Covered
For your foster child to be covered under Option C, you must sign a certification stating that your
foster child meets all the requirements and that you will notify your employing office if the child
marries, moves out of the home, or stops being financially dependent on you.
If you already have a certification on file for the FEHB Program or FEDVIP, you do not have to
complete a new certification for Option C coverage, unless you are electing or increasing
coverage because you acquire a foster child. You may wish to complete a second certification,
however, so you understand FEGLI coverage for a child ends at age 22 (FEHB coverage for an
eligible child ends at age 26).
Sample Certification
You may use the following pattern statement to establish your foster child's eligibility for
coverage under Option C. Your employing office must file the original certification in your
Official Personal Folder (or its equivalent).
U.S. Office Of Personnel Management
49
CERTIFICATION FOR FOSTER CHILDREN for the FEGLI Program
I have been informed of the following requirements for certifying foster child
eligibility under the Federal Employees’ Group Life Insurance Program:
1. The child must be unmarried and under age 22. (If the child is over age 22,
he/she can only be covered if he/she is incapable of self-support because of a
disabling condition that began before age 22. I must provide documentation of
this to my employing office.);
2. The child must be living with me;
3. The parent-child relationship must be with me, not with the biological parent.
This means that I am exercising parental authority, responsibility, and control; I
am caring for, supporting, disciplining, and guiding the child; and I am making
the decisions about the child’s education and medical care;
4. I must be the primary source of financial support for the child; and
5. I must expect to raise the child to adulthood.
I understand that if the child moves out of my home to live with a biological parent,
he/she loses coverage and cannot ever again be covered as a foster child unless:
1. The biological parent dies;
2. The biological parent is imprisoned;
3. The biological parent becomes incapable of caring for the child due to a
disability; or
4. I obtain a court order taking parental responsibility away from the biological
parent and giving it to me.
This is to certify that: [name of child] lives with me; I have a regular parent-child
relationship with [name of child], as described above; I am the primary source of
financial support for [name of child]; and I intend to raise [name of child] into adulthood.
I will immediately notify my employing office (and the health benefits carrier, if
applicable) if the child marries, moves out of my home, or ceases to be financially
dependent on me.
_____________________________
(Print name of employee/annuitant)
_____________________________
(Signature of employee/annuitant)
____________________
(Date)
(End of notice)
U.S. Office Of Personnel Management
50
CHILD INCAPABLE OF SELF-SUPPORT
Coverage
Requirements
Documentation of Incapacity for Self-Support
Medical Conditions That Would Cause Children to Be Incapable of Self-Support
during Adulthood
Coverage
Your unmarried dependent child age 22 or over is eligible to be covered under Option C if he/she
is incapable of self-support because of a physical or mental disability that existed before the
child reached age 22.
Requirements
Your employing office makes the determination as to whether your overage dependent is eligible
for coverage. Your child age 22 or over may be considered incapable of self-support only if
his/her physical or mental disability is expected to continue for at least one year and, because of
the disability, he/she isn't capable of working at a self-supporting job. (Self-supporting is usually
considered to be the equivalent of a GS-5, step 1, salary.)
A disability such as blindness or deafness is not qualifying in itself because it does not
necessarily make someone incapable of self-support. The onset of a disease before age 22 that
doesn't result in incapacity for self-support until age 22 or after does not qualify a child for
continued eligibility for coverage under Option C.
The criteria for your employing office's determination are the same as those for the FEHB
Program and FEDVIP. If you have already established eligibility for your child under the FEHB
Program, you do not need to establish eligibility again under FEGLI.
Documentation of Incapacity for Self-Support
To continue your child's eligibility under Option C once he/she reaches age 22, you must submit
to your employing office a doctor's certificate about your child’s disability. The doctor must
sign the certificate, and the certificate must show the doctor’s office address.
The certificate must state the following:
Your child’s name;
That your child is incapable of self-support because of a physical or mental disability;
That the disability started before the child reached age 22;
U.S. Office Of Personnel Management
51
That the disability is expected to continue for more than one year;
The type of disability;
How long the disability has existed; and
The disability’s expected future course and duration.
Your employing office must document its determination in your Official Personnel Folder (or its
equivalent). The determination may be permanent or it may be for a specific period of time,
after which you periodically may need to provide additional information to continue your child’s
eligibility.
When you file a claim for the death of an overage dependent, your employing office must certify
to OFEGLI that the child met the requirements for coverage. If you don't have an employing
office determination on file, you may provide the required doctor’s certificate after the child’s
death so that your employing office can make a determination and certification to OFEGLI.
Medical Conditions That Would Cause Children to Be Incapable of
Self-Support during Adulthood
Documentation of one of the following conditions automatically makes your child age 22 or over
eligible for coverage under Option C if the condition existed before age 22. If your child’s
condition is not listed, your employing office will make its determination based on the
documentation you submit:
AIDS CDC classes A3, B3, C1, C2, and C3 (not seropositivity alone)
Advanced muscular dystrophy
Any malignancy with metastases or which is untreatable
Chronic hepatic failure
Chronic neurological disease, whatever the reason, with severe mental retardation or
neurologic impairment, for example:
o Cerebral palsy
o Ectodermal dysplasia
o Encephalopathies
o Uncontrollable seizure disorder
Chronic renal failure
Inborn errors of metabolism with complications, such as the following:
o Adrenoleukodystrophy
o Gaucher disease
o Glycogen storage diseases
o Homocysteinuria
o Lesch-Nyhan disease
o Mucopolysacharide disease
o Nieman-Pick Disease
o Phenylketonuria
o Primary hyperoxaluria
o Tay-Sachs disease
U.S. Office Of Personnel Management
52
Mental retardation with IQ of 70 or less
Severe acquired or congenital heart disease with decompensation which is not correctable
Severe autism
Severe juvenile rheumatoid arthritis
Severe mental illness requiring prolonged or repeated hospitalization
Severe organic mental disorder
Xeroderma pigmentosa
HISTORICAL INFORMATION
Active Duty Military
Part-Time Employees
D.C. Government Control Board
Foster Children
Same-Sex Spouses
Active Duty Military
From August 1, 1956 until June 6, 1986 by law FEGLI coverage terminated whenever a Federal
employee was called up to active military duty. As of June 6, 1986, employees called up to
active duty could keep their FEGLI coverage for up to 12 months, just as any other employee in
nonpay status. Public Law 110-181, the Department of Homeland Security Appropriations Act,
enacted January 28, 2008, changed this provision by authorizing the continuation of life
insurance coverage for up to 24 months instead of 12 months while in nonpay status. See
“Separation From Service” at [link].
Part-Time Employees
Part-time employees were originally excluded. They became eligible some time between 1961
and 1964.
D.C. Government Control Board
Employees of the D.C. Control Board (District of Columbia Financial Responsibility and
Management Assistance Authority), who made an election under the Technical Corrections to
Financial Responsibility and Management Assistance Act (section 153 of Pub. L. 104-134) to be
considered Federal employees for life insurance and other benefits purposes were eligible for
FEGLI coverage. (Employees of the D.C. Control Board who were former Federal employees
were subject to the provisions of this Handbook concerning canceling waivers.)
U.S. Office Of Personnel Management
53
Foster Children
Foster children became eligible for Option C coverage effective October 30, 1998. Before that,
foster children were not eligible.
Same-Sex Spouses
Effective June 26, 2013, a same-sex spouse of a valid marriage is recognized as a family member
for benefits under the FEGLI Program. Legal same-sex marriages entered into following this
decision will be treated in the same manner as opposite-sex marriages, regardless of an
employee’s or annuitant’s state of residency. Consistent with OPM’s long-standing policy of
recognizing the legal foreign marriages of opposite-sex couples for purposes of FEGLI, OPM
will also recognize legal same-sex marriages granted in countries that authorize such marriages,
regardless of an employee’s or annuitant’s state of residency, for purposes of these programs.
U.S. Office Of Personnel Management
54
COST OF INSURANCE
Cost of Basic Insurance
Withholdings for Basic Insurance
Government Contribution for Basic Insurance
Cost of Optional Insurance
Withholdings for Optional Insurance
Miscellaneous Withholding and Contribution Provisions
Transferring to a Different Payroll Office
Direct Premium Payments
Remittance to OPM
Adjusting Errors
Historical Information
COST OF BASIC INSURANCE
The cost of Basic insurance is shared between you and the Government. You pay two-thirds of
the cost, and the Government pays one-third. Exception: The U.S. Postal Service (USPS) pays
the full cost of Basic insurance for Postal employees.
Your age does not affect the cost of Basic insurance. The Basic premium rate is the same for
each enrollee in the group policy regardless of age or health status.
There is no extra cost for the extra benefit for those under age 45. There is no extra cost for
Accidental Death and Dismemberment (AD&D) coverage.
The premium for Basic insurance does not change on a regular basis. The Office of Personnel
Management (OPM) reviews the premiums periodically and will announce premium changes
prior to their effective date. Premium changes are published in a Federal Register notice and are
also sent to agencies and retirement systems. The premiums are also updated on the FEGLI
website http://www.opm.gov/healthcare-insurance/life-insurance/.
As required by law, Basic insurance coverage uses a composite premium structure. This means
the Basic premium rate is the same for each enrollee in the group policy, regardless of age or
health status. As such, younger employees may pay a comparatively higher premium than they
would with coverage based, in part, on age (like Optional insurance) or with a commercial
individually underwritten policy.
U.S. Office Of Personnel Management
55
WITHHOLDINGS FOR BASIC INSURANCE
Prefunding of Basic
Amount of Withholding for Employees
Amount of Withholding for Annuitants and Compensationers
o Cost for Annuitants for Each $1,000 of Your BIA
o Cost for Compensationers for Each $1,000 of Your BIA
Prefunding of Basic
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. The
cost of this post-65 benefit is included in the FEGLI Basic level premium. The net effect of the
level premium and post-65 benefit is that younger enrollees' premiums cover the cost of
coverage they currently have, and also pre-funds a portion of the costs related to coverage they
will have later in their careers and in retirement. Since the Government contributes a share of the
Basic premium, the employee share remains relatively competitive with the cost of private term
insurance.
Amount of Withholding for Employees
Your share of the cost of Basic insurance is $0.15 biweekly for each $1,000 of your Basic
Insurance Amount (BIA). This amount must be withheld from your pay for each pay period
during which you are in pay status for any part of the pay period. Exception: The U.S. Postal
Service (USPS) pays the full cost of Basic insurance for Postal employees.
Amount of Withholding for Annuitants and Compensationers
The “regular” premium for Basic insurance for annuitants and compensationers is the same
amount as for employees; however, for annuitants it is computed on a monthly basis, and for
compensationers it is computed every four weeks. Exception:
USPS annuitants pay the same premium as other annuitants. They no longer receive the
premium subsidy they received as active employees.
USPS compensationers continue to receive the premium subsidy until they separate from
service or complete 12 months in nonpay status, whichever happens first; after that, they
pay the same premium as other compensationers.
If you are an annuitant, your retirement system will withhold your premium from your monthly
annuity; if you are a compensationer, the Office of Workers’ Compensation Programs (OWCP)
will withhold your premium from your compensation. Basic withholdings for non-Postal
compensationers begin as soon as you start receiving compensation, even during the first 12
months of nonpay status.
U.S. Office Of Personnel Management
56
The total of the Basic premium(s) withheld from your annuity after retirement will depend on the
reduction election you made at the time you retired or became insured as a compensationer. The
reduction, if any, begins at age 65 or at retirement, whichever is later. Exception: If you retired
or started receiving compensation before January 1, 1990, and elected 75 Percent Reduction,
Basic insurance is free.
The “regular” premium for Basic insurance stops the month after you turn 65. If you elected 75
Percent Reduction, your Basic insurance is free once you are retired and reach 65.
If you elected 50 Percent Reduction or No Reduction, there is an extra premium for this higher
level of coverage. The extra premium starts as soon as you retire or become insured as a
compensationer and continues even after the regular premium stops at age 65.
Cost for Annuitants for Each $1,000 of Your Basic Insurance Amount
75 Percent
Reduction
50 Percent
Reduction
No
Reduction
Until the Month after Your
65
th
Birthday
$0.3250
Monthly
$0.9650
monthly
$2.2650
monthly
Starting the Month after
Your 65
th
Birthday
Free
$0.64*
monthly
$1.94*
monthly
* The applicable withholding for 50 Percent Reduction or No Reduction will be withheld from
your annuity for life (unless you cancel your coverage or change to 75 Percent Reduction).
If you retired before January 1, 1990, Basic insurance is free before and after your 65
th
birthday.
Withholdings are based on your Basic Insurance Amount (BIA) at the time of your retirement. If
you elected 50 Percent Reduction, the withholdings do not change when the amount of insurance
in force begins to reduce.
Cost for Compensationers for Each $1,000 of Your BIA
75 Percent
Reduction
50 Percent
Reduction
No
Reduction
Until the Month after Your
65
th
Birthday
$0.30
every 4 weeks
$0.89
every 4 weeks
$2.09
every 4 weeks
Starting the Month after Your
65
th
Birthday
Free
$0.59
every 4 weeks*
$1.79
every 4 weeks*
* The applicable withholding for 50 Percent Reduction or No Reduction will be withheld from
your compensation for life (unless you cancel your coverage or change to 75 Percent Reduction).
U.S. Office Of Personnel Management
57
If you started receiving compensation before January 1, 1990, Basic insurance is free before and
after your 65
th
birthday.
Withholdings are based on your BIA at the time of your continuation of insurance as a
compensationer. If you elected 50 Percent Reduction, the withholdings do not change when the
amount of insurance in force begins to reduce.
Example
Kim elected 50 Percent Reduction for her Basic insurance upon her retirement. Her BIA is
$66,000 and her 65
th
birthday is 02-21-13. She will pay $63.69 ($0.9650 x 66) monthly for this
coverage through February 2013. Beginning March 2013, the premium will be $42.24 ($0.64 x
66) monthly. (This will show up in her April annuity payment, which is for the month of March.)
Starting on April 1, 2013, her coverage will begin reducing by 1 Percent per month ($660/mo.)
and will continue to reduce until the 50 Percent Reduction is completed ($33,000) . She will
continue to pay the monthly premium for the 50 Percent reduction for the rest of her life, unless
she cancels her insurance or changes to the 75 Percent Reduction.
GOVERNMENT CONTRIBUTION FOR BASIC
INSURANCE
Government Contribution
Employees
Annuitants and Compensationers
Government Contribution
The Government's share of the cost of Basic insurance is an amount equal to one-half of your
withholding (which means one-third of the total premium). (See Exception above for USPS
employees.) The current government share per $1,000 is $0.0750 biweekly and $ 0.1625
monthly. There is no government contribution for Basic while the insured is in a nonpay status.
Employees
Your agency must pay the Government contribution for each pay period during which you are
insured and in pay status for any part of the pay period.
The Government contribution comes from the appropriation or fund that is used for the payment
of your salary. For an elected official, the contribution must come from the appropriation or
fund that is available for payment of other salaries in the same office.
U.S. Office Of Personnel Management
58
Annuitants and Compensationers
For annuitants, OPM pays the Government contribution. Exception: The USPS pays the
Government contribution for Postal annuitants retired after December 31, 1989.
For compensationers, your agency continues to pay the Government contribution until you
separate from service or complete 12 months in nonpay status, whichever happens first; after
that, OPM pays the Government contribution. Exception: The USPS continues to pay the
Government contribution for Postal compensationers who became insured as compensationers
after December 31, 1989, even after you have separated or completed 12 months in nonpay
status.
Note: The Government contribution for annuitants and compensationers is based on the
“regular” premium for Basic insurance. There is no Government contribution toward the extra
premium for those who elect 50 Percent Reduction or No Reduction.
The Government contribution stops the month after your 65
th
birthday, the same time your
regular premium withholding for Basic insurance stops.
COST OF OPTIONAL INSURANCE
Payment for Optional Insurance
Age Bands
Payment for Optional Insurance
You pay the full cost of all Optional insurance. There is no Government contribution toward the
cost of any Optional insurance.
AD&D coverage is for employees only. There is no extra cost for the AD&D coverage included
under Option A.
The premiums for Optional insurance do not change on a regular basis. OPM reviews the
premiums periodically and will announce premium changes prior to their effective date.
Premium changes are published in a Federal Register notice and are also sent to agencies and
retirement systems. The premiums are also updated on the FEGLI website
http://www.opm.gov/healthcare-insurance/life-insurance/.
Age Bands
The cost of Optional insurance depends on your age. Optional insurance premiums are based on
five-year age bands beginning at age 35. You are considered to reach the next age band on the
pay period following the pay period in which your birthday occurs.
U.S. Office Of Personnel Management
59
Example
Laurence is 44 and has Basic insurance, Option A, and 2 multiples of Option B. On July 10,
2013, Laurence turned 45. He began paying the Option A and Option B premiums for the age
45-49 age bracket the pay period beginning July 14, 2013.
WITHHOLDINGS FOR OPTIONAL INSURANCE
Option A Employees
Option B Employees
Option C Employees
Annuitants and Compensationers
For optional insurance withholding purposes, we assume you reach these ages on the day of the
pay period that starts after your birthday.
Option A Employees
The biweekly cost* of Option A coverage is:
For employees under age 35
$0.30
For employees ages 35 through 39
$0.40
For employees ages 40 through 44
$0.60
For employees ages 45 through 49
$0.90
For employees ages 50 through 54
$1.40
For employees ages 55 through 59
$2.70
For employees ages 60 and over
$6.00
This amount must be withheld from your pay for each pay period during which you are in pay
status for any part of the pay period.
* These are the current rates. They may change in future years.
U.S. Office Of Personnel Management
60
Option B Employees
The biweekly cost* per $1,000 of Option B coverage is:
For employees ages 35 and under
$0.02
For employees ages 35 through 39
$0.03
For employees ages 40 through 44
$0.05
For employees ages 45 through 49
$0.08
For employees ages 50 through 54
$0.13
For employees ages 55 through 59
$0.23
For employees ages 60 through 64
$0.52
For employees ages 65 through 69
$0.62
For employees ages 70 through 74
$1.14
For employees ages 75 through 79
$1.80
For employees ages 80 & Over
$2.40
This amount must be withheld from your pay for each pay period during which you are in pay
status for any part of the pay period.
* These are the current rates. They may change in future years.
U.S. Office Of Personnel Management
61
Option C Employees
The biweekly cost* per multiple of Option C coverage is:
For employees under age 35
$0.22
For employees ages 35 through 39
$0.29
For employees ages 40 through 44
$0.42
For employees ages 45 through 49
$0.63
For employees ages 50 through 54
$0.94
For employees ages 55 through 59
$1.52
For employees ages 60 through 64
$2.70
For employees ages 65 through 69
$3.14
For employees ages 70 through 74
$3.60
For employees ages 75 through 79
$4.80
For employees ages 80 and over
$6.60
This amount must be withheld from your pay for each pay period during which you are insured
and in pay status for any part of the pay period.
* These are the current rates. They may change in future years.
Note: Option C premiums are based on your age, not the age of any of your eligible family
members.
You can use the FEGLI Calculator to calculate the cost of FEGLI coverage.
Annuitants and Compensationers
The cost of Optional insurance for annuitants and compensationers is the same as that for
employees; however, for annuitants it is computed on a monthly basis, and for compensationers
it is computed every four weeks. The premiums for compensationers (who are paid every four
weeks) are two times the biweekly premium.
The cost of Optional insurance continues to increase when you move to a new age band, just as it
does for employees.
U.S. Office Of Personnel Management
62
For Option A, withholdings stop the month after your 65
th
birthday, and the coverage is free.
For Options B and C, whether you continue to pay premiums in retirement/compensation after
age 65 depends on the retirement election you make regarding the amount of reduction you want
when you turn 65. If you elect Full Reduction, withholdings stop the month after your 65
th
birthday, and the coverage is free while it is reducing. If you elect No Reduction, withholdings
for your appropriate age band continue after age 65 (unless you cancel coverage or change to
Full Reduction).
Shortly before you reach age 65, you will have a second opportunity to change the Option B
and/or Option C (as applicable) election you made at retirement. At that time you can change
your “Full Reduction” election to “No Reduction”, and vice versa. If you do nothing when given
this opportunity at age 65, your initial election at time of retirement will remain in effect. (For
employees who retire after age 65, they will have one opportunity at time of retirement to elect
their reduction levels).
MISCELLANEOUS WITHHOLDING AND
CONTRIBUTION PROVISIONS
Basis for Withholdings and Contributions
Other Than Biweekly Pay Periods
Annual Pay for Other Than 52 Work Weeks
Effect of a Living Benefit Election
Concurrent Employment
Separation for Retirement or Compensation
Nonpay Status
Insufficient Pay
Occasional
Ongoing
Terminal Leave
Basis for Withholdings and Contributions
Withholdings (and Government contributions, when applicable) are based on the amount of
insurance last in force during the pay period. Usually this is the amount of insurance you have
on the last day of the pay period. However, if you die or separate during a pay period, the
amount of withholding is based on the amount of insurance in force on the date of your death or
separation.
The amount of withholdings and contributions for non-Postal intermittent employees must be
determined at the end of each pay period.
There are no pro-rated premiums. You pay the premium for the full pay period even if you were
paid for only part of that pay period.
U.S. Office Of Personnel Management
63
Other Than Biweekly Pay Periods
If you are paid on a basis other than biweekly, your employing office must convert the biweekly
amount to correspond to your pay periods. For Basic insurance and Option B, your agency must
adjust the amount to the nearest one-tenth of 1 cent. For Options A and C, your agency must
adjust the amount to the nearest cent.
Annual Pay for Other Than 52 Workweeks
If your annual pay is paid during a period shorter than 52 workweeks, the amount withheld from
your pay is the amount obtained by converting the biweekly rate to an annual rate and prorating
the annual rate over the number of installments of pay regularly paid during the year.
Example
Leonore has a salary of $47,500, giving her a BIA of $50,000. She is paid biweekly but works
only 20 pay periods each year.
1. Convert the biweekly rate to an annual rate ($0.15(Basic) x 26 pay periods = an annual
rate of $3.90 per $1,000 of coverage).
2. Divide the annual rate by the number of pay periods ($3.90 ÷ 20 = $0.195 per $1,000 of
coverage per pay period, or $0.195 x 50 = $9.75 per pay period).
This calculation process applies to both Basic and Optional insurance. For Optional insurance,
use the applicable age band rate to convert biweekly rate to an annual rate. It is used mostly for
classes of employees, such as teachers, who are paid an annual pay but who usually receive their
pay over a 9- or 10-month school year.
It does not apply to classes of employees who are paid at hourly, daily, or other rates, even
though these rates may be derived from an annual pay rate.
Effect of a Living Benefit Election
If you elect a full living benefit, your withholding for Basic insurance and the Government
contribution stop at the end of the pay period in which your living benefit election is effective.
If you elect a partial living benefit (available to employees only), your withholding for Basic
insurance and the Government contribution are each reduced at the end of the pay period in
which your living benefit election is effective. The new withholding and contribution amount
are based on your post-election BIA. This post-election Basic Insurance Amount never changes.
The post-election Basic Insurance Amount remains the same even if your salary changes.
A living benefit election has no effect on your withholdings for Optional insurance.
U.S. Office Of Personnel Management
64
Example
Matthew has Basic insurance and 1 multiple of Option B. His salary is $43,879, giving him a
BIA of $46,000. He elected a partial living benefit, which was effective 8/18/12; his post-
election BIA is $6,000. Starting with the pay period ending 8/19/12, Matthew’s withholding for
Basic insurance will be based on his $6,000 post-election BIA. The withholding for his Option B
coverage will still be based on $44,000, since the value of his Option B didn’t change.
Concurrent Employment
The agency which pays the higher salary does the withholding and pays the Government
contribution. Exception: If you are in nonpay status from one position, the agency that is still
paying salary implements the withholdings and pays the Government contribution.
Separation for Retirement or Compensation
No withholdings or contributions are required between the end of the pay period in which you
separate and the beginning date of your annuity or compensation.
Nonpay Status
Your FEGLI coverage continues for up to 12 months when you go into nonpay status.
If you are in nonpay status for part of a pay period, premiums will be withheld from your salary.
The withholdings and Government contribution for FEGLI Basic and the withholdings for
optional coverage are required for the full pay period, even if you only worked for part of the pay
period. This also includes if you are furloughed for part of a pay period. FEGLI premiums are
not prorated.
No payment is required when you are in nonpay status for an entire pay period. This applies to
both your share and the Government contribution. Exceptions:
If you are in nonpay status while receiving compensation, OWCP will make withholdings
from your compensation. Your employing office pays the Government contribution until
you separate or complete 12 months in nonpay status. Note: The U.S. Postal Service
(USPS) continues to pay the full cost of Basic insurance for Postal employees during
their first 12 months in nonpay status while in receipt of compensation, or until
separation, if that is earlier.
If you accept another position while you are in nonpay status, the agency that is actually
paying you a salary will withhold premiums from your salary. The withholding for Basic
insurance (and for Option B, if you have that coverage) is based on the combined salaries
U.S. Office Of Personnel Management
65
of the two positions, unless the “new” position is a temporary position (in that case the
withholdings for Basic and Option B will be based on whichever salary is higher).
There are certain nonpay situations during which you must continue to make premium
payments on a direct pay basis.
Insufficient Pay
Occasional
Deductions from pay are made according to the order of precedence set forth in the U.S.
Treasury Financial Manual. After all other required deductions, if your pay for a particular pay
period is not enough to cover the full withholdings for life insurance, the amount withheld must
first be applied to Basic insurance. Any balance of pay remaining must then be applied to
Optional insurance (first to Option B, then Option A, then Option C). This includes if your
insufficient pay is due to a government furlough.
Ongoing
When your employing office expects that during the next six months or more, your regular pay
(or annuity or compensation), after all other deductions, will not be enough to cover the required
withholdings for your insurance, your employing office must notify you. This includes if your
insufficient pay is due to a government furlough.
You may cancel or reduce other deductions that are not mandatory from your pay in order to
bring the net pay up to the required amount.
If you have more than one type of Optional insurance, and your pay is not enough to cover all the
premiums but is enough for the premiums of one or more of the coverages, you can reduce
coverage to a point where your pay is enough to cover the withholdings.
You may also choose to pay premiums directly. If you do not choose direct payment, and you do
not choose to terminate some or all of your coverage, your employing office will terminate your
coverage administratively according to the guidance in the U.S. Treasury Financial Manual
described above. If your pay is not sufficient for any premium withholding, all coverage will be
terminated. Your employing office will terminate coverage in the following order:
The multiples of Option C; then
Option A; then
The multiples of Option B; then
Basic insurance.
Contact your servicing human resources office for more information.
Terminal Leave
U.S. Office Of Personnel Management
66
A withholding is not normally made from a lump-sum payment for annual leave when you
separate from Federal service. However, if the insured has an underpayment of premiums the
agency can collect from the annual leave lump-sum payment.
TRANSFERRING TO A DIFFERENT PAYROLL OFFICE
Daily Proration Rule
Daily Rate
o Basic Insurance
o Optional Insurance
Retiring Employees
o Under Age 65 on the Starting Date of Annuity
o Age 65 or over on the Starting Date of Annuity
Daily Proration Rule
The Daily Proration Rule applies when you transfer to a position serviced by a different payroll
office at a time other than the beginning of the pay period or when the two agencies are on
different pay periods. Each payroll office (gaining and losing) is responsible for withholdings
and contributions for the actual time you occupied the position that it services.
Daily Rate
Compute a daily rate by multiplying the biweekly withholding and contribution rate by 26, then
dividing by 364.
Biweekly withholding* x 26÷ 364
* For Basic, the contribution withholding must also be computed. See examples below.
Note: The denominator is always 364, even during a leap year.
Basic Insurance
For Basic insurance, the daily withholding rate is $0.0107 and the daily Government contribution
rate is $0.0054 per $1,000 of coverage. The formula for determining the amount of withholdings
and contributions for which losing and gaining agencies are responsible is:
Daily rate x Coverage Amount ÷ $1,000 x Days on payroll
U.S. Office Of Personnel Management
67
Example
Marcia transfers to a different agency on the sixth day into a biweekly pay period. Her BIA is
$54,000. The losing agency is responsible for:
Withholding: $0.0107 x $54,000 ÷ $1,000 x 5 days = $2.89
Contribution: $0.0054 x $54,000 ÷ $1,000 x 5 days = $1.46
The gaining agency is responsible for:
Withholding: $0.0107 x $54,000 ÷ $1,000 x 9 days =$5.20
Contribution: $0.0054 x $54,000 ÷ $1,000 x 9 days =$2.62
Optional Insurance
The payroll office must compute a daily rate for Optional insurance coverage, using the same
formula as for Basic insurance. (See tables for the biweekly withholding rates for Option A,
Option B, and Option C.)
For Option A, the formula for determining the amount of withholding is:
Daily rate x Days on payroll
The formula for determining the amount of Option B withholdings is the same as for Basic
insurance:
Daily rate x Coverage Amount ÷ $1,000 x Days on payroll
For Option C, the formula for determining the amount of withholdings is:
Daily rate x Number of multiples x Days on payroll
Example
Marcia also has Option A, one multiple of Option B, and two multiples of Option C. She is 38
years old. The losing agency is responsible for withholding:
Option A: $0.0286 [$0.40 x 26 ÷ 364] x 5 days = $0.14
Option B: $0.0021 [$0.03 x 26 ÷ 364] x $52,000 ÷ $1,000 x 5 days = $0.55
Option C: $0.0207 [$0.29 x 26 ÷ 364] x 2 multiples x 5 days = $0.21
The gaining agency is responsible for withholding:
Option A: $0.0286 [$0.40 x 26 ÷ 364] x 9 days = $0.26
Option B: $0.0021 [$0.03 x 26 ÷ 364] x $52,000 ÷ $1,000 x 9 days = $0.98
Option C: $0.0207 [$0.29 x 26 ÷ 364] x 2 multiples x 9 days = $0.37
U.S. Office Of Personnel Management
68
Retiring Employees
For retiring employees, your employing office's responsibility for withholdings and contributions
depends on your age at the time of retirement.
Under Age 65 on the Starting Date of Annuity
If your annuity starts after the end of the pay period, your employing office will make full
withholdings and contributions for the entire pay period.
If your annuity starts before the end of the pay period, your employing office will make
withholdings and contributions through the day before the start of your annuity, using the Daily
Proration Rule.
See the CSRS/FERS Handbook section entitled “Retirement Eligibility” for the rules governing
the starting date of CSRS/FERS annuities.
Example
Nathaniel is age 60 and his annuity starts 8/3/12. The pay period begins on 7/23/12 and ends on
8/5/12. He will carry Basic and Option A into retirement. His BIA is $72,000. His employing
office will make withholdings and contributions for the period from 7/23/12 through 8/2/12.
Basic withholding: $0.0107 x $72,000 ÷ $1,000 x 11 days = $8.47
Basic contribution: $0.0054 x $72,000 ÷ $1,000 x 11 days = $4.28
Option A withholding: $0.4286 ($6.00 x 26 ÷364) x 11 days = $4.71
Age 65 or over on the Starting Date of Annuity
Your employing office's responsibility for withholdings and contributions will depend on your
post-65 election.
For Basic insurance, if you elect 75 Percent Reduction, your employing office will make
withholdings and contributions through the end of the pay period in which you separate for
retirement without any proration. If you elect 50 Percent Reduction or No Reduction, your
employing office will prorate the Basic withholdings and contributions based on the starting date
of your annuity, the same as for retiring employees under age 65.
For Option A, your employing office will make withholdings through the end of the pay period
in which you separate for retirement without any proration.
For Option B and Option C, if you elect Full Reduction, your employing office will make
employee withholdings through the end of the pay period in which you separate for retirement
without any proration. If you elect No Reduction for Option B or Option C, your employing
U.S. Office Of Personnel Management
69
office will make employee withholdings based on the starting date of your annuity, the same as
for retiring employees under age 65. Since you are over age 65 at time of retirement, you do not
receive a second opportunity to change your Option B and/or Option C reduction election(s).
This is your only opportunity to choose how your coverage will reduce.
Example
Natalie is age 67 and has elected to carry Basic insurance into retirement with No Reduction
and 3 multiples of Option B with Full Reduction. Her BIA is $68,000, and Option B coverage is
$198,000 ($66,000 X 3). Her annuity started 11/1/12; the pay period began on 10/29/12 and
ended on 11/11/12.
Natalie’s employing office made withholdings and contributions for the period from 10/29/12
through 10/31/12 for Basic insurance. Her employing office made withholdings through the end
of the pay period (11/11/12) for Option B coverage. She will continue to pay for No Reduction
Basic insurance. Her Option B coverage is free, but will reduce to $0. She will not receive a
second opportunity to change her Option B Full Reduction election.
DIRECT PREMIUM PAYMENTS
When Your Pay Is Insufficient on an Ongoing Basis
Sample Notice
If You Choose to Terminate Coverage
If You Choose to Continue Coverage
What Are the Effects of a Cancellation?
When Pay Becomes Large Enough for Premium Withholdings:
If You Chose Termination
If You Chose Direct Pay
When Your Pay Is Insufficient on an Ongoing Basis
Your employing office must give you a written notice (sample below) as soon as it determines
that your pay (or annuity or compensation) will be insufficient to cover the required withholdings
for at least six months. The notice will provide your current level of FEGLI coverage, the
biweekly cost of the FEGLI coverage and the choices you can make. If your employing office
cannot give you the notice directly, it must send the notice by first class mail.
You must choose either to terminate some or all of your FEGLI coverage or to continue your
coverage by making direct premium payments. You must make your choice and return the
completed notice to your employing office within 31 days after you receive the notice (45 days if
you live overseas). When your employing office mails your notice, it is considered to be
received five days after the date of the notice (19 days if you live overseas.)
U.S. Office Of Personnel Management
70
Exceptions:
This does not apply to employees in a nonpay status.
If you have assigned your coverage, your employing office must give the notice to your
assignee(s), instead of you.
U.S. Office Of Personnel Management
71
Sample Notice
FEDERAL EMPLOYEES' GROUP LIFE INSURANCE (FEGLI) OPTIONS
WHEN PAY IS INSUFFICIENT FOR WITHHOLDING PREMIUMS
Name of Insured Individual: _____________________________
Date: _____________________
You must respond with your election to continue within 31 days of this notice (45
days if you live overseas) or your FEGLI coverage will be terminated.
We have determined that your (salary/annuity/compensation) is not large enough
for withholding FEGLI premiums and will continue to be insufficient on an
ongoing basis. You are currently enrolled in Basic, Option A, and Option B.
The biweekly premium for Basic is $0.00, Option A $0.00, Option B $0.00, and
Option C $0.00.
You have three choices: To terminate all of your FEGLI coverage, to terminate
some of your FEGLI coverage, or to continue your FEGLI coverage by paying the
premiums directly on a current basis.
TERMINATION: If you choose to terminate your coverage (or if you don't
return this notice on time, and your coverage is terminated administratively), the
termination will take effect at the end of the last pay period for which premiums
were withheld. Your coverage will continue for an additional 31 days at no cost
to you. During those 31 days, you (or an individual having power of attorney for
you), will be eligible to convert to a nongroup policy. You have been given the
information necessary for you to convert.
You may terminate all of your FEGLI coverage or just a part of it. If you
terminate only a part of your coverage, the premiums for the remaining coverage
will be withheld from your (salary/annuity/compensation), if it is large enough to
do so. If your pay is still insufficient for the withholdings for the remaining
insurance, you must make direct payments, or that remaining coverage will
terminate.
When your salary again becomes sufficient for the premium withholdings, any
terminated coverage will be reinstated automatically. If you converted any of
your coverage, you must contact the insurance company to terminate the
conversion policy or coverage will not be reinstated when your
annuity/compensation again becomes sufficient for the premium withholdings.
CONTINUATION: If you choose to continue your FEGLI coverage, you must
pay the premiums directly. Your check (or money order) in the amount of
$__________ must be made payable to _Name of agency___. Include on the
check your name, Social Security number, (CSA/CSI number), a note that the
U.S. Office Of Personnel Management
72
payment is for “FEGLI premium,” and the (pay period/month) for which the
payment is being made. Mail to: [Agency Address_______________].
By choosing to continue your coverage and make direct premium payments, you
are agreeing that if you do not make the payments, your coverage will be
cancelled. If your coverage is cancelled for nonpayment, you will not have the
right to convert, and your coverage will not be reinstated if your salary eventually
becomes large enough for the premium withholdings.
Please check the appropriate space(s) below, sign the notice, and return it to your
employing office at ______________________________. If you have any
questions, contact _________________________ at ________________
(Insert name and phone number of employing office contact).
TO BE COMPLETED BY
[EMPLOYEE/ANNUITANT/COMPENSATIONER/ASSIGNEE]:
I have read this notice, and I understand my choices. I choose the following:
1. _____ I choose to terminate all my FEGLI coverage.
For employees: I understand that the coverage will be reinstated
automatically when my salary becomes sufficient for withholding the
premiums.
For annuitants/compensationers: I understand that my coverage will not
be reinstated when my annuity/compensation becomes sufficient for premium
withholdings.)
2. I choose to terminate only the following FEGLI coverage(s):
________ Option C (Show number of multiples [1-5] you want to
terminate)
________ Option A
________ Option B (Show number of multiples [1-5] you want to
terminate)
I understand that the premium for the coverage(s) that remain will be
withheld from my pay if it is sufficient for doing so; otherwise I must pay
my premiums directly on a current basis.
For employees: I understand that the terminated coverage will be
reinstated automatically when my salary becomes sufficient for
withholding the premiums.
U.S. Office Of Personnel Management
73
For annuitants/compensationers: I understand that the terminated
coverage will not be reinstated when my annuity/compensation becomes
sufficient for premium withholdings.)
3. _____ I choose to continue my FEGLI coverage by paying my premiums
directly. I understand that if I do not make the payments on a current
basis, my coverage will be cancelled (and will not be reinstated when my
salary becomes sufficient for withholding the premiums).
__________________ (Insured’s/Assignee’s signature) _________(Date)
(End of Notice)
U.S. Office Of Personnel Management
74
If You Choose to Terminate Coverage
You may choose to terminate some or all of your coverage. If you terminate enough coverage so
that your pay is sufficient for withholding the premiums for the rest, your salary withholdings
will continue. If you terminate some coverage but your pay is still not enough for the remaining
withholdings, you must make direct payments for the premiums for the remaining coverage.
You cannot have some of the premiums withheld and make direct payment for the rest.
If you do not return the notice making a choice within the required time frame, your employing
office will terminate administratively as much coverage as necessary to allow for premium
withholdings. If your pay is not sufficient for any premium withholding, all coverage will be
terminated. Your employing office will terminate coverage, according to the U.S. Treasury
Financial Manual, in the following order:
The multiples of Option C; then
Option A; then
The multiples of Option B; then
Basic insurance.
If you choose to terminate some or all of your FEGLI coverage, or if you do not return the notice
making a choice within the time limit, your coverage will terminate retroactive to the end of the
last pay period in which premiums were withheld from your pay. You will get the 31-day
extension of coverage and the right to convert.
Your employing office will prepare a memo indicating the reason for the termination and attach
it to proof of your current coverage, such as the most recent Life Insurance Election (SF 2817),
open season election form, or your scanned election in your file (if your agency uses electronic
files). Your employing office will give you the information necessary to convert your FEGLI
coverage.
This termination is not considered a break in the continuous coverage needed for employees to
continue FEGLI into retirement.
If You Choose to Continue Coverage
If you choose to continue your FEGLI coverage, you must agree to pay the premiums directly on
a current basis. You cannot have some of the premiums withheld and make direct payment for
the rest.
Your employing office will set up a system to collect the premiums.
You must make premium payments after each pay period in which you are covered, according to
the schedule set by your employing office. If your employing office does not receive your
payment by the due date, it will send you a notice stating that for your coverage to continue, you
must make payment within 31 days (60 days if you live overseas) after you receive the notice. If
U.S. Office Of Personnel Management
75
you do not make any further payments, your coverage will be cancelled retroactive to the end of
the pay period for which you last paid the premium.
If, for reasons beyond your control, you are unable to pay your premium within 30 days of
receiving the past due notice (45 days if living overseas), you may ask your employing office to
reinstate your coverage. You must make your request in writing within 60 days from the
cancellation date and must include documentation of the reasons. If your employing office
grants your request, your coverage will be reinstated retroactive to the cancellation date, and you
must pay premiums back to that date. If your request is denied, you may ask your employing
office to reconsider its decision.
What Are the Effects of a Cancellation?
When your coverage is cancelled because you did not pay your premiums:
You do not get the 31-day extension of coverage or the right to convert;
It is considered a break in the continuous coverage needed to continue FEGLI coverage
into retirement; and
Your FEGLI coverage will not be reinstated when your pay becomes sufficient to make
the withholdings.
What Happens When My Pay Increases Enough for Premium Withholdings?
If You Previously Chose Termination
If you are an employee and you chose termination or your life insurance is terminated because
you did not return the required notice, your FEGLI coverage is automatically reinstated when
your salary becomes sufficient to cover the withholdings.
Your employing office must prepare a memo noting the reinstatement of your coverage and
attach it to proof of your current coverage, such as the most recent Life Insurance Election (SF
2817), open season election form, or your scanned election in your file (if your agency uses
electronic files). If you converted any of your coverage, you must terminate the conversion
policy.
If you are insured as an annuitant or compensationer, your terminated coverage will not be
reinstated when your annuity or compensation becomes sufficient to cover the withholdings.
If You Previously Chose Direct Pay
If you are an employee who chose direct pay and made the premium payments, your employing
office must start withholding premiums from your salary as soon as your pay becomes sufficient.
If your employing office has contracted with another entity to handle direct premium payments,
U.S. Office Of Personnel Management
76
your employing office must notify that entity that premiums are again being withheld from your
pay, so that your direct pay account can be closed out.
If you are insured as an annuitant or compensationer and you are making direct premium
payments, you must continue to make direct premium payments, even if your annuity or
compensation becomes sufficient to cover the withholdings.
If you chose direct pay but you did not make the premium payments, your employing office or
retirement system will notify you. You must make the required payment within 31 days (60 days
if living overseas) after receiving the notice. If you fail to make the overdue payment your
coverage will be cancelled for nonpayment. The coverage remains cancelled even when your
pay becomes sufficient to cover the withholdings.
REMITTANCE TO OPM
When to Remit
When to Remit
An employing office remits (sends) life insurance withholdings and contributions to OPM on the
same date it pays its payroll.
OPM will credit the total amount reported for life insurance to the Employees' Life Insurance
Fund.
ADJUSTING ERRORS
Errors in Withholdings and Contributions
Errors Involving Current Employees Overdeductions
Errors Involving Current Employees Underdeductions
Errors Involving Separated Employees
Errors Involving Annuitants and Compensationers
Errors in Withholdings and Contributions
U.S. Office Of Personnel Management
77
Payroll offices must adjust errors in withholdings and contributions on a subsequent payroll and
include the adjustments in a subsequent withholdings and contributions report.
Your employing office must ensure that your individual payroll record shows not only the
regular (current) deductions as life insurance withholdings, but also the adjustments.
There are two types of errors in withholding:
Overdeductions, in which your payroll office withholds too much money from your
salary, annuity, or compensation; and
Underdeductions, in which your payroll office does not withhold enough money.
Errors Involving Current Employees Overdeductions
When too much money has been withheld from your pay or when withholdings have been
made when you are ineligible or have waived coverage your payroll office must adjust the
withholdings on a subsequent payroll on which your name appears. This adjustment
automatically corrects any excess agency contribution.
Your payroll office must refund the overpaid premiums to you. Exception: If the overdeduction
occurred because you were given erroneous coverage, the premiums will not be refunded if
incontestability applies.
Errors Involving Current Employees Underdeductions
When too little money or no money has been withheld from your pay, your payroll office
must remit the payment to OPM no later than 60 calendar days after the date it determines the
amount of the underdeduction. This payment must be made to OPM regardless of whether or
when your employing office recovers the underdeduction from you. The payment is sent to
OPM in the same manner as the biweekly premiums.
The underdeduction represents an overpayment of salary to you. You had coverage which would
have been payable if you had died. Your employing office must determine whether to waive
collection of the overpayment, in accordance with 5 U.S.C. subsections 8707(d), 8714b(d)(2),
8714a(d)(2), and 8714c(d)(2), as implemented by Part 870 of 5 CFR, Subpart D. This provides
that an employing office may waive recovery of the overpayment if, in its judgment, you are
without fault and recovery would be against equity and good conscience. (If your employing
office is excluded from the above provisions, it can use any applicable authority to waive the
collection.)
Even if your employing office waives the collection of the unpaid deductions, it is still required
to make the premium payment, along with any applicable Government contributions, out of its
own funds.
U.S. Office Of Personnel Management
78
Example # 1
Angie was a new employee hired into a FEGLI-eligible position. She did not submit a SF 2817
“Life Insurance Election”. She is automatically eligible, however, for Basic, but her employing
agency erroneously failed to enroll her or to withhold premiums.
Several years later she dies, and the agency discovers the error. The agency should certify the
Basic insurance to OFEGLI and recover the premiums from her last pay period of pay, her lump
sum annual leave, or her estate.
Example # 2
Dave has Basic and Option A coverage. During an open season he newly elects Basic and 5X
Option B. Seven years later his employing agency conducts an audit of his coverage and
discovers they did not process the Option A cancellation or the newly elected 5X Option B
coverage.
Dave has Basic, Option A, and 5X Option B. He has Option A because incontestability applies;
he had erroneous Option A coverage for which he continued to pay premiums. He also has 5X
Option B because he validly elected the coverage seven years ago. His agency should calculate
the amount of the Option B withholding and send it to OPM within 60 days of the discovery of
the error. The agency then can offer due process rights to Dave before beginning collection of
the retroactive Option B premiums from his pay. Option A also can be cancelled, but only
prospectively, not retroactively.
Errors Involving Separated Employees
When an adjustment in withholdings is necessary after you have separated from service, your
payroll office must make the adjustment in your final pay (or payment to your beneficiary or
estate).
Errors Involving Annuitants and Compensationers
The procedures are the same for annuitants and compensationers as for active employees. The
payroll office that must adjust the error and refund overdeductions and pay underdeductions
is either the retirement system paying your annuity or the Office of Workers’ Compensation
Programs.
HISTORICAL INFORMATION
Premium History
Basic Insurance Premiums for Annuitants and Compensationers
Direct Premium Payments
U.S. Office Of Personnel Management
79
Moving to a New Age Band
Judges
Certain Premiums for Postal Executives
Current Rates
Premium History
Here is a link to the FEGLI Program’s premium history (http://www.opm.gov/healthcare-
insurance/life-insurance/program-information/#url=Historical-Rates)
Basic Insurance Premiums for Annuitants and Compensationers
Employees who retired or started receiving workers’ compensation before January 1, 1990, and
who elected 75 Percent Reduction (or have 75 % Reduction by default) pay no premiums for
Basic insurance.
Employees who retired or started receiving compensation before January 1, 1990, and who
elected 50 Percent Reduction or No Reduction do not pay “regular” premiums for Basic
insurance. However, they do pay the extra premiums for the 50 Percent or No Reduction
election.
Employees who retire or start receiving compensation on or after January 1, 1990, continue to
pay regular premiums for Basic insurance until age 65, regardless of what post-65 reduction
election they make.
Direct Premium Payments
Direct premium payments were allowed for annuitants under the Federal Employees Retirement
System (FERS) starting in January 1988. In October 1998 direct payment was extended to
employees, compensationers, and all other annuitants under other retirement systems whose
salary, compensation, or annuity is too low to make withholdings.
Moving to a New Age Band
Prior to April 1999, when individuals had a birthday that moved them to another age band, the
premiums for the new age band did not go into effect until the January following their birthday.
Effective April 24, 1999, and to conform with generally accepted private industry practice, the
premiums for the new age band become effective the pay period following the one in which the
birthday occurs.
Judges
U.S. Office Of Personnel Management
80
Public Law 106-113, enacted November 29, 1999, requires the Judiciary to pay any premium
increases imposed after April 24, 1999, on behalf of Justices and judges of the United States
aged 65 or over.
Certain Premiums for Postal Executives
Option A-Standard became free for Postal employees entering the Postal Career Executive
Service (PCES) effective June 2, 1979.
Current Rates
The current FEGLI premiums became effective January 1, 2012. For a history of rates and
effective dates, see http://www.opm.gov/healthcare-insurance/life-insurance/program-
information/#url=Historical-Rates
U.S. Office Of Personnel Management
81
COVERAGE
Introduction
Basic Insurance: Automatic Coverage
Optional Insurance: Initial Election
Waiver/Cancellation (Reduction) of Insurance
Canceling a Waiver and Electing Coverage
Getting a Physical Exam
Life Events
Open Seasons
Breaks in Service
Employing Office Responsibilities
Nonpay Status
Incontestability
Correction of Errors
Historical Information
INTRODUCTION
FEGLI coverage is group term life insurance coverage that is payable regardless of the cause
or location of death. If you are enrolled, it covers you 24/7, whether or not you are at work.
FEGLI also includes an Extra Benefit for enrollees under age 45, and Accidental Death and
Dismemberment coverage for employees, which, if payable (there are some exclusions), is
paid in addition to Basic and Optional coverage.
BASIC INSURANCE: AUTOMATIC COVERAGE
Acquiring Basic Insurance
Effective Date of Basic Insurance
o New Employees and Newly Eligible Employees
o Transferred Employees
o Employees Who Return to Pay and Duty Status after More Than 12 Months in
Nonpay Status
Acquiring Basic Insurance
Basic insurance is automatic. As a Federal employee, you get Basic insurance when you are
appointed or transferred to a FEGLI eligible position, unless you waive coverage (see
Employees Excluded from Coverage).
U.S. Office Of Personnel Management
82
Effective Date of Basic Insurance
New Employees and Newly Eligible Employees
Coverage is effective on the first day you are in pay and duty status (unless you have a waiver of
coverage from previous employment that still remains in effect); the effective date is not tied in
to the start of a pay period. Exception: If you serve in cooperation with a non-Federal agency,
and you are paid in whole or in part from non-Federal funds, OPM sets the effective date for
your Basic insurance; this date must be part of an agreement between OPM and the non-Federal
agency.
Transferred Employees
Coverage is effective on the first day you are in pay and duty status in the new position (unless
you have a previous waiver that still remains in effect); the effective date is not bound to the start
of a pay period.
Transferring immediately to a new position does not allow you to elect new coverage, and is not
a qualifying life event.
Employees Who Return to Pay and Duty Status after More Than 12 Months in
Nonpay Status
The coverage you lost after 12 months in nonpay status is automatically restored on the day you
return to pay and duty status. You must meet both the pay and the duty status requirements. For
example, donated leave is pay only and will not restore your FEGLI coverage. Exception: Your
coverage will not be restored if you return to a position that is excluded from FEGLI coverage by
law or regulation.
Note: Returning to pay and duty status after more than 12 months in nonpay status does not
allow you to elect new coverage. This is not a qualifying life event.
OPTIONAL INSURANCE: INITIAL ELECTION
Insurance Not Automatic
Who Can Elect Optional Insurance?
How Long Does an Employee Have to Make an Election?
How Does an Employee Make an Election?
Belated Election
Effective Date of Optional Insurance
U.S. Office Of Personnel Management
83
Insurance Not Automatic
Unlike Basic insurance, Optional insurance is not automatic; you must elect it.
Who Can Elect Optional Insurance?
If you have Basic insurance you may elect Optional insurance, as long as you do not have a
previous waiver of Optional insurance that is still in effect.
You cannot elect Optional insurance if you do not have (or elect at the same time) Basic
insurance.
How Long Does an Employee Have to Make an Election?
You must make the election within 60 days after becoming eligible for coverage. You can
change your election anytime within this 60-day period, but the last election you submit within
this time period governs.
How Does an Employee Make an Election?
To elect Optional insurance, you must complete the Life Insurance Election (SF 2817-or its
electronic equivalent) stating which type(s) of Optional insurance you want. You elect coverage
on the form by signing for the coverage that you want. Agencies now have the capability to
allow electronic elections. Any type of coverage or multiple not elected is considered waived.
If you do not make an election within 60 days after becoming eligible, you are considered to
have waived all Optional insurance.
Belated Election
If you do not elect Optional insurance within the 60-day time frame, your employing office can
accept a belated election if you request it and your employing office determines, within six
months after you first became eligible, that you did not make the election on time because of
reasons beyond your control.
If these conditions are met, your employing office will notify you. You then have 60 days from
the date of the notification in which to make the election. The insurance is retroactive to the 1st
day of the 1st pay period beginning after the date you became eligible (or after April 1, 1981,
whichever is later), if you were in pay and duty status that day. If you were not in pay and duty
status that day, the coverage becomes effective the 1st day after the date you returned to pay and
U.S. Office Of Personnel Management
84
duty status. You must pay the full cost of the Optional insurance from that date for the time that
you are in pay status (or retired or receiving compensation with unreduced Optional insurance).
If your employing office accepts a belated election, it must record on the Life Insurance Election
(SF 2817-or its electronic equivalent) that it determined you were unable to make the election on
time for reasons beyond your control and give the date you were notified of the determination.
If six months or more have passed since you became eligible, your employing office does not
have the authority to accept a belated election.
Effective Date of Optional Insurance
Timely Elections
Optional insurance is effective the day your employing office receives your election, if you are in
pay and duty status that day. If you are not in pay and duty status on the day your employing
office receives your election, Optional insurance becomes effective the first day you return to
pay and duty status. The effective date is not bound to the start of a pay period although you will
have to pay premiums for the entire pay period in which your coverage becomes effective.
Belated Elections
A belated election of Optional insurance is effective retroactive to the start of the first pay period
that follows the one in which you first became eligible, if you were in pay and duty status on that
date. If you were not in pay and duty status on that date, Optional insurance becomes effective
the first day you returned to pay and duty status after that date. You must pay the back
premiums.
WAIVER/CANCELLATION (REDUCTION) OF
INSURANCE
Waiving Basic Insurance as a New Employee
Waiving Optional Insurance as a New Employee
Canceling Basic Insurance
Canceling (Reducing) Optional Insurance
How Long Does a Waiver Last?
Waiving Basic Insurance as a New Employee
If you are a new employee and do not want Basic insurance, you must waive the insurance by
completing the Life Insurance Election (SF 2817-or its electronic equivalent) and filing it with
U.S. Office Of Personnel Management
85
your employing office. If you do not complete the SF 2817 waiving coverage, you will
automatically get Basic insurance.
If you waive Basic insurance before the end of your first pay period, no withholdings will be
made from your first paycheck. When you waive Basic insurance, you automatically waive
Optional insurance.
If you waive coverage before the end of your first pay period and then decide you want it, you
may complete a new SF 2817, as long as it is still within your 60-day time frame for initially
electing coverage. Your employing office will void your previous waiver and note on the waiver
that it is superseded by the new election. The last SF 2817 that you submit to your employing
office within that first 60-day period of eligibility is the election that governs.
If you change your mind about waiving Basic insurance after the 60-day initial election period is
over, see “Canceling a Waiver and Electing Coverage”.
Waiving Optional Insurance as a New Employee
If you are a new employee and do not want any Optional insurance, you do not need to do
anything. By not electing Optional insurance, you will waive Optional insurance and only have
Basic insurance. If you wish, you may complete the Life Insurance Election (SF 2817) signing
for Basic insurance only, although that is not required. The absence of a positive election means
you have waived Optional insurance.
If you want only some Optional insurance, complete the SF 2817 signing only for the coverage
you want. Any coverage not elected is considered waived.
If you do not elect a particular type of Optional insurance, you are considered to have waived it.
If you elect fewer than 5 multiples of Option B or Option C coverage, you are considered to have
waived the multiples not elected.
Example
Otis is a new employee, and he elects Basic, Option A and two multiples of Option B coverage.
By doing so, he is waiving the remaining three multiples of Option B coverage and all multiples
of Option C coverage.
Canceling Basic Insurance
Unless you have assigned your insurance, you may cancel your Basic insurance at any time by
completing the Life Insurance Election (SF 2817 or its electronic equivalent) and filing it with
your employing office. When you cancel Basic insurance, you automatically cancel all Optional
insurance.
U.S. Office Of Personnel Management
86
Note: If you are an annuitant or a compensationer who has separated or completed 12 months in
nonpay status, you do not use the SF 2817 to cancel coverage. If you want to cancel coverage,
you must send a letter with your signature to:
Office of Personnel Management
Post-Retirement Section
Retirement Operations Center
P.O. Box 45
Boyers, PA 16017-0045.
Any cancellation or reduction of life insurance must be in writing and have an original signature
by the insured retiree. Be sure to include your retirement claim number (CSA or CSI number if
you are a compensationer) or social security number and specify what action you want taken.
Please note you cannot increase your coverage after retirement, or reinstate any coverage that
you cancel.
Unless assigned, if you elected 50 Percent or No Reduction for your Basic life insurance, you
may cancel this additional coverage at any time. You may only change to the 75 Percent
Reduction, or cancel Basic altogether.
The cancellation is effective, and all insurance stops, at the end of the pay period in which you
properly file the waiver. For retirees, a month is considered a pay period. You continue to have
the coverage through the pay period in which you file the waiver and must pay premiums for that
pay period. You will not receive a refund for premiums withheld prior to the effective date of
cancellation.
Canceling (Reducing) Optional Insurance
You may cancel any or all types of Optional insurance at any time by completing the Life
Insurance Election (SF 2817-or its electronic equivalent) and signing on the line for whatever
coverage you want to keep. Reducing the number of multiples of Option B or Option C is a
cancellation of those multiples. Exception: If you have assigned your insurance (see
Assignment”), you cannot cancel your Option A coverage and you cannot cancel your Option B
coverage or reduce the number of multiples you have.
Note: If you are an annuitant or a compensationer who has separated or completed 12 months in
nonpay status, you do not use the SF 2817 to cancel coverage. If you want to cancel coverage,
you must send a letter with your signature to:
Office of Personnel Management
Post-Retirement Section
Retirement Operations Center
P.O. Box 45
Boyers, PA 16017-0045.
U.S. Office Of Personnel Management
87
Any cancellation or reduction of life insurance must be in writing and have an original signature
by the insured retiree. Be sure to include your retirement claim number (CSA number or CSI
number if you are a compensationer) or social security number and specify what action you want
taken. Please note you cannot increase your coverage after retirement, or reinstate any coverage
that you cancel.
If you have Option A-Standard insurance, you may cancel it at any time. You may reduce or
cancel the amount of your Option B-Additional insurance and Option C- Family insurance at any
time.
Canceling Optional insurance has no effect on Basic insurance.
Your cancellation is effective, and Optional insurance stops, at the end of the pay period in
which you properly file the waiver with your employing office. You continue to have the
coverage through the pay period in which you file the waiver and must pay premiums for that
pay period. You will not receive a refund for premiums withheld prior to the effective date of
cancellation. Your new, reduced level of coverage is effective the first day of the pay period
following the one in which you file your waiver.
Exception: If you cancel Option C because you no longer have any eligible family members, the
effective date is retroactive to the end of the pay period in which there stopped being any eligible
family members; your employing office or retirement system must refund your Option C
premiums retroactive to that effective date. You may need to provide documentation to your
employing office, such as a divorce decree or birth certificate, to show when you stopped having
any remaining eligible family members.
Example 1
Olivia has Basic, Option A, and three multiples of Option B coverage. She wants to cancel her
Option A coverage and reduce her Option B coverage to 1 multiple. On her SF 2817 she elects
Basic and one multiple of Option B; she turns the form in to her personnel office 9/9/12. This
action cancels her Option A coverage and two multiples of her Option B coverage. Olivia’s old
level of coverage continues through the pay period ending 9/21/12, and she must pay premiums
through that pay period. Her new level of coverage is effective 9/22/12, and her pay for that pay
period will reflect the reduced level of coverage.
Example 2
Peter is an annuitant with Basic insurance, four multiples of Option B, and one multiple of
Option C. Peter decides he wants to cancel three of his Option B multiples. He sends a letter to
OPM’s Retirement Operations Center, and they receive it 7/12/12. Annuitants pay periods are
monthly. Peter’s old coverage continues through the end of July. His new lower level of
coverage is effective 8/1/12, and the premiums will be reflected in his 9/1/12 annuity payment,
which is payment of his annuity for the month of August.
U.S. Office Of Personnel Management
88
Example 3
Pam is divorced and has Basic insurance, five multiples of Option B, and 5 multiples of Option
C. Her youngest child turned 22 on 3/29/12, but she forgot to cancel her Option C coverage.
On 10/21/12 Pam notified her personnel office that she no longer had any eligible family
members and wanted to cancel her Option C coverage. Her cancellation will be made
retroactive to 4/6/12, the end of the last pay period in which she had an eligible family member.
The new coverage (Basic insurance plus five multiples of Option B) will be effective 4/7/12, and
Pam’s agency will refund the Option C premiums retroactive to that date.
How Long Does a Waiver Last?
Your waiver lasts until either:
You cancel the waiver and elect coverage; or
You separate from service and remain separated for at least 180 days.
Exception: Effective July 24, 1974, if you are employed by the U.S. Postal Service in a covered
position, any waiver of Basic insurance is automatically cancelled, even it you have not been
separated from your previous position for at least 180 days. You will automatically get Basic
insurance, unless you waive it again. Any waiver of Optional insurance remains in effect, unless
you have been separated from your previous position for at least 180 days.
CANCELING A WAIVER AND ELECTING
COVERAGE
How to Cancel a Waiver
o Basic Insurance
o Option A
o Option B
o Option C
o Belated Election
How to Cancel a Waiver
Only employees may cancel a waiver and elect insurance. If you are insured as an annuitant or
compensationer, you cannot cancel your waiver.
Exceptions:
U.S. Office Of Personnel Management
89
If you are a reemployed annuitant, you may cancel a waiver and elect coverage as long as
there has been a 180-day break between your retirement and reemployment.
If you are a compensationer within the first 12 months of nonpay status, you may cancel
a waiver and elect coverage. However, except for an Option C open enrollment election
or Option C life event election, you must return to pay and duty status at your agency
before any newly elected coverage can become effective.
Here is a chart showing the different ways an employee may cancel a waiver:
Type of
Coverage
Open
Season
Providing
Satisfactory
Medical
Information
Life Event
Basic
as announced by
OPM
yes
yes
Option A
as announced by
OPM
yes
yes
Option B
as announced by
OPM
yes
yes
Option C
as announced by
OPM
no
yes
Basic Insurance
Employees may cancel a waiver of Basic insurance:
If one year has passed since the date of the waiver, and you provide satisfactory medical
information to prove insurability; or
By submitting an election before or within 60 days after experiencing a qualifying life
event; or
During an open season.
Exception: Effective October 30, 2000, under Public Law 106-398 Department of Defense
employees who are designated emergency essential employees under section 1580 of title 10
may cancel a waiver of Basic insurance within 60 days of being so designated, without getting a
physical exam. These employees cannot elect Optional insurance under this provision.
U.S. Office Of Personnel Management
90
Effective October 14, 2008, under Public Law 110-417 Department of Defense employees who
are designated emergency essential under section 1580 of title 10, as well as civilian employees
deployed in support of a contingency operation as defined by section 101(a)(13) of title 10, may
elect Option A and Option B coverage. Election of Optional insurance must be made within 60
days of being designated emergency essential or within 60 days after notification of deployment
in support of a contingency operation.
Option A
Employees may cancel a waiver of Option A:
By providing satisfactory medical information to prove insurability; or
By submitting an election before or within 60 days after experiencing a qualifying life
event; or
During an open season.
Option B
Employees may cancel a waiver of Option B:
By providing satisfactory medical information to prove insurability;
By submitting an election before or within 60 days after experiencing a qualifying life
event; or
During an open season.
Option C
Employees may cancel a waiver of Option C:
By submitting an election before or within 60 days after experiencing a qualifying life
event; or
During an open season.
Belated Election
If you do not elect Basic or Optional insurance within the 60-day time frame, your employing
office can accept a belated election if you request it and your employing office determines,
within six months after you first became eligible, that you did not make the election on time
because of reasons beyond your control.
If these conditions are met, your employing office will notify you. You then have a 60-day
period from the date of the notification in which to make the election. If your employing office
accepts a belated election, the insurance is retroactive to the first pay period beginning after the
date you became eligible, if you are in pay and duty status that day. If you were not in pay status
that day, the coverage becomes effective the first day after you return to return to pay and duty
U.S. Office Of Personnel Management
91
status. You are responsible for paying the full cost of all insurance premiums from that day for
the time that you are in pay status.
If your employing office accepts a belated election, it must record on the Life Insurance Election
(SF 2817 or its electronic equivalent) that it determined you were unable to make the election
on time for reasons beyond your control and give the date you were notified of the
determination.
If six months or more have passed since you became eligible, your employing office does not
have the authority to accept a belated election.
PROVIDING SATISFACTORY MEDICAL
INFORMATION
Elections Allowed
Time Limit
Process
Effective Date of Insurance
If Coverage Is Denied
Elections Allowed
Employees may cancel a waiver of Basic insurance, Option A, and Option B by providing
satisfactory medical information to prove insurability. You cannot cancel a waiver of Option C
this way.
Time Limit
You must wait at least one year after the effective date of your last waiver of coverage before
you can cancel the waiver by providing satisfactory medical information.
Process
The form to use to request insurance by providing satisfactory medical information is Request for
Insurance (SF 2822). This form is a combination:
Request to cancel a waiver;
Medical certificate; and
Authorization for insurance
U.S. Office Of Personnel Management
92
You must complete and sign Part C of the SF 2822 and have your agency complete Part A. Your
agency needs to complete their part before you go to your physician (or other healthcare
provider). You then take the form to your physician (or other healthcare provider); he/she will
examine you, complete Part B, and send the form to the Office of Federal Employees’ Group
Life Insurance (OFEGLI). You are responsible for any fee charged for the medical examination
and certification.
OFEGLI must receive the form within 60 days of the date of the medical examination. OFEGLI
will review the SF 2822 and return it to your employing office either approving or denying
coverage. It is important that your agency provides a fax number and email address on the SF
2822 to expedite the response from OFEGLI. Your employing office will notify you of
OFEGLI’s decision and file the returned SF 2822 in your Official Personnel Folder (or its
equivalent).
It is important that your employing office notify you of OFEGLI's decision promptly. You have
60 days from the date of OFEGLI's approval to cancel your waiver of Option A and/or Option B,
regardless of when your employing office notifies you of OFEGLI's decision. In addition, if you
know what coverage you want, you can complete and turn in the SF 2817 to your employing
office when you have them complete the SF 2822.
You cannot elect Option C or increase your Option C multiples by providing medical
information. However, even if you previously elected Option C - Family and are changing
other Optional coverage, you must sign for Option C again to keep it. If you do not sign for
it, you have waived/cancelled it.
Example
Suppose you already have Basic and three multiples of Option C and you want to add Option A.
You complete the SF 2822 and provide medical information, and OFEGLI approves your
request. Then you complete the SF 2817. You must sign for Basic, Option A, and ALSO three
multiples of Option C even though you're not newly electing Option C. If you don't sign for your
current Option C coverage again, you have waived/cancelled it.
If it has been more than two weeks since your doctor sent the SF 2822 to OFEGLI, you or your
employing office may follow up with OFEGLI by calling 1-800-633-4542.
Effective Date of Insurance
If you are canceling your waiver of Basic insurance and OFEGLI approves coverage, Basic
insurance becomes effective on your first day in pay and duty status on the date of OFEGLI's
approval, as shown on the Request for Insurance (SF 2822). Withholdings begin with that pay
period. You do not need to complete another form if Basic insurance is all that you want. If you
want to cancel your waiver of Option A and/or Option B coverage and OFEGLI approves
coverage, you must submit the Life Insurance Election (SF 2817) to your employing office no
later than 60 days following the date of OFEGLI's approval, regardless of when your employing
office informs you of OFEGLI's approval. You can submit the election earlier, in conjunction
U.S. Office Of Personnel Management
93
with your SF 2822, so that it is already on file if OFEGLI approves your request. You may elect
Option A and up to five multiples of Option B. Your Optional insurance is effective the first day
you meet these two conditions, but no earlier than the date of OFEGLI’s approval:
Your employing office has received your SF 2817 electing coverage; and
You are in pay and duty status
If you are not in pay and duty status within 60 days after the date of OFEGLI's approval, the
approval is revoked automatically and you cannot elect more coverage. You will then have to
start the process over again.
Note: Although you cannot elect Option C by providing satisfactory medical information, if you
already have this coverage and want to keep it, you must sign for it on the SF 2817 when you
make your election of Option A and/or Option B following OFEGLI’s approval. If you do not
sign for your current Option C coverage, you will cancel it.
Example 1
Sharon waived all coverage when she was first employed. Three years later she completes the
SF 2822 and gets a physical exam. OFEGLI approves Sharon’s request for insurance on
10/24/12 and notifies her personnel office that day. Sharon’s Basic insurance is effective
10/24/12.
On 11/9/12 Sharon submits the SF 2817 electing Basic insurance and two multiples of Option B.
Sharon’s Optional insurance is effective 11/9/12, the same day. That date is also the effective
date of her waiver of Option A and the three remaining multiples of Option B. If Sharon later
decides she wants to increase her Option B coverage or add Option A, she must wait until
11/9/13 before submitting another SF 2822.
Example 2
Roger has Basic insurance and five multiples of Option C. He wants to add Option B coverage.
Roger gets a physical exam, and OFEGLI approves his request for insurance on 11/8/12. On
11/12/12 Roger completes an SF 2817 electing Basic insurance and three multiples of Option B;
he does not sign for Option C.
Roger’s Option B coverage is effective 11/12/12; his pay for the pay period ending 11/16/12 will
include premiums for Basic, Option B, and Option C. However, by not signing for Option C on
his SF 2817, he has cancelled the coverage. Roger’s Option C continued through the pay period
ending 11/16/12. The pay period beginning 11/17/12 will have his new level of coverage: Basic
insurance and three multiples of Option B.
Example 3
Rosa has Basic insurance only and wants to add Option A and Option B. She completes an
U.S. Office Of Personnel Management
94
SF 2822 and is examined by her physician. One week later Rosa is in an automobile accident
and is on sick leave for the next two months. OFEGLI approves Rosa’s request for insurance the
week after her accident. However, since Rosa does not return to pay and duty status for more
than 60 days after OFEGLI’s approval, the approval expires, and Rosa cannot make an election
based on her examination. If she still wishes to add Option A and Option B, she will have to start
over.
If Coverage Is Denied
If OFEGLI denies coverage, you cannot appeal the decision to OPM or the Merit Systems
Protection Board. For learning more about the denial, you or your physician can write OFEGLI
at P.O. Box 6080, Scranton PA 18505-6080. The address for overnight deliveries is OFEGLI,
123 Wyoming Avenue 3
rd
Floor, Scranton, PA 18503.
LIFE EVENTS
What Are Life Events under FEGLI?
How Many Multiples of Option B Can an Employee Elect Due to a Life Event?
How Many Multiples of Option C Can an Employee Elect Due to a Life Event?
How Long Does an Employee Have to Make the Election?
Effective Date of Option B Elected with a Life Event
o If You Turn in Your SF 2817 before the Event
o If You Turn in Your SF 2817 on or after the Date of the Event
Effective Date of Option C Elected with a Life Event
o If You Turn in Your SF 2817 before the Event
o If You Turn in Your SF 2817 on or after the Date of the Event
o If Your Life Event Is Acquiring a Foster Child
Extensions to the Time Limit for Making a Life Event Election
What Are Life Events under FEGLI?
FEGLI life events are:
Marriage
Divorce
Death of a spouse and
Acquiring an eligible child
If an employee has a life event under FEGLI, he/she may elect Basic insurance and any and all
Optional insurance coverage, including up to the maximum number of multiples of Option B
and/or Option C coverage.
U.S. Office Of Personnel Management
95
Notes:
An employee may elect the maximum number of Option B and Option C multiples (five
multiples for each type of coverage)
If an employee’s life event is acquiring a child over age 22, the child must meet the
requirements of being incapable of self-support
How Many Multiples of Option B Can an Employee Elect Due to a Life
Event?
An employee electing or increasing Option B may elect any number of multiples up to
the maximum of five.
Example 1
Sebastian entered on duty in 1995 and elected Basic insurance and one multiple of Option B. He
got married in 1998 and his wife had a baby in 2001, but he did not make any elections due to
those life events. In January 2011 Sebastian’s wife had another baby, and Sebastian wanted to
increase his Option B coverage. He can elect any number of multiples of Option B, as long as
the total number of multiples does not exceed five. Because he already had one multiple of
Option B, he can elect up to four more multiples.
Example 2
Sabrina has Basic insurance only. On 10/01/13 she married her wife Tammy, who has a five-
year-old child who lives with them. Sabrina may elect up to five multiples of Option B with the
life event.
Example 3
Trevor has Basic insurance only. On 12/01/12 he married a woman with a 5-year-old child; the
child does not live with Trevor and his new wife. Trevor may elect up to five multiples of Option
B with the life event.
How Many Multiples of Option C Can an Employee Elect Due to a Life
Event?
An employee electing or increasing Option C may elect any number of multiples up to the
maximum of five.
How Long Does an Employee Have to Make an Election?
U.S. Office Of Personnel Management
96
The time limit for making a life event election is 60 days after the date of the qualifying event.
You must file the election with your employing office using the Life Insurance Election
(SF 2817-or is electronic equivalent) along with proof of the event.
You can either file the election before the event, to be followed up with the necessary proof
within 60 days after the event has taken place, or you can file the election and provide the
necessary proof no later than 60 days after the date of the event.
Proof of an event may include a marriage certificate, birth or adoption records, divorce decree, a
foster child certification (affidavit) or death certificate. Your employing office determines what
is acceptable proof of the life event, not OPM or OFEGLI. For Option C elections when a foster
child is acquired, the proof is the foster child certification, and the 60-day time limit starts on
the day you sign the certification.
Effective June 26, 2013, a same-sex spouse of a valid marriage is recognized as a family member
for benefits under the FEGLI Program. Legal same-sex marriages entered into following this
decision will be treated in the same manner as opposite-sex marriages, regardless of an
employee’s or annuitant’s state of residency. This includes legal international same-sex
marriages granted in foreign countries that authorize such marriages, regardless of an employee’s
or annuitant’s state of residency. For employees affected by this change in the law, they have 60
days from June 26, 2013 to make their elections, regardless of the date of the marriage if the
marriage took place prior to June 26, 2013. For same-sex marriages that take place after this
date, the employee has 60 days to elect coverage.
Effective Date of Option B Elected with a Life Event
There are pay and duty status requirements before Option B can become effective.
Option B and Option C elected with the same life event may have different effective dates.
If You Turn in Your SF 2817 before the Event
If you submit the SF 2817 before the event, the effective date for Option B is the date of event, if
you are in pay and duty status on that day. If you are not in pay and duty status that day, Option
B becomes effective the first day you return to pay and duty status, after the date of the event.
If You Turn in Your SF 2817 on or after the Date of the Event
If you submit the SF 2817 on or within 60 days after the date of the event, the effective date is
the date your personnel office receives the form, if you are in pay and duty status that day. If
you are not in pay and duty status that day, Option B becomes effective the first day you return
to pay and duty status.
U.S. Office Of Personnel Management
97
Example 1
Tiffany had Basic insurance only. She had a baby on 7/20/12 and went on maternity leave until
10/31/12. On 8/30/12, while she was on leave, she completed an SF 2817 electing one multiple
of Option B and submitted it to her personnel office. She submitted the SF 2817 within the 60-
day time frame, so it is a valid election. However, the coverage could not become effective until
she returned to pay and duty status on 10/31/12.
Example 2
Ulysses had Basic insurance and one multiple of Option B. He got married to John on 7/14/13.
He submitted his SF 2817 electing another multiple of Option B on 6/26/13. Following his
wedding on 7/14/13, Ulysses took annual leave and went on a two-week honeymoon. He
returned to the office 7/29/13. His new Option B coverage became effective 7/29/13, the day he
returned to work in a pay and duty status.
Effective Date of Option C Elected with a Life Event
There are no pay and duty status requirements for Option C to become effective when elected
due to a life event.
Option B and Option C elected with the same life event may have different effective dates.
If You Turn in Your SF 2817 before the Event
If you submit your SF 2817 before the event, Option C is effective on the date of the event,
regardless of whether you are in pay and duty status.
Example
When Ulysses (see example above) submitted his SF 2817 on 6/26/13, in addition to electing one
multiple of Option B, he elected five multiples of Option C. Although his Option B coverage
could not become effective until he returned to pay and duty status on 7/29/13, his Option C
coverage became effective on 7/14/13, the date of the marriage.
If You Turn in Your SF 2817 on or after the Date of the Event
If you submit your SF 2817 on or within 60 days after the date of the event, Option C is effective
on the day the employing office receives your completed election, regardless of whether you are
in pay and duty status.
Example
U.S. Office Of Personnel Management
98
When Tiffany (see example above) submitted her SF 2817 on 8/30/12, in addition to electing one
multiple of Option B, she elected three multiples of Option C. Although her Option B coverage
could not become effective until she returned to pay and duty status on 10/31/12, her Option C
coverage became effective on 8/30/12, the date she turned in her SF 2817.
If Your Life Event Is Acquiring a Foster Child
If you are making an Option C election because you have acquired a foster child, the coverage is
effective on the later of:
The date your employing office receives your SF 2817 (Life Insurance Election); or
The date your employing office receives your foster child certification
Extensions to the Time Limit for Making a Life Event Election
The 60-day time limit for making a life event election can be extended only in the following
situation:
If you are not serving in a covered position on the date of the event, you may make a life
event election within 60 calendar days of becoming employed in a covered position.
The 60 day election time frame applies to employees whose eligibility for FEGLI
coverage begins on or after October 1, 2010. They must be new or newly eligible on or
after October 1, 2010.
Example
Ursula had Basic insurance and three multiples of Option B when she resigned on 8/21/12. On
10/21/12 Ursula got married. She returned to Federal service 11/16/12. Since her break in
service was less than 180 days, Ursula got back the same coverage she had before she
separated. However, because she had a life event during her separation, and the life event
occurred after October 1, 2010, Ursula may elect Option B, up to two more multiples (for a
maximum of five multiples), and Option C, up to 5 multiples, within 60 days of her return to
service.
If you do not have Basic insurance on the date of the event, and you are still within the one-year
waiver period during which you are not eligible to elect coverage, you may elect Option C later.
If you apply after the one-year waiting period by submitting medical evidence to OFEGLI and
are approved, you can elect Option C as long you elect Basic and it is within 60 days of the one-
year anniversary of your original waiver.
U.S. Office Of Personnel Management
99
Example
Valerie waived all FEGLI coverage when she entered on duty 5/15/11. In October 2011 she got
married. Valerie is still within the one-year period during which she is not eligible to cancel her
waiver of Basic insurance. Her one-year period ends 5/15/12. Valerie can provide medical
information and can request Basic insurance (and Options A and B, if she wants them) as soon
as the one-year period is up 5/15/12. Valerie cannot elect Option C by providing medical
information. However, if OFEGLI approves her request for insurance, Valerie will get Basic
insurance. She may then make an Option C life event election as long as it is within 60 days of
the date she became eligible to cancel her waiver of Basic insurance. Since the first date she
was eligible to cancel her waiver of Basic insurance was 5/15/12, Valerie has until 7/15/12 to
make her Option C election. If she does not make the election by that date, she will have to wait
until the next open season or until she has another life event.
There are no other extensions to the 60-day time limit for making life event elections.
OPEN SEASONS
Schedule
Elections Allowed
Effective Date of Open Season Elections
Pay and Duty Status Requirements
Belated Open Season Elections
Schedule
There are no regularly scheduled open seasons for life insurance. Open seasons are infrequent,
and are held only when specifically scheduled by OPM. They are NOT held annually, as is the
case with the Federal Employees Health Benefits Program (FEHB), the Federal Flexible
Spending Account Program (FSAFEDS), and the Federal Employees Dental and Vision
Insurance Program (FEDVIP).
Elections Allowed
When OPM schedules an open season for life insurance, we will announce the types of changes
and elections that will be allowed.
Effective Date of Open Season Elections
U.S. Office Of Personnel Management
100
OPM sets the effective dates for open season elections. We will announce the effective dates at
the same time we announce the open season.
Pay and Duty Status Requirements
Unless specifically announced otherwise, full-time employees must be in pay and duty status for
at least 32 hours in the pay period right before the scheduled effective date of open season
elections. Open season announcements will contain more details about the pay and duty status
requirements.
If you are a part-time employee, you must be in pay and duty status for one-half the regularly
scheduled tour of duty shown on your current Notification of Personnel Action (SF 50) for newly
elected coverage to become effective.
If you have no regularly scheduled tour of duty or are employed on an intermittent basis, you
must be in pay and duty status for one-half the hours customarily worked before newly elected
coverage can become effective. Your employing office can determine the number of hours you
customarily work by averaging the number of hours you worked in the most recent calendar year
quarter prior to the start of the open season.
If you do not meet the pay and duty status requirements in the pay period before the scheduled
effective date, your new coverage will be delayed until you do meet these requirements. As soon
as you meet the pay and duty status requirements, your new coverage will go into effect at the
start of the next pay period.
Example
Wayne was a full-time employee with Basic insurance and one multiple of Option B. During the
2004 open season he elected Basic insurance, five multiples of Option B, and five multiples of
Option C. Elections from the 2004 open season became effective the first pay period beginning
on or after 9/1/05; for Wayne’s agency, that was 9/4/05. However, Wayne went on vacation
8/20/05 and didn’t return to work until 9/6/05. Since he wasn’t in pay and duty status for 32
hours during the pay period before the “regular” effective date, Wayne’s new coverage couldn’t
become effective at that time. The pay period ending 9/17/05 was the one in which Wayne met
the pay and duty status requirements. His new coverage therefore became effective 9/18/05.
Belated Open Season Elections
Your employing office can accept a belated open season election if both the following conditions
are met:
It is no later than six months after the open season ended; and
U.S. Office Of Personnel Management
101
Your employing office determines that you were unable to make the election on time
because of reasons beyond your control.
If both of these conditions are met, you must submit your open season election form within 60
days after being notified by your agency
Belated open season elections are effective the same date as if you had made the election on
time. If you do not meet the pay and duty status requirements for that effective date, your new
coverage will become effective the first pay period after that date that follows a pay period in
which you do meet these requirements. If the effective date of your belated open season election
is retroactive, you must pay premiums back to that date.
Example
Taylor made a belated open season election for Basic Insurance on January 1. At the time he
made his election he was on paid annual leave for 2 weeks. Taylor returned to work on January
15. His open season election will not be effective until the first pay after January 15.
Any coverage that you do not elect during the 60-day time frame is considered to be waived
again.
Your agency cannot accept a belated open season election more than six months after the open
season has ended.
BREAKS IN SERVICE
Effect of a Break in Service
o Fewer than 180 Days
o 180 Days or More
Effect of a Break in Service
Fewer than 180 Days
A break in service of fewer than 180 days has no effect on a waiver of FEGLI coverage.
If you are reinstated after a break in service of fewer than 180 days, you will automatically get
back any FEGLI coverage you had at the time you separated. Any waiver remains in effect. If
you wish to elect more coverage, you can do so by providing satisfactory medical information or
by experiencing a life event.
U.S. Office Of Personnel Management
102
180 Days or More
If you are reinstated after a break in service of 180 days or more, your agency will automatically
enroll you in Basic and the same Optional insurance that you had in your prior position. The
same coverage is reinstated regardless of the length of the break in service. You will have this
coverage the first day you are in pay and duty status.
If you waived all FEGLI coverage at the time you began your break in service, this waiver is
automatically cancelled and you will be automatically enrolled in Basic upon reenrollment unless
you waive Basic again.. If you do not waive coverage again upon reemployment, Basic
insurance becomes effective your first day in pay and duty status in a position in which you are
eligible for coverage.
You may elect Optional insurance (if you don't already have the maximum) within 60 days of
returning to service, regardless of the coverage you had during previous employment. If you do
not make a new election, you will automatically get back whatever Optional insurance you had
immediately before your separation and any coverage that you had previously waived will be
waived again.
EMPLOYING OFFICE RESPONSIBILITIES
Counseling for New Employees
If You Have Prior Federal Service
Initial Decision and Reconsideration
Counseling for New Employees
During the orientation for new employees, your employing office should explain the life
insurance program to you and provide you with a copy of the Life Insurance Election (SF 2817),
and the FEGLI Program Booklet for Federal Employees (FE 76-21), or for Postal Employees
(FE 76-20), or direct you to information online at http://www.opm.gov/healthcare-insurance/life-
insurance/. If your agency uses an electronic system, this information should be provided in a
timely manner. You can use the system to make your election. Electronic systems are
administered by the agency, not OPM.
If You Have Prior Federal Service
U.S. Office Of Personnel Management
103
If you have previously worked for the Federal or District of Columbia Governments, it is
important that your employing office determines whether you have an un-cancelled waiver of
life insurance coverage (see “Effect of a Break in Service”) or assignment of insurance in effect.
Initial Decision and Reconsideration
Initial Decision
Your employing office has the initial responsibility for determining whether you are eligible to
elect or increase life insurance. This determination is an initial decision when your employing
office gives it to you in writing and informs you of the right to an independent level of review
(reconsideration) by the appropriate agency office.
Exception: The Office of Federal Employees' Group Life Insurance (OFEGLI) determines your
eligibility to cancel a waiver based on medical evidence of insurability and your eligibility for
Living Benefits. There is no reconsideration right for this decision.
Reconsideration Right
You have the right to ask your employing office to reconsider its initial decision denying life
insurance coverage or the opportunity to change coverage. The reconsideration process applies
only to enrollment issues. Your employing office cannot make decisions about payment of
claims (the Office of Federal Employees' Group Life Insurance makes these decisions).
The reconsideration review determines if your employing office acted properly and in
accordance with the law and regulations in its initial decision. Initial decisions that comply with
law and regulations cannot be overturned by reconsideration.
Example
Cathy, who had waived Optional life insurance coverage, separates from service and is
reemployed less than 180 days later. Upon her reemployment, she attempts to elect Option B.
Her employing office denies the election. This initial decision cannot be overruled by
reconsideration, because by regulation previous waivers remain in effect when an employee goes
from one agency to another with a break in service of less than 180 days.
How to Request Reconsideration
If you wish to request a reconsideration of an initial decision, you must make your request in
writing. The request must include:
Your full name and address
Your date of birth
The reason(s) for the request
A copy of the written initial decision
U.S. Office Of Personnel Management
104
If you are retired or receiving workers’ compensation, your retirement claim number or
compensation claim number.
Time Limit
You must make the request for reconsideration within 31 calendar days from the date of the
initial decision.
This time limit can be extended when you show that you were not notified of the time limit and
were not otherwise aware of it or that you were unable, due to reasons beyond your control, to
make the request within the time limit.
Who Does the Reconsideration?
Agencies are responsible for evaluating reconsiderations for employees (OPM’s Retirement
System evaluates requests from annuitants). A reconsideration must take place at or above the
level at which the initial decision was made.
Final Decision
After reconsideration, your employing office (or OPM) must issue a final decision. This decision
must be in writing and must fully state the findings. If you disagree with the final decision issued
by your employing office, you may seek judicial review as described in section 8715, title 5,
United States Code.
Effective Date
When your employing office decides that you should have been allowed to enroll or change
enrollment, it accepts a Life Insurance Election form (SF 2817) from you making the change.
You have 60 days to make the election.
Generally, changes made upon reconsideration are made prospectively. In some cases, the law or
regulations provide for retroactive effective dates. In these cases, there is no need for your
employing office to decide whether a retroactive effective date is appropriate.
In certain cases, your employing office may consider your request that the change be made
retroactive to an earlier date, generally the date it would have been effective if you had been able
to make a timely election.
NONPAY STATUS
U.S. Office Of Personnel Management
105
Continued Coverage
Temporary Appointments
Special Nonpay Situations
o Appointments to Employee Organizations
o Appointments to State Governments, Local Governments, Indian Tribal
Organizations, or Institutions of Higher Education
o Transfers to International Organizations
Continued Coverage
You are entitled to continue life insurance for up to 12 months while you are in nonpay status.
The 12-month period starts when you are in nonpay status for an entire pay period. No premium
payments are required either from you or from your agency when you are in nonpay status
for an entire pay period.
Exceptions:
If you are receiving Workers' Compensation, OWCP withholds the premiums from your
compensation
If you accept another position while you are in nonpay status, you do have to pay
premiums. The agency that is actually paying you a salary withholds the premiums from
your salary. If the new position is a temporary (not-to-exceed one year) FEGLI ineligible
position, the withholding is based on whichever position has the higher salary; otherwise,
the withholding is based on the combined salaries
If you are in one of the special nonpay situations described below, you may have to pay
premiums, depending on the election you make
Your life insurance coverage terminates at the end of the 12-month period, with a 31-day
extension of coverage and a right to convert to an individual policy.
If your 12-month period of continued coverage while in nonpay status is interrupted by a period
of less than four months in pay status, your 12-month eligibility period continues when you
return to nonpay status. If you return to pay status for four (or more) consecutive months, and
then return to nonpay status, you begin a new 12-month eligibility period. To meet the four
consecutive months requirement, you must be in pay status for at least part of each pay period
during four consecutive months. It is important to remember that FEGLI premiums for the
whole pay period are withheld if you are in pay status for any part of the pay period.
Exceptions:
If your coverage terminates because you have completed 12 months in nonpay status, you
must return to pay and duty status in a FEGLI eligible position to get the coverage back.
U.S. Office Of Personnel Management
106
Once coverage has terminated, simply returning to pay status such as by using donated
leave or any other kind of leave does not reinstate your FEGLI coverage.
If you return to pay and duty status in a FEGLI eligible position after your coverage has
terminated due to being in nonpay status for more than 12 months, your coverage is
reinstated. However, if you do not remain in pay status for at least four months, your
coverage is again terminated when you return to nonpay status. You cannot get a new
12-month eligibility period unless you return to pay status and remain in pay status for at
least four months.
Being in nonpay status is not a break in service, since you are still on your agency’s rolls.
Therefore, you do not get a new election opportunity when you return to pay and duty
status. You cannot elect new coverage unless you follow the procedures in Canceling a
Waiver and Electing Coverage.
Example 1
Wendy went into nonpay status 4/11/12 and returned to pay status 6/26/12 by using donated
leave. She went back into nonpay status 8/31/12. Since 4/11/12 was in the middle of a pay
period, Wendy’s 12-month period of continued coverage began 4/16/12, her first full pay period
in nonpay status. She returned to pay status 6/26/12, which was the first work day in the pay
period. She therefore used 70 days (five full pay periods) of her 12-month period of continued
coverage before returning to pay status on 6/26/12. Since Wendy was not in pay status for four
months when she went back into nonpay status on 8/31/12, she did not start a new 12-month
period of continued coverage. When she went back into nonpay status on 8/31/12, Wendy’s
original 12-month period picked up where it left off; she has 295 days remaining. Since 8/31/12
was in the middle of a pay period, the remainder of Wendy’s 12-month period starts counting
again on 9/3/12, her first full pay period back in nonpay status. FEGLI coverage will terminate
at the end of the day on 6/24/13, if she doesn’t return to pay status before then.
Example 2
Xavier went into nonpay status 4/11/12 and returned to pay and duty status 6/26/12. He went
back into nonpay status 12/5/12. Since 4/11/12 was in the middle of a pay period, Xavier’s 12-
month period of continued coverage began 4/16/12, his first full pay period in nonpay status. He
returned to pay status 6/26/12, which was the first work day in the pay period. He therefore used
70 days (five full pay periods) of his 12-month period of continued coverage before returning to
pay status on 6/26/12. Since Xavier was in pay status for more than four months when he went
back into nonpay status on 12/5/12, he is entitled to start a new 12-month period of continued
coverage. If he remains in nonpay status, his FEGLI coverage will not terminate until the end of
the day on 12/4/13.
Example 3
Xenia went into nonpay status 4/11/11 and returned to pay and duty status 7/17/12. She went
back into nonpay status 10/12/12. Since 4/11/11 was in the middle of a pay period, Xenia’s 12-
U.S. Office Of Personnel Management
107
month period of continued coverage began 4/16/11, her first full pay period in nonpay status.
Since Xenia was in nonpay status for more than 12 months, her FEGLI coverage terminated at
the end of the day on 4/15/12. Xenia got her coverage reinstated when she returned to pay and
duty status on 7/17/12; however, she did not remain in pay status for at least four months.
Therefore Xenia’s coverage terminated again when she returned to nonpay status 10/12/12.
Example 4
Yancey went into nonpay status 4/11/11. 4/11/11 was in the middle of a pay period, so Yancey’s
12-month period of continued coverage began 4/16/11, his first full pay period in nonpay status.
On 7/17/12 Yancey received donated leave and returned to pay status. Since Yancey was in
nonpay status for more than 12 months, his FEGLI coverage terminated at the end of the day on
4/15/12. The donated leave Yancey received on 7/17/12 returned him to pay status; however,
since he did not return to duty status, his FEGLI coverage was not reinstated.
Example 5
Yvette was a permanent employee with FEGLI who transferred to a temporary position with no
break in service, so she was able to continue her FEGLI coverage. She went into nonpay status
4/11/11 and returned to pay and duty status 7/17/12. 4/11/11 was in the middle of a pay period,
so Yvette’s 12-month period of continued coverage began 4/16/11, her first full pay period in
nonpay status. Since Yvette was in nonpay status for more than 12 months, her FEGLI coverage
terminated at the end of the day on 4/15/12. Although Yvette returned to pay and duty status on
7/17/12, she did not return to a FEGLI eligible position. Therefore her FEGLI coverage was not
reinstated.
In the examples above, the agency will complete a SF 2821 and an SF 2819 whenever FEGLI
coverage terminates. This means there could be occasions where multiple forms are completed
for discrete periods of covered and terminated coverage.
Temporary Appointments
If you are entitled to 12 months of insurance while in nonpay status and accept a temporary
appointment to a position in which you would normally be excluded from insurance, your
insurance continues for the remainder of the 12-month period. Your BIA is based on your higher
salaried position. Withholdings are made from your pay in the temporary position.
When you have completed 12 months of nonpay status from the position that entitled you to life
insurance coverage, your FEGLI coverage terminates even if, by mistake, premiums continued to
be withheld from your pay in the temporary position. You will get the 31-day extension of
coverage and right to convert. You cannot continue FEGLI in the temporary position.
Example
U.S. Office Of Personnel Management
108
Zeke was a permanent full-time employee with a salary of $58,412. He went into nonpay status
2/16/12. Since 2/16/12 was in the middle of a pay period, Zeke’s 12-month period of continued
coverage began 2/19/12. His FEGLI continued at no cost to him. On 7/24/12 Zeke began a
temporary position with another agency; the salary in the temporary position was $38,770. His
FEGLI continued, with his BIA (and any Option B coverage) based on the higher salary from his
full-time permanent position. However, the coverage was no longer free; the premiums were
withheld from his salary in the temporary position; that agency pays the Government
contribution for Basic insurance. When Zeke completes 12 months in nonpay status at the end of
the day on 2/18/12 from the position that gave him FEGLI eligibility, his FEGLI coverage will
terminate. He cannot continue FEGLI in the temporary position.
Special Nonpay Situations
Employees in one of the following special nonpay situations may elect to continue their FEGLI
coverage for the duration of their appointment. If you make such an election, your coverage will
continue, even if you remain in nonpay status for more than 12 months. You must pay the
premiums applicable to your special nonpay situation from the beginning of your nonpay status.
You do not get 12 months of free coverage.
If you are in one of the special nonpay situations listed below, and you do not elect to continue
your coverage, you will get 12 months of free coverage. Your coverage will terminate at the end
of the 12-month period, the same as for any other employee in nonpay status.
Appointments to Employee Organizations
If you go into nonpay status to serve as a full-time officer or employee of an employee
organization, within 60 days of the start of the nonpay status you may elect in writing to continue
life insurance for the duration of your appointment.
You must pay to your employing agency of record the full cost of Basic and Optional insurance.
There is no Government contribution. You must pay your premiums to your employing agency
before, during, or within three months after the end of each pay period in a manner designated by
your employing agency.
Failure to pay your premiums within this time frame will result in termination of your coverage,
subject to the 31-day extension of coverage and conversion privilege. Coverage cannot be
reinstated until you return to pay and duty status in a FEGLI eligible position in Federal service.
Exception: Your coverage will be restored retroactively if your Federal employing agency finds
that you were unable to make the premium payments for reasons beyond your control and you
make the payments at the first opportunity.
Appointments to State Governments, Local Governments, Indian Tribal
Organizations, or Institutions of Higher Education
U.S. Office Of Personnel Management
109
If you go into nonpay status while assigned to a State or local government, Indian tribal
organization, or institution of higher education, you may elect in writing to continue your life
insurance for the length of your assignment.
You must pay your premiums to your employing agency of record before, during, or within three
months after the end of each pay period. Your Federal employing agency must continue to pay
the Government contribution for Basic insurance as long as you make your payments.
Failure to pay your premiums within this time frame will result in termination of your coverage,
subject to the 31-day extension of coverage and conversion privilege. Coverage cannot be
reinstated until you return to pay and duty status in a FEGLI eligible position in Federal service.
Exception: Your coverage will be restored retroactively if your Federal employing agency finds
that you were unable to make the premium payments for reasons beyond your control and you
make the payments at the first opportunity.
Transfer to International Organizations
If you are transferred to an international organization as provided in 5 U.S.C. 3582, you may
elect in writing to continue life insurance coverage for the duration of your appointment.
You must pay your premiums to your Federal employing agency before, during, or within three
months after the end of each pay period. Your employing agency must continue to pay the
Government contribution for Basic insurance as long as you make your payments.
Failure to pay your premiums within this time frame will result in termination of your coverage,
subject to the 31-day extension of coverage and conversion privilege. Coverage cannot be
reinstated until you return to pay and duty status in a FEGLI eligible position in Federal service.
Exception: Your coverage will be restored retroactively if your Federal employing agency finds
that you were unable to make the premium payments for reasons beyond your control and you
make the payments at the first opportunity.
Regulations governing transfers to international organizations are in 5 C.F.R. Part 352.
Military Reservists Called to Active Duty
Public Law 110-181, the Department of Homeland Security Appropriations Act, was enacted
January 28, 2008. Section 1102 of the Act authorizes the continuation of FEGLI coverage for up
to 24 months for Federal employees called to active duty.
The new law allows employees who enter on active duty, or active duty for training in one of the
uniformed services for more than 30 days, to continue their FEGLI enrollment for an additional
12 months, for a total of up to 24 months. However, employees must pay both the employee and
agency share of premiums for their Basic coverage, and pay the entire cost (there is no agency
share) for any Optional insurance for the additional 12 months of coverage.
U.S. Office Of Personnel Management
110
INCONTESTABILITY
Incontestability is allowing erroneous coverage (coverage that was obtained in error) to remain
in effect under certain conditions. Those conditions are:
Erroneous coverage was in effect for at least 2 years before the error is discovered;
You paid the applicable premiums for the erroneous coverage while it was in effect;
You are an employee or a new retiring employee or new compensationer; The error is
discovered on or after October 30, 1998.
All conditions must be met for Incontestability to apply.
Since retirees cannot newly elect FEGLI coverage, coverage acquired erroneously after the
date you retire or begin receiving compensation cannot be used to meet the requirements for
Incontestability.
If you don't want the erroneous coverage made valid because of Incontestability, you can cancel
it. However, the cancellation is prospective. There is no refund of premiums. Exception: If you
got Option C coverage erroneously, and you did not have any eligible family members, you can
cancel that coverage retroactively and get a refund of the erroneous Option C premiums.
Example 1
Dean, who had previously waived coverage, transfers from one agency to another without a
break in service and is allowed to elect insurance at the new agency. This is an agency error.
However, if more than two years pass before the error is discovered, and if Dean paid the
applicable premiums during that time, his erroneous election must be allowed to stand.
Example 2
Diane had Basic only for her entire Federal career and retired December 31, 2012. The OPM
Retirement Office incorrectly gave her Basic and Option A when her retirement case was
processed. This is an agency error. However, if more than two years pass from her retirement
commencement date to the time the error is discovered, and if Diane paid the applicable
premiums during that time, the erroneous coverage must be allowed to stand.
Once your employing office or retirement system determines that your enrollment should be
allowed to stand, it must prepare a note to the file explaining the details of the error, the date it
occurred, the date it was discovered, and the fact that your enrollment is now valid due to
Incontestability.
U.S. Office Of Personnel Management
111
Enrollments that are allowed to stand due to Incontestability become valid enrollments. If you
were enrolled in the FEGLI Program for at least the five years immediately prior to retirement
(or for all opportunities to be enrolled), even if part or all of the enrollment was in error but was
allowed to stand, you are entitled to carry the enrollment into retirement.
Upon your retirement, your employing office must forward the note explaining the details of the
validated enrollment along with the Life Insurance Election (SF 2817) to the retirement system.
If there is no SF 2817, the employing office must provide the Notification of Personnel Action
(SF 50) showing the change in FEGLI coverage or an explanatory note to the file to be
forwarded to the retirement system. The employing office should also provide a note in the
"remarks" section of the Agency Certification of Insurance Status (SF 2821) explaining that
Incontestability was used to ratify an erroneous enrollment.
OPM issued Benefits Administration Letter (BAL) 99-214 on August 24, 1999 with revised
Incontestability information that provides many more examples. FEGLI BALs are available at
http://www.opm.gov/healthcare-insurance/life-insurance/reference-materials/#url=Benefits-
Administration-Letters
CORRECTION OF ERRORS
Employing Office
Your employing office can correct administrative errors regarding coverage or changes in
coverage at any time. When retroactive corrections are made, your employing office must
determine whether the proper amounts of life insurance deductions were made from your pay. It
must submit any uncollected deductions and any applicable Government contributions to the
Office of Personnel Management for deposit in the Employees' Life Insurance Fund.
See "Errors Involving Current Employees - Underdeductions [new link]" for information on
collection and waiver of deductions.
OPM
The Office of Personnel Management can order correction of an administrative error after
reviewing evidence that it would be against equity and good conscience not to do so. A request
for review should be sent to OPM, Individual Benefits and Life, RM 3400, 1900 E Street, NW,
Washington DC 20415.
U.S. Office Of Personnel Management
112
HISTORICAL INFORMATION
1981 Automatic Cancellation of Optional Insurance and Cancellation of Waiver
o Cancellation of Optional Insurance
o Cancellation of Waiver
Breaks in Service
Cancellation of Option C When There Are No Eligible Family Members
Getting a Physical Exam
Life Events
Open Season History
1981 Automatic Cancellation of Optional Insurance and Cancellation
of Waiver
Cancellation of Optional Insurance
Prior to April 1, 1981, the only Optional insurance available was what is now Option A.
If you elected Optional insurance on or before February 28, 1981, the coverage was
automatically cancelled effective at the end of the pay period which included March 31, 1981.
Exception: If you were not in pay and duty status during the first pay period which began on or
after April 1, 1981, the election was automatically cancelled on the first day after the end of the
next pay period in which you were in pay and duty status.
If you wanted to continue Option A, you had to elect it during the March 1981 open season.
Cancellation of Waiver
If you waived Basic and/or Optional insurance on or before February 28, 1981, the waiver was
automatically cancelled effective on the first day you were in pay and duty status on or after
April 1, 1981.
Basic insurance coverage was effective automatically on the date of the waiver's cancellation,
unless you filed a new waiver of Basic insurance before the end of the pay period during which
the coverage became effective.
Exception: Your waiver of Basic insurance remained in effect if you:
Waived Basic and/or Optional insurance after February 28, 1981; and
Separated; and
Returned to Federal service before December 9, 1983
U.S. Office Of Personnel Management
113
You were permitted to elect Basic insurance and any form of Optional insurance by submitting
an election to your employing office before March 7, 1984.
If you filed an election of Option A during the March 1981 open season, Option A was effective
on the date of the waiver's cancellation. If you did not file an election with your employing
office during the March 1981 open season, you are considered to have waived Option A on
March 31, 1981.
Breaks in Service
Until December 8, 1983 a break in service did not cancel a waiver, regardless of how long the
break was. All waivers remained in effect when a separated employee returned to service.
Cancellation of Option C When There Are No Eligible Family Members
Initially a cancellation of Option C when there were no longer any eligible family members was
prospective, the same as any other cancellation. Effective November 17, 1986, these Option C
cancellations are made retroactive to the first pay period in which there were no eligible family
members, and the insured individual receives a refund of premiums retroactively to that date.
Providing Medical Information
Until July 14, 1986, employees age 50 and older could not cancel a waiver by providing
satisfactory medical information. Only employees under age 50 could cancel a waiver this way.
Life Events
When Option B and Option C were put into effect in 1981, the only life events were marriage
and acquiring an eligible child. Divorce and death of a spouse were added as life events
effective September 29, 1993.
Initially only employees under age 36 could make an Option B election due to a life event. The
age restriction was removed effective April 5, 1989.
Employees with Option C coverage who had a life event between October 30, 1998, and April
23, 1999, had until June 23, 1999, to make an election to increase the number of multiples. The
new coverage was effective April 24, 1999.
Initially employees who experienced a life event could elect Option B multiples equivalent to the
number of family members acquired, and Option C (up to five multiples maximum). Effective
October 1, 2010, an employee experiencing a life event can elect any FEGLI coverage and any
U.S. Office Of Personnel Management
114
number of Option B and/or Option C multiples, except that Basic always must be in effect or
elected first.
Effective June 26, 2013, a same-sex spouse of a valid marriage is recognized as a family member
for benefits under the FEGLI Program. Legal same-sex marriages entered into following this
decision will be treated in the same manner as opposite-sex marriages, regardless of an
employee’s or annuitant’s state of residency. This includes legal international same-sex
marriages granted in foreign countries that authorize such marriages, regardless of an employee’s
or annuitant’s state of residency. Consistent with OPM’s long-standing policy of recognizing the
legal foreign marriages of opposite-sex couples for purposes of FEGLI, OPM will also recognize
legal same-sex marriages granted in countries that authorize such marriages, regardless of an
employee’s or annuitant’s state of residency, for purposes of these programs.
Open Season History
These are all of the FEGLI open seasons since the beginning of the Program:
Dates
Elections
Permitted
Positive
Reenrollment
Required?
Effective Date
Pay and Duty
Status
Requirement
February 14-April
14, 1968
All (Options B
and C didn't
exist)
Yes. All previous
Basic waivers
cancelled 1st day of
1st pay period on/after
2/14/68. You had
from 2/14/68-4/14/68
to elect or decline
Optional insurance.
Day after previous
waiver was cancelled
(unless you filed new
Basic waiver).
Optional insurance
was effective day of
receipt in employing
office.
No
March 1-31, 1970
All (Options B
and C didn't
exist)
No
April 1, 1970
Yes
March 1-31, 1981
All
Yes. If you did not
file an election, you
automatically had
Basic only.
April 1, 1981
Yes
June 1-July 1, 1985
All
No
1
st
day of 1
st
pay
period beginning on
or after August 1,
1985
Yes
March 29-April 30,
1993
All
No
1
st
day of 1
st
pay
period beginning on
or after May 30,
1993
Yes
May 22-July 21,
1995
Basic only
No
1
st
day of 1
st
pay
period beginning on
or after date
No
U.S. Office Of Personnel Management
115
employing office
received SF 2817
April 24-June 30,
1999
All
No
1
st
day of 1
st
pay
period beginning on
or after April 23,
2000
Yes
September 1-
September 30, 2004
All
No
1
st
day of 1
st
pay
period beginning on
or after September 1,
2005
Yes
Incontestability and Administrative Errors
If an administrative error was made before January 1, 1995, your employing office does not have
the authority to issue a reconsideration decision (unless the error was an underdeduction or
overdeduction of premiums - your employing office has the authority to correct these errors).
Instead, you must request reconsideration from OPM, Individual Benefits and Life, RM 3400,
1900 E Street, NW, Washington DC 20415.
U.S. Office Of Personnel Management
116
TERMINATION AND CONVERSION
Difference between Cancellation and Termination
Termination of Employees’ Basic Insurance
Termination of Employees’ Optional Insurance
Concurrent Employment
31-Day Extension of Coverage
Conversion of Insurance
Conversion for Family Members
Employing Office Responsibilities
Time Limit and Effective Date
Termination of Annuitants’ and Compensationers’ Insurance
Historical Information
DIFFERENCE BETWEEN CANCELLATION AND
TERMINATION
Coverage Stops
Cancellation
Termination
Coverage Stops
With both cancellation and termination, your FEGLI coverage stops.
Cancellation
Cancellation of coverage is a voluntary action. With cancellation you do not get a 31-day
extension of coverage or a right to convert. Cancellation also affects your ability to continue
coverage into retirement.
Cancellation takes place in one of two ways:
By making a written request. If you are an employee, you complete a Life Insurance
Election (SF 2817) canceling some or all of your coverage and submit it to your agency
employing office. If you are an annuitant or a compensationer, you send a letter to
OPM’s Retirement Operations Office requesting that some or all of your coverage be
cancelled; or
You are on direct pay and you do not pay your premiums.
U.S. Office Of Personnel Management
117
Termination
Termination of coverage is an involuntary action. With termination you get a 31-day extension
of coverage and a right to convert. Termination does not affect your eligibility to continue
coverage into retirement.
Exception: If the annuity or compensation of an insured individual is terminated, or if the
Department of Labor finds that an insured compensationer is able to return to duty, his/her
FEGLI coverage held as an annuitant or compensationer stops on the date of the termination or
finding. There is no 31-day extension of coverage or conversion right.
TERMINATION OF EMPLOYEES’ BASIC
INSURANCE
Separation from Service
Nonpay Status
Insufficient Pay
Move to an Excluded Position
Separation from Service
Your Basic insurance terminates (stops) at the end of the day on which you separate from
service.
Exceptions:
If you transfer to a FEGLI eligible position in another agency with no break in service,
your insurance continues
If you separate for retirement, you may be eligible to continue your coverage
If you separate from service to enter the military, you are considered to be in a nonpay
status for FEGLI purposes. As long as you have reemployment rights under USERRA
(The Uniformed Services Employment and Reemployment Rights Act of 1994), you can
keep your FEGLI coverage for up to 24 months in nonpay status, or until 90 days after
your military service ends, whichever date comes first. Coverage is free for the first 12
months; however, employees must pay both the employee and agency contributions of
premiums for their Basic coverage and continue to pay the entire cost (there is no agency
share) for any Optional insurance they may have for the additional 12 months of
coverage. If you wish to continue coverage after the first 12 months in nonpay status you
must elect to do so prior to the end of the first 12 months in a manner designated by your
agency. At the end of 12 months (or 90 days after the military service ends, whichever
U.S. Office Of Personnel Management
118
gives you more time), the coverage terminates unless you elect to continue it for the
additional 12 months.
If you were employed by the Department of Defense in support of the Civilian
Marksmanship Program the day before the Program was transferred to a private
corporation, and you accepted employment by this corporation as part of the transition,
your FEGLI continued unless you opted out of Federal benefits. You may continue your
FEGLI coverage as long as you remain employed by the corporation.
If you were employed by the Senate Restaurants the day before the Program was
transferred to a private business concern, and you accepted employment with this
contractor, your FEGLI continued unless you opted out of Federal benefits. A Senate
restaurant employee who had life insurance coverage on the date of transfer to a private
business concern on or after July 17, 2008, and who elected to continue FEGLI coverage
and their retirement coverage under either chapter 83 or 84 of title 5, United States Code,
is eligible for FEGLI during continuous employment with the private contractor, unless
the employee opts out of the FEGLI program.
Nonpay Status
Your Basic insurance stops at the end of the day on which you complete 12 months in nonpay
status.
Exceptions:
If you are in nonpay status while receiving workers’ compensation, you may be eligible
to continue your coverage; or
If you are in one of the special nonpay situations, you may be eligible to continue your
coverage beyond 12 months; or
If you are active duty military and you elected to continue insurance for an additional 12
months.
Insufficient Pay
If your pay is insufficient to make any premium withholdings (including if you are in insufficient
pay due to a government furlough), and you do not elect to make direct payments, your coverage
terminates at the end of the pay period in which the last premium withholding was made.
Move to an Excluded Position
Your Basic insurance stops at the end of the day before the day on which you move to a position
in which eligibility for life insurance is excluded. See Employees Excluded from Coverage for
exceptions.
U.S. Office Of Personnel Management
119
TERMINATION OF EMPLOYEES’ OPTIONAL
INSURANCE
Relation to Basic Insurance
Retirement and Compensation
Insufficient Pay
Relation to Basic Insurance
Your Optional insurance stops when your Basic insurance stops.
Retirement and Compensation
If you are eligible to continue Basic insurance as an annuitant or compensationer, but not some
or all of your Optional insurance, the Optional insurance you are not eligible to continue into
retirement or compensation stops at the end of the day before Basic insurance is continued into
retirement or compensation.
Insufficient Pay
If your pay is insufficient to make premium withholdings for your Optional insurance, and you
do not elect to make direct payments for your FEGLI premiums, your Optional insurance
terminates at the end of the pay period in which the last premium withholding was made.
If your pay is sufficient for some of the withholdings, but not all, your employing office will
terminate coverage in the following order:
The multiples of Option C; then
Option A; then
The multiples of Option B
CONCURRENT EMPLOYMENT
Your FEGLI terminates if:
You are serving in more than one position; and
One of the positions is an excluded position; and
U.S. Office Of Personnel Management
120
You complete 12 months in nonpay status in the FEGLI eligible position
Your FEGLI continues if you complete 12 months in nonpay status in the excluded position. At
the end of 12 months, your coverage will be based on the salary in the FEGLI eligible position.
Your FEGLI continues if you separate from the FEGLI eligible position. Your coverage will be
based on the salary in the excluded position.
31-DAY EXTENSION OF COVERAGE
When your life insurance stops, except by waiver or cancellation, your coverage automatically
continues for an additional 31 days after the termination date. No premiums or Government
contributions are required during the 31-day extension. This extension does not include
accidental death and dismemberment coverage.
There is no extension of coverage during the following situations:
When you waive or cancel your insurance
When your annuity or compensation is terminated and your FEGLI stops
When a family member loses his/her eligibility under Option C
When you coverage has been terminated more than 31 days.
CONVERSION OF INSURANCE
Conversion Privilege
Individual Policy
Process
Conversion Privilege
When your group life insurance terminates, you are entitled to convert your coverage to an
individual non-FEGLI policy. Exception: If you return to Federal service in a FEGLI eligible
position within three calendar days after the date your insurance stops, your coverage will
continue and you are not eligible to convert.
There is no conversion privilege if you cancel your coverage.
U.S. Office Of Personnel Management
121
There is no conversion privilege when your annuity or compensation is terminated and your
FEGLI stops.
If you have assigned your insurance, it is the assignee(s), rather than you, who is entitled to
convert your Basic, Option A, and Option B coverage. You still are entitled to convert your
Option C coverage since Option C cannot be assigned.
Individual Policy
Under the conversion privilege, you may convert all or any part of your Basic and Optional
insurance to an individual policy. If you are unable to convert, a person having power of
attorney for you may convert on your behalf. No medical examination is required, although you
may be asked a few questions about your health to see if you qualify for a lower premium. You
do not have to answer these questions, but if you do not, you may be paying a higher premium
than necessary.
The individual policy will be issued by an insurance company you (or your assignee(s), if
applicable) select from the list of approved companies that have been accepted by OPM as
eligible and that has agreed to issue such policies under the provisions of the FEGLI contract.
The individual policy may be for any type of life insurance customarily issued by the insurance
company you select, except term insurance, universal life insurance, or any other type of life
insurance with an indeterminate premium. It cannot include disability or Accidental Death &
Dismemberment benefits.
Family members may convert Option C coverage (and name beneficiaries of their choice) if you
die or if your insurance terminates under conditions that allow you to convert Option C coverage
but you do not convert.
Note: For Option C, the conversion policies are for individuals only. The conversion policies do
not include family policies similar to the FEGLI Program’s Option C. If you convert your
Option C coverage, you will be purchasing an individual policy for each family member whose
coverage you choose to convert. You can only obtain a conversion policy for family members
who exist on the effective date of the conversion policy 32 days after the terminating event. A
conversion policy cannot be issued for a family member added after that date.
Any insurance policy purchased under the conversion privilege is a private business transaction
between you and the insurance company. The cost of the individual policy is determined by the
insurance company and is based on your age and class of risk. Since you will no longer be part
of the group contract, the premium payments may be much higher than the FEGLI premiums.
Process
When your insurance terminates, your employing office must give you a Notice of Conversion
Privilege (SF 2819). If you wish to convert your coverage, you must send the SF 2819 to the
U.S. Office Of Personnel Management
122
Office of Federal Employees’ Group Life Insurance (OFEGLI) within the 31-day time limit for
converting.
Your agency must also give you an Agency Certification of Insurance Status (SF 2821). Send
that form to OFEGLI along with the SF 2819. If you do not have the SF 2821, do not delay in
sending the SF 2819. Go ahead and send the SF 2819. You should request a completed SF 2821
from your agency before the expiration of the 31-day time limit and forward it to OFEGLI.
OFEGLI needs the SF 2821 to calculate the amount of insurance you can convert.
Once OFEGLI has received your SF 2819 and SF 2821, it will send you a list of insurance
companies that are offering conversion policies in your area. You must contact the companies to
get information on the conversion policy and the cost.
Notes:
The address on the SF 2819 is not be current. The correct address is: OFEGLI, P.O.
Box 8149 Long Island City, NY 11101-8149.
In Block #4, if you have Option C, your agency should indicate the multiples you have
the day your insurance terminates.
If you receive an SF 2819, that means that you are eligible to convert your insurance, but
you don't need to the choice is yours. IF you qualify to carry your coverage into
retirement, you may want to do that and not convert. Just because you receive an
SF 2819 does not mean that you do not qualify to carry your coverage into retirement. All
employees whose current coverage as an employee is terminating (other than by
voluntary cancellation) receive a copy of that form whether or not they qualify to
carry coverage into retirement.
In addition, if you don’t receive the SF 2819 promptly, IT IS YOUR RESPONSIBILITY
to take action to obtain the necessary information to convert your coverage. Contact
OFEGLI immediately to let them know you are interested in obtaining conversion
information.
If you have assigned your insurance, your agency must give the SF 2819 to your
assignee(s). The right to convert transfers to your assignee(s). If you have Option C,
your agency must also give an SF 2819 to you. The right to convert Option C stays with
you.
You can find additional information on converting your insurance on the SF 2819 “Notice of
Conversion Privilege”.
CONVERSION FOR FAMILY MEMBERS
Upon Your Death
Upon Your Separation
Amount Available to Convert
U.S. Office Of Personnel Management
123
When Conversion Is Not Permitted
When Insurance Has Been Assigned
Upon Your Death
When you die, your family members covered under Option C are eligible to convert their
coverage to individual policies.
The conversion policies do not include family policies similar to the FEGLI Program’s
Option C. Each eligible family member may convert to an individual policy. In the case of a
minor child, a parent may apply on the child’s behalf for an individual policy.
Your employing office must send your family members a Notice of Conversion Privilege
(SF 2819). In Block #4, your agency should indicate the multiples of Option C coverage you
have the day your insurance terminates. Your employing office must send the SF 2819 to your
last address on file, addressed to The Family Members of . . . . The employing office does not
have to try to locate family members who might not have lived with you at the time of your
death.
Family members wishing to convert must send the SF 2819 to OFEGLI within the 31-day time
limit for converting.
Upon Your Separation
When you separate from service, you may convert any or all of your FEGLI coverage. If you
choose not to convert your Option C coverage, your family members may convert their coverage
to individual policies.
The conversion policies do not include family policies similar to the FEGLI Program’s Option
C. Each eligible family member may convert to an individual policy. In the case of a minor
child, a parent may apply on the child’s behalf for an individual policy.
If your family members are interested in converting their coverage, they must contact your
former agency employing office. Your employing office must send your family members a
Notice of Conversion Privilege (SF 2819) if they request information about converting. Your
family members must then send the SF 2819 to OFEGLI within the 31-day time limit for
converting.
Amount Available to Convert
Your spouse and eligible children may convert up to the amount of Option C coverage you
carried (maximum $25,000 for your spouse and $12,500 for each eligible child).
U.S. Office Of Personnel Management
124
When Conversion Is Not Permitted
Family members do not have the right to convert their coverage when they lose eligibility for any
reason, such as the following:
Your divorce or annulment;
Your child reaches age 22;
Your child marries; or
Your stepchild or foster child moves out of your home
When You Have Assigned Your Insurance
The right to convert Option C remains with you and your family members, even if the rest of
your insurance has been assigned.
EMPLOYING OFFICE RESPONSIBILITIES
Notice of Conversion Privilege (SF 2819)
Agency Certification of Insurance Status (SF 2821)
Timing
Notice of Conversion Privilege (SF 2819)
Your employing office must give you (or your assignee(s) or a power of attorney acting on your
behalf) an SF 2819 Notice of Conversion Privilegewhenever your coverage terminates. In
Block #4, your agency should indicate the multiples of Option C coverage you have the day your
insurance terminates. Exception: If you are transferring to a FEGLI eligible position in another
agency within three calendar days after your termination, your employing office does not need to
issue an SF 2819.
Your employing office must record in your Official Personnel Folder (or its equivalent) the
names and addresses of everyone who is given an SF 2819, including your assignees and family
members covered under Option C. Your employing office must send this information to your
retirement system, if your separation is for retirement.
Your employing office must not furnish insurance companies with the name of any employee
being separated with possible conversion rights.
If you have Option C coverage, your employing office must send an SF 2819 to your eligible
family members when you die. The form should be addressed to “The Family Members of . . . .”
U.S. Office Of Personnel Management
125
If you separate from service and choose not to convert your Option C coverage, your employing
office must send an SF 2819 to your eligible family members if they contact the employing
office to request information on converting.
Agency Certification of Insurance Status (SF 2821)
Whenever your insurance terminates, your employing office must complete an Agency
Certification of Insurance Status (SF 2821) and give it to you (or your assignee(s)).
In block #13a on the SF 2821, your agency should indicate the multiples of Option C coverage
you have on the day your insurance terminates. Exception: If you are transferring to a FEGLI
eligible position in another agency within three calendar days after your termination, your
employing office does not need to complete an SF 2821.
Timing
It is imperative your employing office give you (or your assignee(s)) the Notice of Conversion
Privilege (SF 2819) either immediately before or immediately after the event causing your
coverage to terminate. Note: This form must be given to you when you are retiring, even if you
choose to continue life insurance coverage into retirement. (See Procedures for Retiring
Employees).
Your employing office must place a copy of the SF 2819 in your Official Personnel Folder (or its
equivalent) as proof that the required notice was provided. The date the SF 2819 is issued is also
required for completion of Block 9 on the SF 2821.
TIME LIMIT ON CONVERSION
Time Limit for Converting
Belated Conversions
Effective Date of Conversion Policy
If You Return to Federal Service
Time Limit for Converting
If you are interested in converting, you must complete Part C of the Notice of Conversion
Privilege (SF 2819) and send it to OFEGLI at P.O. Box 8149, Long Island City, NY 11101-
8149. (Note: This address is different from the address on the SF 2819.) Your SF 2819
must be received within 31 days of your (or your family member(s), in the case of Option C)
receipt of the Notice of Conversion Privilege (SF 2819), or within 60 days after the date of the
terminating event, whichever is earlier.
U.S. Office Of Personnel Management
126
Belated Conversions
If your employing office fails to give you the required conversion notice on time or you are
unable to request conversion on time for reasons beyond your control, you can request a belated
conversion by writing to OFEGLI at P.O. Box 8149, Long Island City, NY 11101-8149.
You must mail the request to OFEGLI within six months after the date you first became eligible
to convert. The request must show that:
You were not notified of the loss of coverage and the right to convert and were not
otherwise aware of it; or
You were not able to convert on a timely basis because of reasons beyond your control
If six months or more have passed since the date you first became eligible to convert, OFEGLI
cannot accept a request for conversion. If your request is approved, you must convert within 31
days of that determination.
Effective Date of Conversion Policy
Your conversion policy is effective at the end of your 31-day extension of coverage. If this is
retroactive, you must pay premiums back to that date.
Example # 1
Kathleen entered nonpay (LWOP) status 3/15/2012. Her FEGLI coverage terminated after 365
days LWOP, or 3/14/13. Her agency issued her conversion notice to her 3/25/13. She has 31
days from the date of the notice, or 4/24/13, to contact OFEGLI about converting her coverage.
Example # 2
Chris entered nonpay (LWOP) status 9/21/11. His FEGLI terminated after 365 days LWOP, or
10/20/12. His agency issued his conversion notice to him 11/6/12. He has 15 days to convert his
coverage since he has until no later than 60 days from the date of the event, or 11/21/12, to
contact OFEGLI about converting his coverage.
Example # 3
Elaine resigned. Her last day of Federal service was 6/14/13. Her FEGLI terminates that day,
with a 31-day extension of coverage through 7/15/13. Zelda’s agency did not give her the SF
2819 until 10/15/13. Zelda does not have the right to convert her insurance since it is more than
60 days from the termination date on 6/14/13. She has the right to request a belated election
since it is within six months of the termination date. She must send the SF 2819 to OFEGLI. If
they approve her belated request, and she converts, her conversion policy will be effective
U.S. Office Of Personnel Management
127
7/16/13, the day after the end of her 31-day extension of coverage. She will have to pay
premiums retroactive to that date.
Belated conversions are made retroactive to the end of the 31-day extension, and you must pay
the retroactive premiums. There are no exceptions to the requirement to pay retroactive
premiums.
Your family members’ conversion is effective at the end of your 31-day extension of coverage.
If this is retroactive, they must pay premiums back to that date.
If You Return to Federal Service
If you have converted your FEGLI coverage and return to Federal service (including as a
reemployed annuitant), you do not have to cancel your conversion policy, although you can if
you wish.
TERMINATION OF ANNUITANTS’ AND
COMPENSATIONERS’ INSURANCE
Annuitants
Compensationers
Annuitants
If your annuity terminates, your FEGLI terminates on the same date. You do not get the 31-day
extension of coverage or right to convert.
Compensationers
If the Department of Labor finds that you are able to return to duty, your FEGLI terminates on
the date of the finding. You do not get the 31-day extension of coverage or right to convert.
If you return to service in a FEGLI eligible position, you will get FEGLI again as an employee
and your FEGLI with the Department of Labor stops. Your FEGLI coverage will be based on
the salary in your current position. If you return to a part-time position at the agency or are
otherwise reemployed, your FEGLI coverage conveys to your agency employment, and it is
treated as if you are a reemployed annuitant.
U.S. Office Of Personnel Management
128
HISTORICAL INFORMATION
Active Duty Military Service
Portability
Power of Attorney
Active Duty Military Service
By law, from August 1956 until June 1986 FEGLI terminated whenever an employee entered on
active military duty.
Portability
From April 1999 until April 2002 employees with Option B whose group coverage terminated
due to separation or completion of 12 months in nonpay status could elect to port (continue) their
coverage by making direct premium payments to a Portability Office. This was a 3-year
demonstration project. The three-year portability demonstration project expired in 2002 and
employees are no longer eligible to elect portability.
Power of Attorney
Effective October 1, 2010, if an employee is unable to convert, a person having power of
attorney for that employee may convert on his or her behalf.
U.S. Office Of Personnel Management
129
ANNUITANTS AND COMPENSATIONERS
Eligibility for Life Insurance
Qualifying Retirement Systems
Amount of Life Insurance
Post-65 Reduction in the Amount of Coverage Basic Insurance
Post-65 Reduction in the Amount of Coverage Optional Insurance
Procedures for Retiring Employees
While Retirement Claim Is Pending
Reemployed Annuitants
Procedures for Compensationers
Termination and Reinstatement
Historical Information
ELIGIBILITY FOR LIFE INSURANCE
Basic Insurance Annuitants
Break in Service
MRA+10 Annuitants
Basic Insurance Compensationers
Optional Insurance
Who Makes the Determination?
No Waivers
Accidental Death and Dismemberment Coverage
Basic Insurance Annuitants
When you retire, you are eligible to continue Basic insurance or have it reinstated if you meet
all of the following requirements:
You are entitled to retire on an immediate annuity under a retirement system for civilian
employees (including an MRA +10 annuity);
You have been insured for the 5 years of service immediately before the date your
annuity starts, or for the full period(s) of service during which you were eligible to be
insured if less than 5 years (called the all opportunity requirement);
You are enrolled in FEGLI on the date of retirement; and
You have not converted your life insurance coverage to an individual policy. (If you
have already converted the coverage before it is determined that you’re eligible to
continue your coverage, you must void the conversion policy. To void the conversion
U.S. Office Of Personnel Management
130
policy, contact the insurance company. That company will send you a refund of any
premiums you have already paid for the conversion policy.)
Notes:
An immediate annuity is one that begins within 30 days after the date you separate from
service for retirement.
Any other life insurance your agency may offer in addition to or in lieu of FEGLI does
not count toward the 5-year requirement. Only FEGLI coverage counts for meeting the
5-year requirement.
Breaks in Service
Breaks in service are not counted when determining the 5 years of service requirement (because
the individual was not eligible to be enrolled in FEGLI during the break in service).
Example 1
Aaron elected Basic insurance when he first became employed on 2/7/83. He resigned 9/30/00,
and returned to Federal service 8/24/10. When he returned to service, he did not make a new
election and got back the same coverage he had before he separated on 9/30/00-Basic only. He
retired 12/31/13. The break in service between 9/30/00 and 8/23/10 didn’t count against Aaron
in determining his eligibility to continue FEGLI. The five years of service needed to continue
FEGLI in Aaron’s case are 8/24/10 – 12/31/13 and 1/30/99-9/30/00. Since he had Basic
insurance during that time, Aaron met the 5-year requirement for continuing his coverage into
retirement.
Example 2
Amy waived all FEGLI when she was first employed in 1973. She left Federal service in 2003
and returned to service in 2011. When she returned to service, she was automatically enrolled in
Basic insurance her very first day. She retired 11/30/12. Amy did not meet the 5-year
requirement for continuing her FEGLI coverage (she waived it back in 1973). Her “first
opportunity” to enroll was in 1973. Since she did not have the coverage for the full period of
service it was available to her, she also didn’t meet the all-opportunity requirement. Therefore,
Amy was not eligible to continue any of her FEGLI coverage into retirement.
Example 3
Bob began working for the Federal Government in 1975 and had Basic insurance from the day
he started. During the 1981 open season he elected 4 multiples of Option B. He left Federal
service in 1995. In 2013 Bob applied for a deferred annuity under CSRS. Since he did not retire
on an immediate annuity, Bob was not eligible to have FEGLI in retirement.
U.S. Office Of Personnel Management
131
MRA+10 Annuitants
An annuity you receive under the Minimum Retirement Age (MRA)+10 provision of FERS also
qualifies as an immediate annuity, even though you separated from service and postponed receipt
of your annuity. A postponed MRA+10 annuity is not the same thing as a deferred annuity.
Effective January 11, 1990, your insurance will be reinstated when you retire under the FERS
MRA+10 provision (as long as you are otherwise eligible to continue your enrollment).
Basic insurance stops at the end of the day on which you separate. You get the 31-day extension
of coverage, and your employing office must give you an SF 2819 (Notice of Conversion
Privilege) for conversion purposes.
If you later apply for retirement and are eligible to continue Basic insurance, the Office of
Personnel Management will send you a notice of eligibility and an SF 2818 (Continuation of Life
Insurance Coverage As An Annuitants and Compensationers). If you wish to have other than 75
Percent Reduction for Basic insurance, you must return the completed SF 2818 within 60 days
after OPM mails the form. Basic insurance will be reinstated effective the date your annuity
starts or the date OPM receives your application for annuity, whichever is later.
Basic Insurance Compensationers
During your first 12 months in nonpay status while you are receiving workers’ compensation
from the Department of Labor, you remain covered as an employee.
When you separate from service or end 12 months of nonpay status (whichever happens first),
your FEGLI as an employee stops. However, you may be able to continue your life insurance as
a compensationer. You may continue it if you meet all of the following requirements:
On the day you separate from service or on the day you end 12 months of nonpay status,
you are still receiving compensation payments;
The Department of Labor has determined that you are unable to return to duty;
You have been insured for the 5 years of service immediately before the date
compensation starts, or for the full period(s) of service during which you were eligible to
be insured if less than 5 years; and
You have not converted your life insurance coverage to an individual policy. (If you
have already converted the coverage before it is determined you are eligible to continue
your coverage, you must void the conversion policy. To void the conversion policy,
contact the insurance company. That company will send you a refund of any premiums
you have already paid for the conversion policy.)
U.S. Office Of Personnel Management
132
Note: The year of continued coverage while in nonpay status cannot be counted toward meeting
the 5-year requirement. You must meet the 5-year/all-opportunity requirement as of the date
compensation begins.
Example 1
Beatrice elected Basic insurance only when she became employed in 1988. In June 2012
Beatrice was hurt in an accident at work and began receiving compensation; she separated from
service in November 2012 and continued receiving compensation. Since Beatrice was insured
for the 5 years of service immediately before the date that compensation started, she was eligible
to continue her FEGLI as a compensationer.
Example 2
Conrad waived all FEGLI when he became employed in 1990. During the 2004 Open Season he
elected Basic insurance; the coverage was effective 9/04/05. In September 2007 Conrad was
injured in an on-the-job accident and began receiving compensation. Since Conrad did not meet
the 5-year or all-opportunity requirement at the time his compensation began, he was not
eligible to continue coverage as a compensationer. However, Conrad’s FEGLI continued while
he was in nonpay status for a year. In September 2008, at the end of his year in nonpay status,
Conrad’s FEGLI terminated since he did not meet the 5-year/all-opportunity requirement. .
Optional Insurance
If you are eligible to continue (or have reinstated) Basic insurance, you are also eligible to
continue (or have reinstated) Optional insurance if you meet the same coverage requirements for
Optional insurance as those for Basic insurance.
For the purpose of continuing insurance as an annuitant or compensationer, you are not
considered to have been eligible for Option C during any period when you had no eligible family
member.
Example # 1
Cindy elected Basic insurance only when she first became employed in 1975. She elected 2
multiples of Option B during the 2004 open season and 5 multiples of Option B in 2012 due to a
life event. She retired 12/31/12. Cindy met the 5-year requirement for her Basic insurance and
for the first 2 multiples of her Option B; however she did not meet the 5-year or all-opportunity
requirement for her last 3 multiples of Option B coverage. Therefore Cindy was eligible to
continue only her Basic insurance and 2 multiples of Option B into retirement.
Example # 2
Ed was single and elected Basic insurance when he first became employed in 1972; he never had
any children. Ed married for the first time 10/16/11 and elected 1 multiple of Option B and 5
multiples of Option C. He retired 11/3/12. Ed met the 5-year requirement for Basic insurance.
U.S. Office Of Personnel Management
133
Since he never had any eligible family members until his 2011 marriage, he met the all-
opportunity requirement to continue his Option C. However, he didn’t meet either the 5-year or
the all-opportunity requirement for his Option B coverage. Therefore he was eligible to continue
Basic insurance and 5 multiples of Option C into retirement.
Who Makes the Determination?
For both annuitants and compensationers, OPM makes the final determination as to whether you
are eligible to continue life insurance coverage.
No Waivers
There are no waivers of any of the requirements to carry life insurance into retirement or as a
compensationer. There are no exceptions to the no waiver” rule – it does not matter whether
you retire on disability, accept a voluntary incentive payment, etc. The only way to continue
coverage into retirement is to meet the 5-year/all opportunity rule. This is different from the
Federal Employees Health Benefits (FEHB) Program, which does allow for waivers under
exceptional circumstances.
If you are not eligible to continue your coverage into retirement, you may convert to a private
nongroup policy.
Accidental Death and Dismemberment Coverage
Insurance coverage you continue as an annuitant or compensationer does not include Accidental
Death & Dismemberment coverage.
QUALIFYING RETIREMENT SYSTEMS
Type of System
Qualifying Systems
Certification of Insured Employee's Retirement Status
Notifying OPM of a Retiree’s Death under a Qualifying Retirement System
Type of System
U.S. Office Of Personnel Management
134
For FEGLI purposes, you must retire under a civilian retirement system for Federal or District of
Columbia Government employees.
Qualifying Systems
Civilian systems include, but are not limited to, the following:
Civil Service Retirement System (CSRS)
Federal Employees Retirement System (FERS)
Board of Governors of the Federal Reserve System
Tennessee Valley Authority System
Foreign Service Retirement System
Foreign Service Pension System
CIA Retirement System
Public School Teachers of the District of Columbia System
Policemen and Firemen of the District of Columbia System
National Oceanic and Atmospheric Administration System
Officers of the Public Health Service System
Lighthouse Retirement System
Federal Judiciary Retirement System
Judiciary of the Territories Retirement System
Teachers Insurance Annuity Association and Collegiate Retirement Equities Fund
Retirement System
Nonappropriated Funds Retirement System
Financial Institutions Retirement Fund System
U.S. Tax Courts Judges Retirement System
Military Court of Appeals Judges Retirement System
U.S. Court of Veterans Appeals Judges Retirement System
District of Columbia Courts Judges Retirement System
Certification of Insured Employee's Retired Status
If you retire under a system other than CSRS or FERS, the administering agency/office of that
system must certify your retirement status to the Office of Personnel Management on the SF
2820 (Certification of Insured Employee's Retired Status).
OPM will then determine whether or not you meet the requirements for continuing insurance as
an annuitant. OPM will notify both you and the administering agency/office of our decision. If
you are eligible to continue coverage, OPM’s Retirement Operations Center will maintain your
life insurance file. You will be given a CSI (“Civil Service Insurance)” file number and a letter
explaining the value of your life insurance. The duplicate copy of the SF 2820 will be sent back
to the administering agency of the retirement system.
U.S. Office Of Personnel Management
135
Notifying OPM of a Retiree’s Death under a Qualifying Retirement
System
If you die as a retiree insured under a system other than CSRS or FERS, your survivors must
inform the administering agency of the retirement system of your death. Your retirement system
will notify OPM. Your retirement system does this by completing the Agency Report of
Termination of Retired Status (bottom block) on the form SF 2820 (or on its prior version- SF
49) and preparing a letter/memo with the name of the deceased and the date of death. Your
retirement system must fax or send this information to OPM, Survivor Processing Branch. The
fax number is 724-794-1263. The address is: OPM, Retirement Operations Center, PO Box 45,
Boyers, PA 16017-0045.
Once OPM’s Retirement Office learns of the death, they will send an FE-6 (Claim for Death
Benefits) to whomever appears eligible for benefits. They will also send the necessary
certification to the Office of Federal Employees’ Group Life Insurance (OFEGLI).
The FE-6 should be completed and sent along with a certified copy of the death certificate to
OFEGLI, P.O. Box 6080, Scranton PA 18505-6080. The address for overnight deliveries is
OFEGLI at 123 Wyoming Avenue, 3rd Floor, Scranton PA 18503.
AMOUNT OF LIFE INSURANCE
Amount of Basic Insurance
Amount of Optional Insurance
Amount of Basic Insurance
The amount of Basic insurance you can continue as an annuitant or compensationer, if eligible, is
your Basic Insurance Amount (BIA) on the date of your separation for retirement or the
completion of 12 months nonpay status, whichever is earlier.
Amount of Optional Insurance
The amount of Option A insurance you can continue as an annuitant or compensationer, if
eligible, is $10,000.
U.S. Office Of Personnel Management
136
The number of multiples of Option B and Option C insurance you can continue as an annuitant
or compensationer, if eligible, is the number of multiples that meet the 5-year/all-opportunity
requirement (or you can choose fewer multiples).
POST- 65 REDUCTION IN THE AMOUNT OF
COVERAGE BASIC INSURANCE
Election for Basic Insurance
Default Election
How the Reduction Works
o 75 Percent Reduction
o 50 Percent Reduction
o No Reduction
When the Reduction Starts
Change of Election
Judges
Election for Basic Insurance
If you are eligible to continue your Basic insurance as an annuitant or compensationer, you must
complete an SF 2818 (Continuation of Life Insurance Coverage As An Annuitant or
Compensationer). On this form, you choose whether you want to continue your Basic life
insurance into retirement or choose compensation. If you choose to continue your Basic
insurance, you must elect the amount of Basic insurance you want to keep after age 65 (or
retirement, if it is later). The choices are 75 Percent Reduction, 50 Percent Reduction, or No
Reduction.
Notes:
If you do not want to continue your Basic insurance into retirement, you must show this
on the SF 2818 (Continuation of Life Insurance Coverage As An Annuitant or
Compensationer); do not complete an SF 2817 (Life Insurance Election) to cancel your
coverage.
If you choose not to continue your Basic insurance, you cannot continue any of your
Optional insurance.
If you choose to continue your Basic insurance, you must elect No Reduction if you
previously elected a partial living benefit.
See the section on Amount of Withholding for Annuitants and Compensationers” for
how your election affects your premiums.
U.S. Office Of Personnel Management
137
Default Election
If you don't make an election regarding the post-65 reduction, you will automatically have the 75
Percent Reduction (unless you previously elected a partial living benefit).
How the Reduction Works
75 Percent Reduction
If you elect a 75 Percent Reduction, when you turn 65 or retire (whichever is later), your Basic
insurance coverage reduces by 2 percent of the BIA each month until the amount has been
reduced by 75 percent. When the reduction is complete, the remaining 25 percent of the BIA is
payable as a death benefit.
Example
Emma retired with a final salary of $54,365, so her BIA was $57,000. She elected 75 Percent
Reduction. When Emma reaches age 65, the amount of her Basic insurance in force will reduce
by $1,140 each month ($57,000 x 2 percent).This coverage will be free for the remainder of her
life. The reduction will continue until $14,250 of her BIA remains ($57,000 x 25 percent). This
is the amount that will be payable if Emma dies after the full reduction has been reached.
50 Percent Reduction
If you elect a 50 Percent Reduction, when you turn 65 or retire (whichever is later), your Basic
insurance coverage reduces by 1 percent of the BIA each month until the amount has been
reduced by 50 percent. When the reduction is complete, the remaining 50 percent of the BIA is
payable as a death benefit.
Example
Floyd retired with a final salary of $59,750, so his BIA was $62,000. He elected 50 Percent
Reduction. When Floyd reaches age 65, the amount of his Basic insurance in force will reduce
by $620 each month ($62,000 x 1 percent). He will continue to pay a premium for the 50 Percent
Reduction. The reduction will continue until $31,000 of his BIA remains. This is the amount that
will be payable if Floyd dies after the full reduction has been reached.
No Reduction
If you elect No Reduction, your Basic insurance coverage does not reduce when you turn 65 or
retire (whichever is later). The full BIA is payable as a death benefit.
Example
U.S. Office Of Personnel Management
138
Elaine retired with a final salary of $47,750, so her BIA was $50,000. She elected No Reduction.
When Elaine reaches age 65, the amount of her Basic insurance in force will not reduce. She will
continue to pay a premium for the No Reduction coverage. This is the amount that will be
payable when Elaine dies.
When the Reduction Starts
The 75 percent reduction or 50 percent reduction starts at the beginning of the 2
nd
month after
your 65
th
birthday or the beginning of the 2
nd
month after your retirement, whichever is later.
Example # 1
Faye retired in 2000 with a final salary of $57,899, so her BIA was $60,000. She elected 75
Percent Reduction and turned 65 on 3/15/12. The amount of Faye’s Basic insurance in force
reduces by $1,200 each month ($60,000 x 2 percent) starting with her 5/1/12 annuity payment.
Example # 2
George retired 10/3/12 at age 67 with a final salary of $61,288, so his BIA was $64,000. He
elected 50 Percent Reduction. The amount of George’s Basic insurance in force reduces by
$640 each month ($64,000 x 1 percent) starting with his 12/1/12 annuity payment.
Change of Election
You may make certain changes to your reduction election for Basic insurance. They are shown
in the following table and discussed in more detail after the table:
You (or your
assignee) can
change Basic
insurance from
To 75 Percent
Reduction
To 50 Percent
Reduction
To No Reduction
75 Percent
Reduction
Not applicable
No
No
50 Percent
Reduction
Yes
Not applicable
No
No Reduction
Yes (unless you
elected a partial living
benefit)
No
Not applicable
If you elect 75 Percent Reduction, you cannot change the election.
U.S. Office Of Personnel Management
139
If you elect 50 Percent Reduction or No Reduction, you may cancel this election at any time.
You will then get 75 Percent Reduction. Exceptions:
If you have assigned your insurance, you cannot cancel your election of 50 Percent
Reduction or No Reduction. Only your assignee(s) can cancel your election.
If you elected a partial living benefit, you must elect No Reduction for your Basic
insurance. You cannot later cancel that election. If you assigned your remaining
coverage after electing a partial living benefit, your assignee(s) cannot cancel your
election of No Reduction.
If you change your 50 Percent Reduction election or No Reduction election, by law the amount
of your Basic insurance remaining switches automatically to the amount that would be in effect
if you had elected 75 Percent Reduction initially at time of retirement. You do not get a refund
of the additional premiums you paid for the higher level of coverage during the time you had it.
If you elect 50 Percent Reduction, you cannot change the election to No Reduction.
If you wish to change your election, send your request in writing (phone calls, faxes, or emails
are not acceptable) to OPM's Retirement Operations Center at P.O. Box 45, Boyers, PA 16017-
0045. You also may call 1-888-US-OPM-RET (1-888-767-6738) for more information on the
amount of your coverage and instructions for how to change or cancel your current coverage.
See the chapter on Assignment for information on the effect of an assignment on elections and
changes of elections.
Judges
Judges retiring under one of the following provisions are considered employees for FEGLI
purposes:
28 U.S.C. 371(a) or (b);
28 U.S.C. 372(a);
28 U.S.C. 377
26 U.S.C. 7447;
11 D.C. Code 776; or
Internal Revenue Code, section 7447.
Basic insurance continues without interruption or reduction, and without payment of additional
premiums for No Reduction, upon retirement. For judges choosing to receive compensation
instead of an annuity, Basic and Optional insurance reduce in the same manner as for other
compensationers.
U.S. Office Of Personnel Management
140
POST-65 REDUCTION IN THE AMOUNT OF
COVERAGE OPTIONAL INSURANCE
Option A
Options B and C
Default Election
Full Reduction
No Reduction
When the Reductions Start
How to Make the Election
o Initial Election
o At Age 65
Can I Change My Election?
What Is the Difference between Canceling a Multiple and Changing to Full
Reduction?
What If I have Assigned My Insurance?
Judges
Option A
The amount of Option A automatically reduces when you reach age 65 (or retire, if later). There
is no election to be made.
The amount of coverage reduces by 2 Percent ($200) each month until the amount has been
reduced by 75 Percent. Only 25 Percent of the original amount ($2,500) is payable as a death
benefit once the full reduction has been reached.
Options B and C
You will be given the opportunity to make an election regarding post-65 reductions for Option B
and Option C. At the time you retire or become insured as a compensationer, you must:
Elect how many Option B and C multiples you currently have as an employee you wish
to continue into retirement; and
Choose whether to have all of those multiples reduce (Full Reduction) or none of them
reduce (No Reduction) when you reach age 65 (or retire, if later). You may also elect
Full Reduction for some multiples and No Reduction for other multiples of your Option
B and/or Option C coverage.
If you choose to continue fewer multiples than you are eligible to continue, you must indicate
this on the SF 2818 (Continuation of Life Insurance Coverage As An Annuitant or
U.S. Office Of Personnel Management
141
Compensationer). You should not complete an SF 2817 (Life Insurance Election) to cancel any
of your insurance at retirement.
You do not have to make the same choice for both Option B and Option C. You may choose
Full Reduction for one type of insurance and No Reduction for the other type of insurance if you
wish, and different multiples for each.
Default Election
If you do not make an election, you will automatically continue all multiples for which you are
eligible and will get Full Reduction for all multiples.
Full Reduction
If you choose Full Reduction, the value of each multiple of Option B and/or Option C reduces by
2 Percent of the original amount each month until the amount has been reduced by 100 Percent.
The insurance stops at 12:00 p.m on the day before the 50
th
reduction; after that no benefits are
payable upon your death (for Option B) or your family member's death (for Option C).
If you elect Full Reduction, your Option B and/or Option C is free once the coverage starts to
reduce.
Example
Gwen retired with 3 multiples of Option B, each worth $70,000; she elected Full Reduction for
all of her multiples. When Gwen reaches age 65, the value of each multiple will reduce by
$1,400 each month ($70,000 x 2 Percent); the coverage will be free once it starts to reduce. The
reduction will continue until there is no coverage left under Option B. No Option B will be
payable if Gwen dies after the full reduction has been reached. Since Gwen has 3 multiples of
Option B, the amount of her Option B at retirement equals $210,000. It will reduce $4,200 each
month ($210,000 x 2 Percent).
No Reduction
If you choose No Reduction, your Option B and/or Option C coverage will not reduce at all.
After age 65 (or retirement, if that’s later), you will continue to pay premiums appropriate to
your age group. See “Cost of Optional Insurance” for optional insurance premiums for your age
group.
U.S. Office Of Personnel Management
142
Example
Henry retired with 5 multiples of Option C and elected No Reduction for all of his multiples.
When Henry reaches age 65, the full amount of his Option C coverage will remain in effect. He
will continue to pay premiums appropriate to his age group.
When the Reductions Start
The reductions start at the beginning of the 2
nd
month after your 65
th
birthday or the beginning of
the 2
nd
month after your retirement, if that’s later.
How to Make the Election
Initial Election
When you retire or become insured as a compensationer, you must make your election on the SF
2818 (Continuation of Life Insurance Coverage As An Annuitant or Compensationer). Your
employing office will include the completed SF 2818 with the retirement package when it
submits the package to OPM.
At Age 65
Shortly before you reach age 65, your retirement system (or OWCP, for compensationers) will
send you a letter reminding you of your initial election and asking if you want to make any
changes. At that time you can choose to change your initial election and have some multiples of
Option B and/or Option C (as applicable) coverage reduce and others not reduce. If you wish to
change your initial election, return the letter to OPM’s Retirement Operations Center with your
new “Age-65” election. If you wish to retain your initial election of coverage, do nothing. You
do not have to return the letter. Your original election will remain unchanged. The following
section has a chart showing what changes you can make.
Can I Change My Election?
You may make certain changes. They are shown in the following tables and discussed in more
detail after the tables:
U.S. Office Of Personnel Management
143
OPTION B
Can change from
You
Your assignee
Full Reduction to No
Reductionif you are
under age 65
Yes
No
Full Reduction to No
Reductionif you are age
65 or older
No
No
No Reduction to Full
Reductionif you are
under age 65
Yes, unless you assigned your
insurance
Yes
No Reduction to Full
Reductionif you are age
65 or older
Yes, unless you assigned your
insurance
Yes
OPTION C
Can change from
You
Your assignee
Full Reduction to No
Reductionif you are
under age 65
Yes
Not applicable (you cannot
assign Option C)
Full Reduction to No
Reductionif you are age
65 or older
No
N/A
No Reduction to Full
Reductionif you are
under age 65
Yes
N/A
No Reduction to Full
Reductionif you are age
65 or older
Yes
N/A
Before you reach age 65, you may change from No Reduction to Full Reduction at any time.
Exception: If you have assigned your insurance, only your assignee(s) may change from No
Reduction to Full Reduction for your Option B coverage.
Before you reach age 65, you may change any number of multiples from Full Reduction to No
Reduction at any time.
U.S. Office Of Personnel Management
144
Example
Heidi retired in October 2005 at age 55. She had 2 multiples of Option B and 5 multiples of
Option C. She elected No Reduction for her Option B and Full Reduction for her Option C. In
March 2013 at age 63 Heidi decides she wants to change 2 of her Option C multiples to No
Reduction. She can make this change now, or wait until she receives her “Age-65” letter in two
years.
You may change from No Reduction to Full Reduction at any time. When you reach age 65 you
also may choose to change some of your initial multiple elections and have some multiples of a
particular type of insurance reduce and other multiples not reduce. Exception: If you have
assigned your insurance, only your assignee(s) may change from No Reduction to Full Reduction
for your Option B coverage. If you change to Full Reduction after you reach age 65, the amount
of insurance remaining switches automatically to the amount that would be in effect if you had
elected Full Reduction originally. You do not get a refund of the premiums you paid after age
65.
After you reach age 65, you cannot change from Full Reduction to No Reduction.
Example
Isaac retired in 2006 at age 60 with 5 multiples of Option B, each worth $45,000; he elected No
Reduction for all 5 multiples. Isaac turned 65 in February 2011. In August 2011 Isaac decided
to change 4 of his multiples to Full Reduction and keep 1 multiple at No Reduction. He notified
OPM, and his change was effective 9/1/11. By law, the value of 4 of Isaac’s Option B multiples
immediately dropped to $40,500 each ($45,000 x 2 Percent x 5 months = $4,500, subtracted
from the original $45,000 amount). The premium for these 4 multiples stopped. Isaac’s 5
th
multiple continued at the $45,000 amount, and Isaac continued to pay the premium for this
multiple.
What Is the Difference between Canceling a Multiple and Changing to
Full Reduction?
If you cancel a multiple, that coverage (and the premiums) stop right away; you do not get the
31-day extension and the right to convert. If you become reemployed, you will not automatically
get that coverage back. Unless you return to service and are reemployed in a FEGLI-eligible
position 180 days or more after the cancellation, you can only get the coverage back by one of
the methods discussed in the section on “Canceling a Waiver”. If you die after canceling a
multiple, no benefits are paid for that multiple.
If you change to Full Reduction, your coverage goes away gradually (2 Percent each month)
instead of all at once (unless it’s already been more than 50 months since your 65
th
birthday).
The reductions don't start (and premiums don't stop) until the 2
nd
month after you reach age 65.
U.S. Office Of Personnel Management
145
If you die after changing a multiple to Full Reduction, benefits are paid on whatever amount of
that multiple is left at the time of your death.
What If I Have Assigned My Insurance?
If you have assigned your insurance, you (the insured) get to make the initial election regarding
Option B reductions, just as you do for Basic. (Option C isn't subject to assignment.) After you
have made the Option B election, you can change only from Full Reduction to No Reduction
(before you reach age 65); you cannot change from No Reduction to Full Reduction.
Only your assignee can change from No Reduction to Full Reduction; your assignee cannot
change from Full Reduction to No Reduction.
Judges
Judges retiring under one of the following provisions are considered employees for FEGLI
purposes:
28 U.S.C. 371(a) or (b);
28 U.S.C. 372(a);
28 U.S.C. 377
26 U.S.C. 7447;
11 D.C. Code 776; or
Internal Revenue Code, section 7447.
Optional insurance continues without interruption or reduction upon retirement. For judges
choosing to receive compensation instead of an annuity, Basic and Optional insurance reduce in
the same manner as for other compensationers.
PROCEDURES FOR RETIRING EMPLOYEES
Forms
o SF 2818 (Continuation of Life Insurance Coverage As An Annuitant or
Compensationer)
o SF 2819 (Notice of Conversion Privilege)
o SF 2821 (Agency Certification of Insurance Status)
If You Wish to Continue Your Insurance
If You Do Not Want to Continue Some or All of Your Insurance Into Retirement
If You Wish to Convert Some or All of Your Insurance
If You Are Not Eligible to Continue Life Insurance
Disability Retirements
U.S. Office Of Personnel Management
146
Forms
SF 2818 (Continuation of Life Insurance Coverage As An Annuitant or
Compensationer)
This is the form you complete to sign for each type of life insurance coverage you want to
continue in retirement. This is also the form on which you elect the type of post-65 reduction
you want for your Basic insurance (75 Percent Reduction, 50 Percent Reduction, or No
Reduction), Option B (Full Reduction or No Reduction), and Option C (Full Reduction or No
Reduction). All retiring employees with FEGLI coverage must complete this form. If you do
not complete the SF 2818 you will automatically get the lowest level of post-65 coverage (75
Percent for Basic insurance and Full Reduction for Option B and Option C).
You cannot newly elect coverage at the time of retirement on the SF 2818. If you are not sure
what coverage to elect, ask your personnel office to provide you information on the level of your
coverage. You can also check your most recent SF50 “Notification of Personnel Action”, your
leave and earnings statement, and/or your agency’s on-line system (as applicable) for this
information.
SF 2819 (Notice of Conversion Privilege)
Agencies must give this form to all retiring employees, even if you appear eligible to continue
your insurance. Some employees may choose to convert Option A insurance for several reasons:
to avoid the automatic reduction in the amount of coverage after age 65, or to convert coverage
to whole life or to another type of insurance that provides a paid-up value from which they can
borrow.
This is a two-part form. Part 1 goes to you; Part 2 goes to the retirement system. Agencies must
attach to Part 2 a list of everyone (names and addresses) to whom they gave or to whom they
sent the notice.
If you have assigned your insurance, your employing office must give the SF 2819 to your
assignee(s), rather than to you. If your employing office gives the form to you, you should give it
to the assignee. If you have Option C coverage, your employing office will give you an SF 2819
in case you want to convert that coverage and also will give your assignee(s) a separate SF 2819.
The form, along with the SF 2821 (Agency Certification of Insurance Status) must be issued to
you as soon as possible before or immediately after you retire, since you only have 31 days from
the date of the notice (or 60 days from the date of the event, whichever is earlier) to convert if
you so choose
Please note the address for OFEGLI on the SF 2819 form is not current. If you wish to
convert any of your coverage, the correct address to send the SF 2819 to is: OFEGLI, P.O. Box
8149, Long Island City, NY 11101-8149.
U.S. Office Of Personnel Management
147
SF 2821 (Agency Certification of Insurance Status)
Your employing office must complete this form for all retiring employees, unless you choose to
cancel all your insurance.
This form accompanies the SF 2819 (Notice of Conversion Privilege) and notifies your
retirement system of the types of coverage you have, the length of time you have had each type
of coverage, and your final salary.
This form requires two certifying signatures: One by a person with access to personnel records
and one with access to payroll records.
If You Wish to Continue Your Insurance
You must complete the SF 2818 (Continuation of Life Insurance Coverage As An Annuitant or
Compensationer), and your agency employing office must complete the SF 2819 (Notice of
Conversion Privilege) and SF 2821 (Agency Certification of Insurance Status) as discussed.
Your employing office will attach these forms to your retirement application and send the
package to the office that administers your retirement system. For CSRS and FERS, that is
OPM. If you retire under another retirement system, they will send your FEGLI documentation
to OPM.
Note: Once you have retired, OPM’s Retirement Operations Center (ROC) becomes your
“agency employing office.” All records relating to your FEGLI are kept in that office, and any
questions or actions you want to take regarding your FEGLI coverage must be directed to that
office. This is true for all retired civilian employees, regardless of which retirement system
you retire under.
If you need to contact the ROC, the phone number is 1-88-US-OPM-RET (1-888-767-6738)
outside the Washington, D.C., metropolitan area or 202-606-0500 within the Washington area.
Annuitants should send written inquiries to the Retirement Operations Center, P.O. Box 45,
Boyers, PA 16017-0045.
Annuitants may also contact OPM by email at [email protected], or visit the OPM websites for
Retirement (www.opm.gov/retire) or FEGLI (www.opm.gov/healthcare-insurance/life-
insurance).
If You Do Not Want to Continue Some or All of Your Insurance into
Retirement
If you do not want to carry some or all of your life insurance coverage into retirement, you still
need to complete the SF 2818 (Continuation of Life Insurance Coverage). For each type of
U.S. Office Of Personnel Management
148
coverage you have, you must indicate on the SF 2818 whether or not you wish to continue it into
retirement.
If you do not continue your Basic insurance, you cannot continue any of your Optional
insurance.
If You Wish to Convert Some or All of Your Insurance
If you only want to convert some of your Optional insurance, your employing office will attach
the original of the SF 2821 to your retirement application. You must submit Part 2 of the SF
2821, along with a completed SF 2819 indicating which options you want to convert, to
OFEGLI.
If you want to convert all of your insurance, your employing office will give you both copies of
the SF 2821 (Agency Certification of Insurance Status) and an SF 2819 (Notice of Conversion
Privilege). Your employing office will keep any Designations of Beneficiary and court orders
directing payment of FEGLI benefits.
Please note that the address for OFEGLI on the SF 2819 form is not current. If you wish to
convert any of your coverage, the correct address to send the SF 2819 to is: OFEGLI, P.O. Box
8149, Long Island City, NY 11101-8149.
If You Are Not Eligible to Continue Life Insurance
Your employing agency will give you both copies of the SF 2821 (Agency Certification of
Insurance Status) and an SF 2819 (Notice of Conversion Privilege). Your employing office must
send all life insurance documents, including any Designations of Beneficiary and court orders
directing payment of FEGLI benefits, to OPM with your retirement papers. OPM will make the
final determination as to whether you are eligible to continue your FEGLI and will have all your
life insurance records in case any questions arise in the future concerning your coverage. If you
are not eligible to continue any of your life insurance into retirement, or you think you might not
be eligible, you can convert your coverage, but you must do so within 31 days of receiving your
employing agency’s notice or within 60 days of your retirement date, whichever is earlier.
If it appears you are eligible to continue some, but not all, of your FEGLI, your employing office
will give you Part 2 of the SF 2821, as well as the SF 2819, so that you may convert your
coverage if you wish.
If you have assigned your insurance, your employing office must give the SF 2819 to your
assignee(s), rather than to you. If your employing office gives the form to you, you should give
it to the assignee. If you have Option C coverage, your employing office will give you an SF
2819 in case you want to convert that coverage and will give your assignee(s) a separate SF
2819.
U.S. Office Of Personnel Management
149
If you convert your coverage, and OPM subsequently determines that you are eligible to
continue FEGLI into retirement, your FEGLI enrollment can be reinstated. You must ask the
insurance company to void your policy and refund the premiums you already paid for the
converted policy.
Disability Retirements under CSRS
If you apply for disability retirement under CSRS, and your employing office submits a
preliminary SF 2806 (CSRS Individual Retirement Record) or SF 3100 (FERS Individual
Retirement Record), it will submit all FEGLI paperwork, including the SF 2821 (Agency
Certification of Insurance Status), SF 2817s (Life Insurance Election), and SF 2823s or SF 54s
(Designation of Beneficiary) on file with the final SF 2806/3100, rather than with the application
for retirement.
Your employing office should note your insurance status in the Remarks section of the
preliminary SF 2806/3100 (Individual Retirement Record) as follows:
Basic Life: Elected [75 Percent Reduction/50 Percent Reduction/No Reduction]
Option A: [Waived/Eligible to continue: coverage began (date)/Not eligible to continue]
Option B: [Waived/Eligible to continue: coverage began (date) number of multiples
held during entire last 5 years/Not eligible to continue]
Option C: [Waived/Eligible to continue: coverage began (date) number of multiples
held during entire last 5 years/Not eligible to continue]
WHILE RETIREMENT CLAIM IS PENDING
If You Die
If Your Insurance Terminates
If You Die
If you die while your retirement claim is pending, a later determination that you were entitled to
an immediate annuity may establish insurance coverage at the date of your death (unless you did
not meet the requirements for continuing coverage into retirement). Exception: If your
insurance had terminated because of 12 months in nonpay status, approval of your annuity
application will restore your insurance coverage only if your annuity would have been effective
no later than 1 month after the end of the 12-month nonpay status period.
If Your Insurance Terminates
U.S. Office Of Personnel Management
150
If your insurance terminates while your retirement claim is pending, your employing office must
notify you of the conversion privilege. If your employing office does not notify you or notify you
in a timely manner, you have the right to contact OFEGLI directly to convert your coverage as
long as you contact them within six months of the termination.
Note: It is your responsibility to know when your coverage terminates, and your rights
concerning how and when to convert coverage.
If your retirement application is approved later, and you meet the requirements for continuing
insurance as an annuitant, your insurance will be reinstated automatically. If you converted your
coverage to an individual policy, you must ask the insurance company to void your policy and
refund the premiums you already paid for the converted policy.
Example
Josh entered nonpay status 6/16/11. He filed an application for disability retirement 8/10/11.
His initial application was denied, and he resubmitted his application 1/12/12. It was denied
4/05/12. By regulation, his FEGLI coverage later terminated 6/15/12 due to 365 days nonpay
status. Josh’s employing office did not issue the SF 2819(Notice of Conversion Privilege) or the
SF 2821 (Agency Certification of Insurance Status). On 9/14/12 Josh died. Josh had the right to
convert by contacting OFEGLI within six months of the termination of his coverage. Because he
did not do so, there is no life insurance payable after his death
REEMPLOYED ANNUITANTS
Annuity Terminated by Reemployment
Annuity Continued during Reemployment Excluded Position
Annuity Continued during Reemployment in Covered Position Basic Insurance,
Option A, and Option C
Annuity Continued during Reemployment in Covered Position Option B
Notifying the Retirement System of Your Reemployment
Electing and Waiving Coverage
If You Are in Nonpay Status While Reemployed
Filing a Designation of Beneficiary, Assignment Form, or Court Order during
Reemployment
If You Die during Reemployment
If a Covered Family Member Dies while You are Reemployed
When You Separate No Supplemental Annuity or New Retirement Eligibility
When You Separate with a Supplemental Annuity or New Retirement Eligibility
If You Are Separating and Are Eligible to Continue Reemployment-Acquired Life
Insurance
U.S. Office Of Personnel Management
151
Annuity Terminated by Reemployment
If you are reemployed under conditions that terminate your annuity, the life insurance you
carried as an annuitant also terminates. There is no right to convert. You can get life insurance
as an employee, as long as you are employed in a covered position. Note: An annuity that is
suspended is not considered to be terminated.
Annuity Continued During Reemployment Excluded Position
If your annuity continues during your reemployment, and you are employed in an excluded
position, all of your FEGLI coverage remains with your annuity. You cannot transfer your
coverage to your employment or elect new coverage as an employee.
Annuity Continued during Reemployment in Covered Position Basic
Insurance, Option A, and Option C
When you are reemployed in a position that does not exclude FEGLI coverage, the Basic
insurance you carried as an annuitant is suspended. You do not have a choice. Your Basic
insurance coverage must be with your employing agency.
You automatically get Basic insurance just like any other employee. Withholdings are made
from your pay, even if you are over age 65. In addition, even if you are over age 65 your life
insurance coverage as an employee will not reduce. The post-65 reductions only affect
annuitants. Your employing office makes the Government contribution instead of OPM.
The amount of your Basic insurance is based on your salary as an employee, before reduction of
pay by the amount of your annuity. The coverage includes Accidental Death & Dismemberment
coverage.
When you have Option A and/or Option C as an annuitant, and you are reemployed in a position
that does not exclude coverage, the Option A and Option C insurance you carried as an annuitant
is also suspended. You automatically get Option A and Option C insurance as an employee.
There is no need to complete a new SF 2817 (Life Insurance Election). Withholdings are made
from your pay, even if you are over age 65. In addition, even if you are over age 65 your life
insurance coverage as an employee will not reduce. The post-65 reductions only affect
annuitants.
The amount of Option A is $10,000 and includes Accidental Death & Dismemberment
coverage. Each multiple of Option C is $5,000 for a spouse and $2,500 for an eligible child.
If you do not have Option A or Option C as an annuitant, you can elect it if you have been
separated from service for at least 180 days. If separated from service less than 180 days, then
any waiver of life insurance you made during your prior employment remains in effect.
U.S. Office Of Personnel Management
152
In addition, if you had Option A and/or Option C as an employee but were not eligible to
continue some or all of the coverage into retirement, you will get the coverage back upon your
reemployment in a covered position.
Annuity Continued During Reemployment Option B
Option B is processed differently from Basic, Option A, and Option C.
When you have Option B as an annuitant and are reemployed in a position that does not exclude
coverage, you must be given the opportunity within 60 days of reemployment to choose whether
to keep Option B as an annuitant or have it as an employee.
If you wish to keep it as an annuitant, you don't have to take any action. You do not have to
complete another SF 2817 (Life Insurance Election). Withholdings will continue to be made
from your annuity (unless you are over age 65 and have elected Full Reduction).
If you want to have Option B as an employee, you must complete an SF 2817 (Life Insurance
Election) within 60 days after reemployment. You must sign for all the insurance you want, not
just Option B; any coverage not signed for will be cancelled. If you waive coverage as a
reemployed annuitant, you also waive your insurance with your retirement annuity. The amount
of Option B coverage will be based on your salary as an employee before reduction of pay by the
amount of your annuity. Withholdings will be made from your pay.
If you do not have Option B as an annuitant, you can elect it as an employee if you have been
separated from service for at least 180 days. If separated from service less than 180 days, then
any waiver of life insurance made during your prior employment remains in effect. If you have
fewer than 5 multiples of Option B as an annuitant and elect to have it as an employee, you can
increase the number of multiples, unless your break in service is less than 180 days.
Note: If you had Option B as an employee, but were not eligible to continue all of the multiples
into retirement, you will get back any multiples that terminated upon your retirement only if you
elect to have Option B as an employee. If you keep your Option B as an annuitant, you will not
get back any terminated multiples.
If you are a compensationer and return to work and you continue receiving compensation, your
FEGLI coverage is treated the same as if you are a reemployed annuitant. You get Basic,
Options A and C (if applicable) and if you have Option B you can choose to have it with your
reemployment, or remain with your compensation.
U.S. Office Of Personnel Management
153
Notifying the Retirement System of Your Reemployment
Your employing office must notify the applicable retirement system immediately upon your
reemployment, so your retirement system can immediately suspend the appropriate FEGLI
withholdings from your annuity.
The form to use for this notification is OPM Form 1482 (Agency Certification of Status of
Reemployed Annuitants). This form is used for CSRS, FERS, and, unless notified otherwise, the
other retirement systems listed in “Qualifying Retirement Systems.”
Effect of a New Waiver
Basic Insurance
If you file a waiver of Basic insurance as a reemployed annuitant, you also cancel the suspended
Basic insurance and all Optional insurance you had as an annuitant. You cannot get it back when
you leave employment.
Option A and Option C
If you file a waiver of Option A or Option C as a reemployed annuitant, you also cancel the
suspended Option A or Option C insurance you had as annuitant. You cannot get it back when
you leave employment.
Option B
If you elect to have Option B as an employee and later file a waiver of the Option B coverage,
this does not cancel your Option B. This transfers the coverage back to your annuity.
If this is what you want to do, you must complete an SF 2817 (Life Insurance Election). Your
employing office should note in the Remarks section: Reemployed Annuitant; Retirement
Claim Number __________; Option B coverage held as an employee cancelled. Reinstate
suspended Option B coverage held as an annuitant.
Your employing office must notify your retirement system, so that it can start making the
withholdings again from your annuity.
If you wish to cancel the suspended annuitant coverage, you must notify your retirement system
in writing. Emails, phone calls, and faxes are not acceptable.
Notification of Retirement System
When you file a waiver as a reemployed annuitant, your employing office must enter the words
Reemployed Annuitant and your retirement claim number on the SF 2817 (Life Insurance
Election).
U.S. Office Of Personnel Management
154
Your employing office should process the SF 2817 in the usual way, and send a photocopy of the
SF 2817 to your retirement system with a short transmittal letter noting the action you took.
If You Are In Nonpay Status While Reemployed
If you complete 12 months of nonpay status while reemployed, your suspended annuitant
coverage will become effective again. Any new coverage you had elected as an employee will
terminate (you can convert this coverage to an individual contract).
Your employing office must notify your retirement system that your employee-held coverage has
terminated, so the retirement system can reinstate the coverage you held as an annuitant and
begin withholding premiums from your annuity. If you return to pay and duty status, your
employing office must notify your retirement system to suspend the annuitant coverage again.
Filing a Designation of Beneficiary, Assignment Form, or Court Order
During Reemployment
When you file an SF 2823 (Designation of Beneficiary), RI 76-10 (Assignment), or court order as
a reemployed annuitant, you should submit it to the Office of Personnel Management,
Retirement Operations Center, P.O. Box 45, Boyers, PA 16017-0045. If you have insurance
coverage through your reemployment (premiums are withheld from your pay, not your annuity),
you may also file your Designation with your employing office. Your employing office must
enter the words Reemployed Annuitant and your retirement claim number on the form and
send it to OPM as soon as possible, but no later than your separation date from your reemploying
agency.
If You Die During Reemployment
Basic Insurance
The amount of benefits payable will be either the amount suspended as an annuitant or
compensationer, less any post-65 reductions, or the amount carried during reemployment,
whichever is higher. To ensure that the proper amount is paid, it is important that your
employing office note you were a reemployed annuitant when it files the SF 2821 (Agency
Certification of Insurance Status) with OPM at the time of your death.
Option A
The amount of benefits payable will be the amount carried during reemployment.
Option B
U.S. Office Of Personnel Management
155
The amount of benefits payable will be whichever coverage you elected to have either the
amount carried as an annuitant or compensationer, or the amount elected in reemployment
regardless of which amount is higher.
Claims for Benefits
Claims for death benefits must be filed through the Office of Personnel Management, not
directly with the Office of Federal Employees' Group Life Insurance (OFEGLI).
The SF 2821 (Agency Certification of Insurance Status) must show your annual pay for
insurance purposes, before it is reduced by the amount of your annuity. Your employing office
must enter the words Reemployed Annuitant and your retirement claim number under your
name and must send the form to the Retirement Operations Center, P.O. Box 45, Boyers, PA
16017-0045. Your employing office should not send the form directly to OFEGLI. Even though
as a reemployed annuitant you were employed with your reemploying agency at time of death,
the SF 2821 should be filed with OPM’s Retirement Operations Center, not OFEGLI. This is so
OPM can certify the correct level of coverage (whichever is higher) to OFEGLI.
You must send claims for accidental dismemberment directly to OFEGLI at P.O. Box 6080,
Scranton, PA 18505-6080.
If a Covered Family Member Dies while You Are Reemployed
Option C benefits will be payable if you had Option C as an annuitant and didn't cancel it during
reemployment, or if you elected it during reemployment.
When You Separate No Supplemental Annuity or New Retirement
Eligibility
If you separate from service and are not eligible for a supplemental annuity or new retirement,
your reemployment-acquired insurance terminates on the date your reemployment terminates,
subject to the 31-day extension of coverage and conversion privilege.
If you have life insurance that was suspended as an annuitant, that coverage, less any post-65
reductions, will be reinstated. Your employing office must notify the retirement system by fax at
724-794-1263, Attention: Life Insurance, so that it can reinstate the suspended insurance and
begin applicable withholdings and contributions. Although your prior reemploying agency is
responsible for notifying OPM, you should be vigilant and make sure your FEGLI coverage is
reinstated with your annuity and premiums are withheld. You will be responsible for any
overpayment of annuity (i.e., underpayment of FEGLI premiums).
U.S. Office Of Personnel Management
156
When You Separate with a Supplemental Annuity or New Retirement
Eligibility
When you separate from service and are eligible for a supplemental annuity or new retirement,
you can continue the reemployment-acquired life insurance if you meet the eligibility
requirements (immediate annuity and 5-year/all-opportunity requirement).
Example # 1
Irma retired in 2008 with Basic insurance only. She became reemployed in 2010 and elected 2
multiples of Option B. She retired again in 2013. She was eligible to continue her
reemployment-acquired Basic insurance, since she had already met the 5-year requirement for
that coverage. However, she didn’t meet the 5-year or all-opportunity requirement for her
Option B, so she was not eligible to continue that coverage when she left employment.
Example # 2
Jeff had Basic insurance and Option A. He elected 3 multiples of Option B during the 2004 open
season. That coverage became effective 9/4/05. Jeff retired in 2008. He was not eligible to
continue his Option B into retirement since he didn’t meet the 5-year or all-opportunity
requirement. He became reemployed in March 2009 and got back the Option B coverage that
had terminated when he retired in 2008. He worked another 3 years. When Jeff separated in
2012 after this subsequent period of service, OPM determined he was eligible for a supplemental
annuity, and he became eligible to continue his Option B because now he met the 5-year
requirement.
Your employing office must complete an SF 2821 (Agency Certification of Insurance Status), the
same as with any other retirement. The words Reemployed Annuitant and your retirement
claim number should be entered under your name.
If You Are Separating and Are Eligible to Continue Reemployment-
Acquired Life Insurance
Basic Insurance
Your retirement system will notify you of the amount of Basic insurance suspended as an
annuitant, less any post-65 reductions, and the amount of Basic insurance you had through
reemployment. You must choose between the two different amounts. If you choose the
reemployment-acquired insurance coverage, you must make a new post-65 reduction election on
the SF 2818 (Continuation of Life Insurance Coverage As An Annuitant or Compensationer).
U.S. Office Of Personnel Management
157
If you originally separated before January 1, 1990, and elected 75 Percent Reduction, you must
pay premiums until age 65 if you elect to continue the reemployment-acquired Basic insurance.
If you elect to reinstate the suspended annuitant insurance, you will not have to make any
premium payments, even if you are under age 65.
Option A
The Option A acquired through reemployment will be continued automatically unless you waive
it.
Option B
If you kept Option B as an annuitant or compensationer, there is no choice to make. If you
elected Option B as an employee, the retirement system must give you a choice between the
suspended coverage, less any post-65 reductions, or the reemployment-acquired coverage.
Option C
The Option C acquired through reemployment will be continued automatically unless you waive
it.
Note: You do not have to choose all of the suspended insurance or all of the reemployment-
acquired insurance. You may pick and choose among the different types of insurance.
PROCEDURES FOR COMPENSATIONERS
Continued Coverage as an Employee
Notification to the Office of Workers' Compensation Programs
When Insurance as an Employee Terminates
o If You Appear Eligible to Continue Your FEGLI as a Compensationer
o If You Do Not Appear Eligible to Continue Your FEGLI as a Compensationer
o If It Is Not Clear Whether You Are Eligible to Continue Your FEGLI
Canceling or Reducing Insurance
Designation of Beneficiary Forms
If You Return to Duty
If You Die as a Compensationer
U.S. Office Of Personnel Management
158
Continued Coverage as an Employee
When you start receiving compensation, you remain insured as an employee until one of the
following things happens:
You complete 12 months in nonpay status; or
You separate from service.
Being insured as an employee, rather than as a compensationer, means:
Basic and Option A coverage include Accidental Death & Dismemberment
There are no reductions in the amount of insurance in force if you are over age 65
Salary changes affect the amount of Basic insurance (unless you previously elected a
partial living benefit) and Option B
You can elect more coverage (although, with the exception of Option C elected due to a
life event, any new coverage will not become effective until you are back in pay and duty
status
You submit designations of beneficiary, assignments, and court orders directing payment
of FEGLI benefits to your employing office instead of to OPM.
Notification to the Office of Workers' Compensation Programs
When you go on leave without pay to receive compensation, your employing office must notify
the Office of Workers' Compensation Programs (OWCP) of the type and amount of life
insurance you have. The form to use for this purpose is OWCP Form CA-7. In the Remarks
portion of the CA-7, your employing office gives your date of birth and the beginning and
ending dates of the pay period in which pay stopped.
OWCP will make withholdings from your compensation starting from the first day of the pay
period following the one in which your pay stops. Exception: OWCP doesn’t make any
withholdings if you receive compensation for fewer than 29 days. The withholdings are the
same rate that was withheld from your salary; however, they are computed based on a 4-week
(equivalent to two pay periods) cycle.
Whenever your pay changes during the time you are still covered as an employee, your
employing office must notify OWCP, so any withholdings for Basic and Option B can be
adjusted, if necessary.
When Insurance as an Employee Terminates
When your insurance as an employee stops, you may be eligible to continue your coverage as a
compensationer.
U.S. Office Of Personnel Management
159
If You Appear Eligible to Continue Your FEGLI as a Compensationer
Your employing agency must give you an SF 2818 (Continuation of Life Insurance Coverage As
An Annuitant or Compensationer). You must complete the SF 2818 making a post-65 reduction
election for your Basic insurance (and your Option B and Option C, if you have those
coverages).
Your employing office must also complete an SF 2821 (Agency Certification of Insurance
Status) and enter your compensation claim number on the SF 2821. Your agency must give you
a copy of the SF 2821, along with an SF 2819 (Notice of Conversion Privilege), in case you wish
to convert any of your coverage.
Your employing office will send the SF 2818, SF 2821, and a copy of the SF 2819, along with
any designations of beneficiary, assignments, court orders directing payment of FEGLI benefits,
and all previous life insurance elections, to OPM.
OPM will verify your compensation status and inability to return to duty with OWCP and will
inform you whether you are eligible to continue coverage.
If you are eligible to continue coverage, OPM's Retirement Operations Center will maintain your
life insurance file and serve as your “employing office” for life insurance purposes. You will be
given a CSI file number and a letter explaining the value of your life insurance.
If you want to convert any or all of your life insurance, your employing office should follow the
same procedures as for annuitants.
If You Do Not Appear Eligible to Continue Your FEGLI as a Compensationer
If your agency determines you do not meet the 5-year/all-opportunity requirement for any of
your FEGLI coverage, they must notify OWCP.
Your FEGLI coverage continues for the first 12 months in nonpay status or until you separate
from service, if that happens first. To notify OWCP, your agency must complete a Notice of
Life Insurance Ineligibility.” This notice is sent to OWCP at the same time the CA-7 is sent.
OWCP will flag its system to stop the withholdings at the end of 12 months. If you separate
from your agency before the end of 12 months in nonpay, your agency must notify OWCP so
they can stop the withholdings at separation.
Your agency will also give or send a copy of the Notice of Life Insurance Ineligibility to you.
This notifies you your FEGLI coverage will terminate upon separation or completion of 12
months in nonpay and that you have a right to convert the coverage.
See the sample “Notice of Life Insurance Ineligibility” form below.
U.S. Office Of Personnel Management
160
NOTICE OF LIFE INSURANCE INELIGIBILITY
Employee's Name
Employee's Social
Security Number
The Federal Employees' Group Life Insurance (FEGLI) law states that a person
who is receiving workers' compensation may continue his/her life insurance if the
person had the coverage for the 5 years of service immediately before he/she
started receiving compensation (or for the entire time the coverage was
available, if that's less than 5 years).
You do not meet this 5-year/all-opportunity requirement. Your compensation
started _______________. Your life insurance coverage was effective as
follows:
Type of Coverage
Effective Date of Coverage
Basic Insurance
Option A
Option B
Option C
Therefore you are not eligible to continue your FEGLI as a compensationer.
Your coverage, however, will not stop right away. You may keep your coverage
for 12 months while you are in a nonpay status. The Office of Workers'
Compensation Programs (OWCP) will withhold your premiums from your
compensation.
At the end of 12 months in nonpay status, your coverage terminates. You have
the right to convert to a private individual policy. Your agency will send you the
forms you need to convert your coverage (SF 2819 Notice of Conversion
Privilege and SF 2821 Agency Certification of Insurance Status).
If you separate from service before you complete 12 months in nonpay status,
your life insurance terminates at that time, and your agency must provide you the
forms necessary for conversion.
If you do not get these forms from your agency, contact your human resources
office to request them.
If It Is Not Clear Whether You Are Eligible to Continue Your FEGLI
U.S. Office Of Personnel Management
161
Your employing agency should follow the same procedures that apply to an eligible employee as
described in BAL 01-216. The Retirement Operations Center will review your life insurance
records and make a determination about your eligibility.
Canceling or Reducing Insurance
If you want to cancel or reduce insurance while you are insured as a compensationer (i.e., no
longer insured as an employee), you must notify OPM so that withholdings can be stopped or
reduced. Submit a letter to OPM, Retirement Operations Center, P.O. Box 45, Attn: Life
Insurance, Boyers, PA 16017-0045. Any cancellation or reduction of life insurance coverage
must be in writing and have an original signature. Emails, phone calls, and faxes are not
acceptable. You need to specify what action you want taken concerning your life insurance
coverage. Be sure to include your name, date of birth, Social Security number and CSI number.
You should also include a daytime phone number, so you can be reached if there are any
questions on your request. OPM determines the effective date of the change, notifies the Office
of Workers' Compensation Programs (OWCP) of the change to withholding, and sends you
verification of the new level of insurance.
Please note you cannot increase your coverage after you are insured as a compensationer, nor can
you reinstate any coverage you cancel.
If you are still insured as an employee and wish to cancel or reduce coverage, you must submit
an SF 2817 (Life Insurance Election) to your employing office.
Designations of Beneficiary, Assignments, and Court Orders
If you are still insured as an employee, you must submit any SF 2823 (Designation of
Beneficiary), RI 76-10 (Assignment), or court orders to your employing office.
If you are insured as a compensationer, you must submit these forms to OPM since your
life insurance records must be on file with them. If they are not, contact your agency to
find out where your FEGLI records are and request they be forwarded to OPM so OPM
can create a CSI file. The address is: OPM, Retirement Operations Center, P.O. Box 45,
Boyers, PA 16017-0045.
If You Return to Duty
When you have been receiving compensation and you return to duty, your employing office must
notify the Office of Workers' Compensation Programs (OWCP) and let them know the beginning
and ending dates of the pay period in which you returned to duty. There is no form to use for
this purpose; your employing office may notify OWCP by letter, phone, or e-mail.
U.S. Office Of Personnel Management
162
If a CSI file has been established by the OPM Retirement Operations Center (ROC), your agency
must also notify the ROC that you are back to work. The ROC will send the original life
insurance forms back to your agency.
If You Die as a Compensationer
If you were insured as a compensationer at the time of your death, your beneficiary(ies) should
provide notification of your death to OPM at 1-888-US-OPM-RET (1-888-767-6738) or 202-
606-0500 within the Washington D.C. metropolitan area. OPM will provide each claimant with
an FE-6 (Claim for Death Benefits). Each claimant must submit a separate claim form to the
Office of Federal Employees' Group Life Insurance (OFEGLI) at P.O. Box 6080, Scranton, PA
18505-6080. The address for overnight deliveries is OFEGLI at 123 Wyoming Avenue, 3rd
Floor, Scranton PA 18503. Claimants should not send the claim form to OPM.
TERMINATION AND REINSTATEMENT
Termination Annuitants
Reinstatement Annuitants
Termination Compensationers
Reinstatement Compensationers
Termination Annuitants
Your insurance stops on the day your entitlement to an annuity terminates. There is no 31-day
extension of coverage or right to convert. Exception: If you are a disability annuitant and your
annuity is terminated because you are found to be recovered or restored to earning capacity, you
can keep FEGLI if you are entitled to and apply for an immediate annuity under another
provision of retirement law. (If you are eligible only for a deferred annuity, FEGLI stops when
your disability annuity stops.)
Reinstatement Annuitants
If you are a disability annuitant, you can have FEGLI reinstated when your disability annuity is
reinstated if you meet the following conditions:
Your disability annuity stopped because of a recovery from the disability or restoration to
earning capacity, and
Your disability annuity is restored after December 31, 1983.
U.S. Office Of Personnel Management
163
If you meet these requirements, you can get back any FEGLI coverage you had immediately
before your annuity was terminated. Refer questions about your reinstatement to OPM, P.O. Box
45, Boyers, PA 16017-0045, or email them at [email protected]
Termination Compensationers
Your life insurance terminates when compensation stops or when the Office of Workers'
Compensation Programs (OWCP) finds you are able to return to duty. There is no 31-day
extension of coverage or right to convert once your insurance terminates. Exceptions:
Your life insurance will continue if you become an annuitant and are eligible to continue
life insurance as an annuitant, or if you return to work in a non-excluded position.
If you are a compensationer who is found able to work part-time or to perform light duty
and you continue to receive a reduced level of compensation, you do not lose your
FEGLI coverage. If you return to Federal service, your Basic insurance (and Options A
and C) held as a compensationer stops and you become insured as an employee. Your
Option B coverage continues as if you were not a reemployed annuitant unless you file an
election with your reemploying agency electing to have Option B and an employee.
Reinstatement Compensationers
There is no reinstatement of life insurance for a compensationer (unless you successfully appeal
the termination of your compensation). However, if you return to duty or become reemployed in
a non-excluded position, you can get FEGLI coverage again.
HISTORICAL INFORMATION
Requirements for Continuing Coverage into Retirement or Receipt of
Compensation
Reemployed Annuitants
Post-65 Reductions
o Basic Insurance
o Option B and Option C
Post-65 Reductions for Compensationers
Retirement or Receipt of Compensation before April 24, 1999
Reemployment and Its Effect on FEGLI Coverage
U.S. Office Of Personnel Management
164
Requirements for Continuing Coverage into Retirement or Receipt of
Compensation
When the FEGLI Program started in 1954, the requirement for continuing coverage into
retirement was that the employee retire on an immediate annuity with at least 15 years of
creditable civilian service. Initially compensationers were excluded, but they were later brought
into the Program retroactive to 1954.
In 1959 the service requirement was reduced from 15 years to 12 years.
In 1978 the 12-year service requirement was removed and replaced with the current 5-year/all-
opportunity coverage requirement.
Reemployed Annuitants
At the beginning of the FEGLI Program, most reemployed annuitants were not eligible for
coverage through their reemployment. Reemployed annuitants became eligible in 1966.
Post-65 Reductions
Basic Insurance
When the FEGLI Program began, regular/Basic insurance began to reduce when an
annuitant/compensationer reached age 65. The reduction continued until 75 Percent of the
original face value was gone. There was no post-retirement election to be made.
The 50 Percent Reduction and No Reduction elections began in December 1980.
Option B and Option C
When Option B and Option C were added to the Program, the post-65 reduction was automatic.
Beginning in 1999, retiring employees were able to choose between Full Reduction and No
Reduction.
Retirement or Receipt of Compensation before April 24, 1999
A compensationer who was retired or insured before April 24, 1999 and had Option B coverage
was given an opportunity between April 24 - October 24, 1999 to choose Full Reduction or No
Reduction for your Option B coverage.
If Option B had already started reducing, a compensationer was given the opportunity to freeze
the Option B coverage at the amount in force as of April 24, 1999. If elected, premiums were
U.S. Office Of Personnel Management
165
withheld again from the annuity or compensation appropriate to the insured’s age and the amount
frozen.
There was no election opportunity regarding Option C.
Reemployment’s Effect on Compensation
Prior to October 2010, a compensationer who was reemployed had FEGLI coverage reinstated at
the salary rate of their reemployment position, even if that salary was part-time or lower than the
salary for the prior period of employment.
Effective October 1, 2010, a compensationer who returns to work in a FEGLI-eligible position at
a part-time rate or lower salary while still receiving a reduced compensation benefit will be
treated the same as a reemployed annuitant. The FEGLI coverage as a compensationer stops, the
coverage transfers back to the employing agency and the compensationer has a choice: retain
Option B as a compensationer, or elect it as an employee.
U.S. Office Of Personnel Management
166
ORDER OF PRECEDENCE AND
DESIGNATION OF BENEFICIARY
Order of Precedence and Payment of Benefits
Designation of Beneficiary
Designating a Trust
Changing or Canceling Designations
If Your Beneficiary Is a Minor
Annuitants and Compensationers
Court Orders
Historical Information
ORDER OF PRECEDENCE AND PAYMENT OF
BENEFITS
Order of Precedence
Effect of Assignments and Court Orders
If No Claim Is Filed
Option C
Order of Precedence
Upon your death, the Office of Federal Employees' Group Life Insurance (OFEGLI) will pay life
insurance benefits in a particular order set by law. This order of precedence is:
If you assigned ownership of your life insurance by filing an Assignment, Federal
Employees Group Life Insurance (RI 76-10), OFEGLI will pay benefits:
First, to the beneficiary(ies) designated by your assignee(s), if any;
Second, if there is no beneficiary, to your assignee(s).
If you did not assign ownership and there is a valid court order on file, OFEGLI will pay
benefits in accordance with that court order.
If you did not assign ownership and there is no valid court order on file, OFEGLI will
pay benefits:
First, to the beneficiary(ies) you designated;
Second, if there is no such beneficiary, to your widow or widower;
Third, if none of the above, to your child, or children in equal shares, with the
share of any deceased child distributed among the descendants of that child (a
court will usually have to appoint a guardian to receive payment for a minor
child);
U.S. Office Of Personnel Management
167
Fourth, if none of the above, to your parents in equal shares, or the entire amount
to the surviving parent;
Fifth, if none of the above, to the court-appointed executor or administrator of
your estate;
Sixth, if none of the above, to your other next of kin as determined under the laws
of the state where you lived.
If you want payment to be made differently from the order listed above, and you have not
assigned your life insurance, and there is no valid court order on file, you must designate a
beneficiary. If you are satisfied with the order listed above, you do not need to designate a
beneficiary.
Effect of Assignments and Court Orders
Assignments and valid court orders preempt the order of precedence.
If you assigned your life insurance, OFEGLI will pay benefits to the beneficiary(ies) designated
by your assignee(s), if any. If there is no such beneficiary, OFEGLI will pay benefits to your
assignee(s).
If you did not assign ownership and there is a valid court order on file, OFEGLI will pay benefits
in accordance with that court order.
If No Claim Is Filed
If the person who is entitled to payment under the order of precedence does not file a claim
within one year after your death (or if payment to the person who filed is forbidden by Federal
law or regulation), OFEGLI can pay the person next in the order of precedence, just as if the
person who would otherwise get the payment had died before you did.
By law, this payment bars any other person from collecting payment.
If the person who is entitled to payment under the order of precedence does not file a claim
within two years after your death, and neither OPM nor OFEGLI has received notice that such a
claim will be made, OFEGLI can pay the claimant who in OPM's judgment is equitably entitled
to the payment. By law, this payment bars any other person from collecting payment.
If a valid claim has not been filed and no claim is pending four years after your death, OFEGLI
returns the insurance proceeds to OPM for deposit in the Employees' Life Insurance Fund.
However, OFEGLI may still pay a valid claim years after the death if no prior claim has been
filed and paid.
U.S. Office Of Personnel Management
168
Option C
Option C benefits are paid to you, the insured, upon the death of your spouse or eligible
dependent child(ren).
If you die after your spouse or eligible dependent child(ren) die, but before Option C benefits are
paid (whether or not you filed for the benefits), the payment will go to the person(s) eligible for
the benefits of your Basic insurance. If you assigned your FEGLI coverage, Option C payment
will be made under the order of precedence, excluding any previous designations of beneficiary
made invalid by your assignment. Option C benefits cannot be assigned.
DESIGNATION OF BENEFICIARY
When to Designate
Who Can Make a Designation?
Designation Form
Receipt before Death
Importance of Updating Designation
Naming Multiple Beneficiaries
Naming Contingent Beneficiaries
Naming Your Estate
Common-Disaster Clause
Employing Office Review
Invalid and Unacceptable Designations
Other Errors to Avoid
Payment When Designation Is Invalid
Employing Office Advice to Employees
Designations for Other Federal Benefits
When to Designate
If you are satisfied with the order of precedence, you need not designate a beneficiary.
However, you do need to designate a beneficiary in these situations:
If you want benefits to be paid to a person, firm, charitable organization, or other legal
entity not listed in the order of precedence;
If you want benefits to be paid in a different order from the order of precedence;
U.S. Office Of Personnel Management
169
If you want to have a contingent beneficiary, i.e., someone to receive the benefits if your
preferred beneficiary dies before you do;
If you want to designate a “common disaster” clause;
If you want benefits to go to a trust you have established for your minor children; or
If evidence of a valid marriage or dissolution of a marriage is not readily available and
you want benefits to be paid in a different order than the order of precedence.
Who Can Make a Designation?
Any insured employee, annuitant, or compensationer may designate a beneficiary. Exception: If
you have assigned your insurance, you cannot designate a beneficiary. The right to designate a
beneficiary transfers to your assignee(s).
Designations cannot be made by someone with a power of attorney or by a court-appointed
guardian, conservator, trustee, or committee. No one can designate benefits on behalf of an
insured person or assignee. Only the insured person or assignee can designate benefits.
If an insured employee, annuitant, or compensationer cannot sign a designation because of a
physical impairment, but is otherwise competent, s/he can sign with an “X”. If an insured
employee, annuitant, or compensationer is not competent, s/he cannot complete and sign a
designation form.
Designation Form
The SF 2823 (Designation of Beneficiary) is the preferred way for you to make a designation for
your FEGLI benefits. You can find instructions on how to complete the SF 2823 on the reverse
side of the form.
Your employing office must receive the valid and properly completed form before you die. If
you are retired or insured as a compensationer, you must submit the SF 2823 to OPM before you
die. The address is: Retirement Operations Center, P.O. Box 45, Boyers, PA 16017-0045.
OPM must receive the valid and properly completed form before you die.
When you complete the SF 2823, your signature must be witnessed by two persons. These
witnesses must also sign the SF 2823 and give their addresses. A witness cannot be someone
you are naming on the form as a beneficiary.
A designation made in any other document is not valid unless the designation is specifically for
your FEGLI benefits, the document is signed by you, witnessed and signed by two persons not
named as beneficiaries, received by the appropriate office before you die, does not contain any
errors that would make it invalid, and a valid SF 2823 (Designation of Beneficiary) is not already
on file.
The SF 2823 requests the social security number of your beneficiary. If your beneficiary does
not have a social security number, you should leave that space blank. In addition, if you do not
U.S. Office Of Personnel Management
170
know your beneficiary’s social security number or do not want to provide it, you should leave
that space blank. Your employing office will still accept the form. Having the social security
number will help the Office of Federal Employees' Group Life Insurance (OFEGLI) locate
missing beneficiaries and verify entitlement to benefits, thus speeding up the payment process
for difficult cases. However, the number is not absolutely necessary.
You can download the SF 2823 (Designation of Beneficiary) at
http://www.opm.gov/forms/pdf_fill/sf2823.pdf.
Receipt before Death
Your employing office must receive your designation of beneficiary before you die for your
designation to be valid. For retirees and those insured as compensationers, OPM is your
employing agency. A designation delivered on a weekend or Federal holiday or a day when the
office is closed for any reason is not “received,” and is not valid, until the next workday. If you
die before your employing office's receipt of a new designation of beneficiary, benefits will be
paid in accordance with your previous designation on file or under the order of precedence, if
there is no previous valid designation.
You should make sure that you obtain the duplicate copy (i.e., a copy of the original) of your
designation, signed and receipted by an authorized official of your employing agency, to ensure
that your designation is properly on file. Retain this copy for your (and your beneficiaries’)
records.
Example
William wanted to update his designated beneficiary since the one on file named his ex-wife. He
completed a designation naming his spouse Jackie to receive all his FEGLI benefits. He gave
Jackie a copy of his completed form and brought the original into work to file with his HR office.
William forgot to drop off the designation, and left it in his desk. He died soon after
unexpectedly.
Since the most recent designation he completed was not on file with his employing office, his
FEGLI benefits will be paid to his former spouse. Even though Jackie has a copy of the
designation he completed, it is not valid since it was not properly filed with the appropriate
office prior to his death.
Importance of Updating Designations
It is your responsibility to ensure that your designation of beneficiary remains accurate and
reflects your intentions. Benefits will be paid based on a valid designation, regardless of whether
that designation still reflects your intentions.
You may want to consider completing a new designation form whenever you have a significant
change in your life, such as a marriage, divorce, death, or acquiring a child. For example, a
divorce does not invalidate a designation that names your former spouse as beneficiary, nor do
U.S. Office Of Personnel Management
171
state laws invalidate a designation (unless a valid court order names the former spouse to receive
FEGLI benefits). You need to complete a new SF 2823 to remove a former spouse.
In addition, if you have a same-sex partner to whom you are not legally married (i.e., your
partner does not meet the definition of a “spouse”), you may wish to name your partner as a
beneficiary if you want your FEGLI proceeds paid to him/her. If you do not have a designation
on file, benefits will be paid based on the statutory order of precedence.
Regardless of your personal circumstances, be sure your designation remains current and
accurately reflects your intentions.
You should keep your designated beneficiaries' addresses current. If you do not, OFEGLI may
not be able to locate your beneficiary, and therefore benefits will not be paid to that person. The
preferred way is to file a new designation of beneficiary whenever a beneficiary's address (or
name) changes. You may also ask your employing office to attach a beneficiary's new address to
your current designation of beneficiary form; your employing office needs to ensure the
attachment is forwarded along with the designation of beneficiary form when you retire or die.
A new address cannot be added directly to the designation of beneficiary form itself, since any
cross outs, erasures, or alterations in your form may invalidate it.
Naming Multiple Beneficiaries
If you want to name more than one beneficiary, there are two ways you can do this:
You can designate percentages or fractions to go to each person, e.g., 50 Percent (or 1/2)
to Kirby, 25 Percent (or 1/4) to Kelly, and 25 Percent (or 1/4) to Lester. The total must
add up to 100 Percent (or 1.0 for fractions).
You can designate types of insurance to go to various beneficiaries, e.g., Basic insurance
to Lynn, Option A to Mike, and Option B to Mildred.
You cannot designate dollar amounts, and you cannot designate an animal, such as a pet. You
can designate a charitable organization or a person who lives in a foreign country.
If the SF 2823 (Designation of Beneficiary) does not have enough room for you to list all your
beneficiaries, you can attach more names. Write SEE ATTACHED in Part B of the SF 2823.
On your attachment, print your name, date of birth, and Social Security number at the top. Then
list the information required in Part B of the SF 2823 for each of your beneficiaries. Sign the
SF 2823 and the attachment. The same witnesses should witness both of your signatures and
sign both the SF 2823 and the attachment. You may use this sample attachment:
Attachment to my SF 2823 (Designation of Beneficiary)
dated _______________
U.S. Office Of Personnel Management
172
Name: _________________________________
Date of Birth: ___________________________
Social Security Number: __________________
I hereby designate:
First name,
middle initial,
last name
SSN
Address
Relationship
Percent/fraction
designated
Total (Must equal 100 Percent or 1.0) __________
Signature: __________________________________Date: __________________
Witnesses to Signature:_______________________ Date: _______________
Witnesses to Signature:_______________________ Date: _______________
Agency Representative Signature: _______________Date: ____________
Naming Contingent Beneficiaries
A contingent beneficiary(ies) is someone to receive the benefits if the person you designate dies
before the Insured dies. If you want to name a contingent beneficiary, you can follow the
example below on your SF 2823:
John M. Parrish, if living 100 Percent
Otherwise to: Susan A. Parrish 50 Percent
William Parrish 50 Percent
Naming Your Estate
U.S. Office Of Personnel Management
173
You can choose to have your FEGLI benefits paid to your estate when you die. If you want to
name your estate, do the following in Part B of the SF 2823:
To My Estate 100 Percent
Common-Disaster Clause
A common-disaster clause is a statement on the designation that says that a designated
beneficiary only gets the benefits if he/she survives you by a specified minimum number of days.
The number of days specified cannot exceed 30.
You can name an alternate beneficiary to receive the benefits in this case. If you do not name an
alternate, benefits will be paid according to the order of precedence.
Example
Norm wanted to designate his wife Nina as his beneficiary, but only if she survived him by a
certain length of time. He added a common disaster clause on his SF 2823, stating that 100
Percent of the benefits are to be paid to “Nina A. Smith, if she survives me by 3 weeks;
otherwise, 50 Percent to Oscar B. Smith and 50 Percent to Odette C. Smith.
Employing Office Actions
Your employing office may review your designation of beneficiary to verify that it appears to
have been completed properly. Your designation should be submitted to the appropriate
employing office via appropriate methods approved by your employing office. They will keep
the original copy in your Official Personnel Folder, or its equivalent. The duplicate copy (or a
copy of the original), dated and signed by an authorized agency official, is returned to you. Your
employing office will keep all prior designations of beneficiary on file.
You (and not your agency or anyone else) are responsible for completing a designation properly.
If your employing office accepts a form that is not completed properly, that does not make the
form valid.
Invalid and Unacceptable Designations
These are some of the things that may cause a designation to be invalid or unacceptable:
You do not sign the designation.
The designation is signed by your personal representative, power of attorney, or guardian
instead of you.
The designation is not signed by two witnesses.
The designation contains one or more cross outs, erasures, or alterations.
Your employing office does not receive your designation of beneficiary until after you
die.
U.S. Office Of Personnel Management
174
You have assigned your insurance, and you, not your assignee(s), signed the designation.
One or both of the witnesses is also named as a beneficiary, and there are no remaining
(non-witnessing) beneficiaries named on the designation. (If there are remaining
beneficiaries, the designation is not invalid; however, payment will not be made to any
beneficiary who served as a witness. Payment will be distributed to the remaining
beneficiaries as if the beneficiary(ies) who served as a witness died before you.)
The beneficiaries named on the original and the duplicate copies of the designation of
beneficiary are different.
Your name, as shown in the body of the designation, is significantly different from your
signature. The difference is not significant if initials of first and middle names are used
in one place and full names in the other.
The amounts you designated do not add up to 100 Percent (or 1.0, if you designated
fractions).
You do not name a specific beneficiary. Examples of this are:
o Per stirpes designations ones that provide for the equal distribution of benefits
among the children of a deceased named beneficiary. You may want to consider
a designation like this, instead:
Hector Gonzales, my son, 100 Percent, if living
Otherwise to the estate of Hector Gonzales
A designation in which the beneficiary does not yet exist (e.g., Mary Smith's children,
born and unborn”, or “TBD”.)
Other Errors to Avoid
To ensure proper payment to your beneficiaries, you should avoid these errors when completing
a designation of beneficiary form:
Not stating the given name of the beneficiary (e.g., Mrs. Patrick Doe instead of “Penny
Doe).
Making provisions that cannot be recognized, such as payment of just debts, or to
Raymond, if he stays in college”, or “Andrea when she reaches age 25”.
Not clearly stating that you are naming a contingent beneficiary (e.g., “Rachel Jones or
Simon Jones” instead of “Rachel Jones, if living; otherwise to Simon Jones”).
The back of the SF 2823 (Designation of Beneficiary) contains examples of several different
types of designations, showing the correct way to make each type.
Payment When Designation Is Invalid
OFEGLI will make payment in accordance with your last valid designation of beneficiary (or
according to the order of precedence, if there is no designation) when your latest designation
form:
Lacks either your signature or witnesses' signature(s);
U.S. Office Of Personnel Management
175
Was not received by your employing office or retirement system before your death; or
Was signed while you were incompetent or under undue influence, as found by a court of
competent jurisdiction.
OFEGLI will make payment in accordance with the statutory order of precedence when your
latest designation form:
Names a beneficiary who died before you, and there are no other surviving named
beneficiaries;
Names a beneficiary who forfeited his/her right to the proceeds by wrongfully causing
your death (and no other beneficiaries were named);
Names a trust that was never established (and no other beneficiaries were named); or
Names an entity that does not exist, or for which there is no legitimate, recognized
successor organization (and no other beneficiaries were named).
Employing Office Advice to Employees
When you become insured, your employing office should give you a copy of the FEGLI Program
Booklet (FE 76-21, or FE 76-20 for Postal employees) or let you know that a copy is available
on OPM’s website at http://www.opm.gov/healthcare-insurance/life-insurance/. The booklet
lists the order of precedence and discusses the option of designating a beneficiary.
From time to time employing offices should remind their employees that changes in family
status, without a corresponding change in designation of beneficiary, could result in benefits not
being paid the way you want.
However, you, not your agency, are solely responsible for ensuring that your designation is
correct and accurately reflects your intentions.
Designations for Other Federal Benefits
The SF 2823 (Designation of Beneficiary) is completed to designate FEGLI benefits. There are
separate forms to be used for other types of designations, as follows:
SF 2808 (Designation of Beneficiary, CSRS)
SF 3102 (Designation of Beneficiary, FERS)
SF 1152 (Designation of Beneficiary, Unpaid Compensation of Deceased Civilian
Employee)
TSP-3 (Designation of Beneficiary, Federal Thrift Savings Plan)
You can download all the forms from the OPM Designations of Beneficiary page on the FEGLI
website www.opm.gov/healthcare-insurance/life-insurance/designating-a-beneficiary/.
U.S. Office Of Personnel Management
176
DESIGNATING A TRUST
Information Required
Inter Vivos Trusts
Testamentary Trusts
Other Formats
Information Required
You can designate a person or institution as a trustee under the terms of a trust agreement to
receive the life insurance benefits upon your death.
To make sure that these designations are clear and to allow quick identification of the entitled
party, OPM has established suggested formats to use for these designations. To be valid, the
trustee designation must be attached to and made a part of the designation of beneficiary form.
The employing office should mark the attachment as received in the same manner as the
designation of beneficiary in case it gets separated from the designation. The designation of
beneficiary form should state See attached in the space for the designation.
While it is not absolutely necessary to use the OPM-established formats, the following
information must be included for the designation to be valid:
A statement that the FEGLI death benefit is to be paid to the trustee or successor trustee,
and
The name and date of the Trust (for inter vivos trusts).
Inter Vivos Trusts
An inter vivos trust is one that you establish during your lifetime.
This is a suggested format for this type of trust:
Name of Insured (please print): ______________________________________
Social Security Number of Insured: ___________________________________
INTER VIVOS TRUSTEE DESIGNATION
U.S. Office Of Personnel Management
177
TO BE ATTACHED TO AND MADE PART OF DESIGNATION OF BENEFICIARY
DATED______________________________________
I request that the amount payable under the FEDERAL EMPLOYEES' GROUP LIFE
INSURANCE PROGRAM (Proceeds) be paid to the Trustee(s) or Successor Trustee(s) as
provided under (Name of Trust Agreement) __________________________________
bearing the date of ______________ executed by me.
I further request that in the case of the failure of said Trustee(s) to be appointed as such or to
qualify as such for any reason, or the termination for any reason of the trust prior to my death
that the Proceeds shall be paid to:
Name
Address
Relationship
Share
_________________
__________________
_________________
______________
_________________
__________________
_________________
______________
_________________
__________________
_________________
______________
The Office of Federal Employees' Group Life Insurance (OFEGLI) shall not be responsible
for the application or disposition of the proceeds by said Trustee and the receipt by said
Trustee shall fully discharge OFEGLI's liability under the FEDERAL EMPLOYEES'
GROUP LIFE INSURANCE PROGRAM.
____________________________________
______________________________
Signature of Insured/Assignee (Only the
Insured/Assignee may sign. Signatures by guardians,
conservators or through a power of attorney are not
acceptable.)
Date of execution (Month, day, year)
Two Witnesses to Signature (A witness is not eligible to receive payment as a beneficiary):
__________________
________________________
_______________________________
Signature of witness
Number and street
City, state and ZIP code
__________________
________________________
_______________________________
Signature of witness
Number and street
City, state and ZIP code
Testamentary Trusts
A testamentary trust is one that you create by your will at death.
This is a suggested format for this type of trust.
Name of Insured (please print): __________________________________
Social Security Number of Insured: _______________________________
TESTAMENTARY TRUSTEE DESIGNATION
U.S. Office Of Personnel Management
178
TO BE ATTACHED TO AND MADE PART OF DESIGNATION OF BENEFICIARY DATED
_________________
I request that the amount payable under the FEDERAL EMPLOYEES' GROUP LIFE
INSURANCE PROGRAM (Proceeds) be paid to the Trustee(s) or Successor Trustee(s) as
provided under my Last Will and Testament, and I further request that in the case of the
failure of said Trustee to be appointed as such or to qualify as such by reason of non-probate
of any Will to that effect or for any other reason whatsoever, the Proceeds shall be paid to:
Name
Address
Relationship
Share
_________________
__________________
_________________
______________
_________________
__________________
_________________
______________
_________________
__________________
_________________
______________
The Office of Federal Employees' Group Life Insurance (OFEGLI) shall not be responsible
for the application or disposition of the proceeds by said Trustee and the receipt by said
Trustee shall fully discharge OFEGLI's liability under the FEDERAL EMPLOYEES'
GROUP LIFE INSURANCE PROGRAM.
____________________________________
______________________________
Signature of Insured/Assignee (Only the
Insured/Assignee may sign. Signatures by guardians,
conservators or through a power of attorney are not
acceptable.)
Date of execution (Month, day, year)
Two Witnesses to Signature (A witness is not eligible to receive payment as a beneficiary):
__________________
________________________
_______________________________
Signature of witness
Number and street
City, state and ZIP code
__________________
________________________
_______________________________
Signature of witness
Number and street
City, state and ZIP code
Other Formats
If you want to use some other format, cannot provide the information requested above, or need
additional information about designating a trust, please contact OFEGLI in writing at P.O. Box
6080, Scranton, PA 18505-6080. The address for overnight deliveries is OFEGLI at 123
Wyoming Avenue, 3rd Floor, Scranton PA 18503.
CHANGING OR CANCELING DESIGNATIONS
Your Right to Change or Cancel
Changing Your Designation of Beneficiary
How Long Does My Designation Last?
U.S. Office Of Personnel Management
179
Your Right to Change or Cancel
Unless you have assigned your life insurance, or your employing office has received a valid
court order requiring benefits to be paid to a specific person(s), you have the right to change or
cancel your designation of beneficiary at any time, without the knowledge or consent of any
previous beneficiary.
Changing or Cancelling Your Designation of Beneficiary
If you want to change your designation of beneficiary, complete a new designation form, SF
2823, and submit it to your employing office. This will supersede any prior designation.
If you want to cancel your current designation without naming a new beneficiary, you need to
complete a new designation form and submit it to your employing office. On the form write
“Cancel Prior Designations” in Part B. When you die, benefits will be paid according to the
order of precedence.
How Long Does My Designation Last?
Your designation of beneficiary remains valid until one of the following things happen:
You submit a valid new designation either naming a different beneficiary or canceling
your previous designation;
You cancel your insurance;
Your insurance as an employee terminates (your designation automatically cancels 31
days after the date of the termination). Exception: If you become insured as an annuitant
or compensationer, your designation continues;
Your annuity terminates (your designation automatically cancels the day your annuity
terminates). Exception: If you are entitled either to OWCP benefits (and determined by
the Department of Labor to be unable to return to duty) or to an immediate annuity under
another provision of retirement law, your insurance and your designation continue;
Your compensation stops or the Department of Labor determines that you are able to
return to duty (your designation automatically cancels the day of the determination or the
day your compensation stops). Exception: If you are entitled to continue insurance as an
annuitant or you return to Federal service on the day after compensation terminates, your
insurance and your designation continue;
The effective date of an assignment of insurance (if an assignment has been made).
If you separate from Federal service and convert your life insurance to a private policy, any
designation of beneficiary you made under the FEGLI Program does not convert. If you wish to
U.S. Office Of Personnel Management
180
designate a beneficiary under your conversion policy, you must contact the insurance company
that issued the conversion policy.
If you transfer from one agency to another, and your FEGLI continues, your designation of
beneficiary remains in effect. Exception: If your transfer to another agency was before
November 17, 1986, any designation completed before that date is invalid. You must file a new
designation if you do not want benefits paid according to the order of precedence.
Your employing office must alert OFEGLI to any designations and subsequent transfers made
prior to November 17, 1986, whenever life insurance forms are sent to OFEGLI.
IF YOUR BENEFICIARY IS A MINOR
Payment to Minors Barred
What Will OFEGLI Do?
Payment to Minors Barred
A minor is a child under age 18. If the state where the child lives sets a lower age for reaching
adulthood, that lower age applies.
OFEGLI cannot pay benefits to a minor.
What Will OFEGLI Do?
If the beneficiary is a minor whether by designation or under the order of precedence
OFEGLI will pay a court-appointed guardian, if there is one. Parents biological or adoptive
are not automatically guardians. A court must appoint a guardian and grant to the guardian the
authority to collect money on behalf of the child. The guardian then can submit a claim to
OFEGLI with proof of the guardianship, and benefits will be paid to the guardian on behalf of
the minor.
If there is no court-appointed guardian, and the proceeds are $10,000 or more, OFEGLI will hold
the money in an interest-bearing account until the minor reaches legal age. At that time, the
child can apply for the proceeds on his/her own behalf.
If there is no court-appointed guardian, and the proceeds are under $10,000, OFEGLI will pay
the minor’s parent(s). The parent(s) must agree in writing to:
Hold the money for the child until he/she reaches legal age;
Account for the money to the child when the child reaches legal age; and
U.S. Office Of Personnel Management
181
Indemnify OFEGLI (meaning hold OFEGLI harmless in a possible future lawsuit) in the
event the parent(s) misuses the funds.
If the parent(s) do not agree in writing to the three conditions, a court-appointed guardian or
court-appointed conservator can be paid. If there is no court-appointed guardian or court-
appointed conservator, the proceeds will be held in an interest-bearing account until the minor
reaches legal age. At that time, the child can apply for the proceeds on his/her own behalf.
ANNUITANTS AND COMPENSATIONERS
Continuing Designations
Procedures
FERS MRA+10 Retirements
While Insured as an Annuitant or Compensationer
Reemployed Annuitants
Continuing Designations
When you are eligible to continue your FEGLI as an annuitant or compensationer, any valid
designation of beneficiary on file with your employing office remains valid, unless you change
or cancel the designation or your annuity or compensation stops.
Procedures
When you retire, unless you elect to convert your insurance, your employing office must attach
any SF 2823 or SF 54 (a previous version of the Designation of Beneficiary), RI 76-10
(Assignment), and/or court order directing payment of FEGLI benefits, to your retirement
application and send it, together with the original SF 2821 (Agency Certification of Insurance
Status), and all other FEGLI documents to OPM’s retirement office.
If you are separating for disability retirement after a finding of total disability has been made by
OPM, your employing office will send the SF 2823 (Designation of Beneficiary) and/or court
order with the final SF 2806/SF 3100 (CSRS/FERS Individual Retirement Record).
When you become insured as a compensationer (see the subsection “Continuing FEGLI
Coverage as a Compensationer” ), your employing office must send any SF 2823 or SF 54
(Designation of Beneficiary), RI 76-10 (Assignment), and/or court order directing payment of
FEGLI benefits, together with the original SF 2821 (Agency Certification of Insurance Status),
and all other FEGLI documents to OPM’s retirement office.
FERS MRA+10 Retirements
U.S. Office Of Personnel Management
182
If you are a separating employee eligible to retire under FERS MRA+10 provisions, but you do
not file an application, your employing office must keep any current designation of beneficiary,
assignment, and/or court order directing payment of FEGLI benefits in your Official Personnel
Folder or its equivalent. Your employing office will check the appropriate box on the SF 2821
(Agency Certification of Insurance Status) to show that the designation has been retained in the
OPF.
When you later apply for retirement, the retirement system will request your designation and all
other FEGLI documents from the National Personnel Records Center. Your most recent
designation on file will be made valid upon reinstatement of your life insurance. If you want to
change your designation, contact OPM at Retirement Operations Center, P.O. Box 45, Boyers,
PA 16017-0045.
While Insured as an Annuitant or Compensationer
An annuitant or compensationer has the same rights as an employee to make, change, or cancel a
designation. See the subsection “Your Right to Change or Cancel”.
If you are retired or insured as a compensationer, you must submit any new designation of
beneficiary to OPM’s retirement office regardless of the retirement system from which you are
retired. Send your completed designation of beneficiary to Retirement Operations Center,
Retirement Information and Correspondence Branch, P.O. Box 45, Boyers, PA 16017. Send
assignments and/or court orders directing payment of FEGLI benefits to the same address.
OPM must receive the designation of beneficiary, assignment, and/or court order before you die.
Reemployed Annuitants
If you are a reemployed annuitant, you should submit any new designation of beneficiary to
OPM, Retirement Operations Center, Retirement Information and Correspondence Branch,
P.O. Box 45, Boyers, PA 16017-0045. If you have insurance coverage through your
reemployment (premiums are withheld from your pay, not your annuity), you may also file your
designation with your employing office; however, your employing office must send it to OPM as
soon as possible after receiving it. Your employing office must enter the words Reemployed
Annuitant and your retirement claim number on the designation form before sending it to OPM.
COURT ORDERS
Effect of a Court Order
Submission of Court Order
U.S. Office Of Personnel Management
183
Disposition of Court Order
Effect of a Court Order
With the enactment of Public Law 105-205 on July 22, 1998, FEGLI benefits must be paid in
accordance with the terms of a valid court order, regardless of whether you actually complete a
designation of beneficiary form complying with the court order.
The court order supersedes any of your prior designations. When such a court order is in effect,
you cannot change your designation or make a new designation, unless the person(s) named in
the court order agree(s) in writing or unless the court order is subsequently modified. Your
employing office may accept a designation from you, but that does not make it valid.
Submission of Court Order
To be valid, a certified copy of the court order must be on file with the insured’s employing
office before the insured’s death. Anyone can submit the court order, including the ex-
spouse or attorney.
If you are an annuitant, the court order must be sent to OPM at Retirement Operations Center,
Retirement and Correspondence Branch, P.O. Box 45, Boyers, PA 16017-0045. If you are a
compensationer, during the first 12 months of nonpay status the court order must go to your
employing office. After you separate or complete 12 months in nonpay status, the court order
must be sent to OPM.
Disposition of Court Order
Your employing office must file any court order in your Official Personnel Folder (OPF) (or its
electronic equivalent). Your employing office must clearly stamp the court order with the
receipt date and flag your OPF in some way to indicate that it contains a court order. Your
employing office will not review the court order or make any determination on its validity.
If your employing office receives a subsequent court order for you, it should also date stamp and
file it in your OPF, with the previous court order(s). Your employing office should send all court
orders, along with the other life insurance forms, to either OFEGLI (at your death) or OPM (at
your retirement). At the time of your death, OFEGLI will determine which court order, if any, is
valid for payment of benefits.
If you submit a designation of beneficiary when you have a court order on file, your employing
office should certify its receipt, and file it in your OPF. Your employing office should notify
you that there is a court order on file and that the designation may not be valid. At the time of
your death, OFEGLI will determine whether the court order is still in effect or whether benefits
should be paid according to the designation.
U.S. Office Of Personnel Management
184
Sometimes a court order awards a portion of an employee’s future annuity, or a future survivor
annuity. Retirement regulations require that an employee’s court order with such provisions be
filed with OPM’s Court-Ordered Benefits Office. But if there is a FEGLI benefit provided for in
the court order and you are an active employee at the time of filing, a copy of the court order
must be filed with the employing agency, too.
Example
Jay is a married employee with FEGLI coverage. He has no designation of beneficiary form on
file. He divorces his spouse Angela. They have no children. The divorce court order provides
that Angela is entitled to a future share of Jay’s retirement annuity, and to 100% of his FEGLI
insurance. Angela’s attorney properly files a copy of the court order for the future annuity share
with OPM’s Court-Ordered Benefits Branch, but does not file a copy with Jay’s agency. Jay also
does not file the court order with his employing agency.
Jay later dies as an active employee. Because the court order awarding FEGLI benefits is not
on file with the appropriate office (in this case his employing agency) at the time of his death,
FEGLI proceeds will be paid based on the order of precedence, so his parents will receive the
proceeds.
HISTORICAL INFORMATION
Transfers from One Agency to Another
Court Orders
Same-sex spouses
Transfers from One Agency to Another
Until November 1986, designations of beneficiary automatically cancelled when an employee
transferred from one agency to another. Since November 1986, designations remain valid when
an employee changes agencies.
Court Orders
Prior to July 22, 1998, court orders requiring payment of FEGLI benefits in a specific way had
no validity under the FEGLI law. Payments were made in accordance with the order of
precedence or in accordance with a valid assignment. Now, court orders are recognized in the
order of precedence if they are received before your death in the appropriate office (agency
employing offices for employees, OPM for those insured as annuitants or compensationers).
Same-sex spouses
U.S. Office Of Personnel Management
185
Effective June 26, 2013, a same-sex spouse of a valid marriage is recognized as a family member
for benefits under the FEGLI Program. Legal same-sex marriages entered into following this
decision will be treated in the same manner as opposite-sex marriages, regardless of an
employee’s or annuitant’s state of residency. Consistent with OPM’s long-standing policy of
recognizing the legal foreign marriages of opposite-sex couples for purposes of FEGLI, OPM
will also recognize legal same-sex marriages granted in countries that authorize such marriages,
regardless of an employee’s or annuitant’s state of residency, for purposes of these programs.
U.S. Office Of Personnel Management
186
ASSIGNMENT
Definition
Reasons for Assigning
How to Make an Assignment
After Assignment
Designations of Beneficiary
Payment of Benefits
Viatical Settlements
Employing Office Responsibilities
Annuitants and Compensationers
Termination and Conversion
Historical Information
DEFINITION
What Is an Assignment?
What Coverage Is Affected?
Living Benefits
Tax Implications
Tax Treatment of Viatical Settlement Payments
What Is an Assignment?
An assignment is the transfer of ownership of your life insurance to another individual (s),
corporation, or trustee.
You are still the insured person, but you no longer own the insurance on your life. You continue
to pay the FEGLI premiums from your employee salary or retirement annuity
An assignment is irrevocable. You may not later change your mind or cancel the assignment.
What Coverage Is Affected?
When you make an assignment, you assign your Basic insurance, and Option A and Option B, if
you have that coverage. An assignment applies to all of this coverage; you cannot assign only
part of this coverage.
You cannot assign Option C; nor can you assign your Accidental Dismemberment coverage
(which is part of Basic insurance and Option A for employees).
U.S. Office Of Personnel Management
187
You may not assign only part of your insurance or assign only one type of insurance.
Living Benefits
If you elect a partial living benefit, you may later assign all remaining insurance (Basic and/or
Optional if applicable). If you elect a full living benefit, you may later assign Optional
insurance.
Neither you nor an applicant acting on your behalf may elect a living benefit if you have already
assigned your insurance.
REASONS FOR ASSIGNING
To Comply with a Court Order
For Inheritance Tax Purposes
To Obtain Cash before You Die
To Pay off Debts
To Comply with a Court Order
You may assign your insurance to comply with an order issued by a divorce court requiring that
a former spouse and/or children from a previous marriage be named as the beneficiary of FEGLI
proceeds.
If a court order requires you to make an assignment, you must still complete an assignment form
for the assignment to take place. A court order requiring an assignment is not, in itself, a valid
assignment.
For Inheritance Tax Purposes
Provisions of Federal and/or state laws may give certain advantages when insurance has been
assigned. When you die, the Internal Revenue Service (IRS) determines whether FEGLI
proceeds are included in your gross estate. If you wish to make an assignment for tax
advantages, you should consult with a competent estate tax advisor.
To Obtain Cash before You Die
You may assign your insurance to a viatical settlement company. Under this arrangement you
would assign your Basic, Option A, and Option B to a viatical settlement company and that
U.S. Office Of Personnel Management
188
company would pay you cash in exchange for ownership of your FEGLI coverage. A living
benefit, which is paid by the Office of Federal Employees’ Group Life Insurance (OFEGLI),
only allows Basic insurance to be paid before your death and is available only if you have a
medical prognosis that you have nine months or less to live. Viatical settlement companies have
their own guidelines to determine whom they are willing to accept assignments from and from
whom they may pay cash to in other circumstances. Any agreement made with a viatical
settlement company is a private agreement between you and the company.
To Pay off Debts
You may assign your insurance to pay off a debt; however, you cannot cancel the assignment
once the debt is paid. Under this arrangement you would have to find a company or person
willing to accept your assignment in exchange for canceling your debt.
Tax Implications
You may wish to consult a tax attorney and consider getting a ruling from the Internal Revenue
Service (IRS) before you assign your life insurance.
This is especially important if you want to make an assignment to a trust or want to avoid
inheriting the FEGLI coverage upon the death of your assignee.
A tax attorney has specific information about tax laws and IRS regulations and can make a
determination about the tax effect of an assignment.
HOW TO MAKE AN ASSIGNMENT
Assignment Form
Multiple Assignees
Unacceptable Assignments
Withholdings and Contributions after an Assignment
Assignment Form
You may make an assignment by completing an Assignment, Federal Employees’ Group Life
Insurance (RI 76-10), available at http://www.opm.gov/forms/pdf_fill/ri_76-10.pdf. Only the
insured (or an assignee re-assigning the insurance) may assign the insurance. No one may make
an assignment on the insured’s or assignee’s behalf. The assignment form must be signed by
two witnesses. An assignee cannot be a witness to the assignment.
An assignment is effective on the date your employing office receives the properly completed,
signed, and witnessed form.
U.S. Office Of Personnel Management
189
The assignment must specify percentages or fractions of the insurance to go to each assignee.
The percentages must total 100 Percent (or fractions must equal 1.0). You cannot name
contingent assignees in the event the primary assignee(s) predeceases you.
You cannot assign dollar amounts, and you cannot assign specific types of coverage.
Multiple Assignees
An assignment can be made to more than one individual, corporation, or trustee.
If you have multiple assignees, no assignee can cancel coverage unless all assignees agree.
Unacceptable Assignments
Your employing office may return your Assignment (RI 76-10) if it is not completed properly.
These are some of the things that may cause an assignment to be invalid:
You have elected a full living benefit and have no optional coverage.
You have named more than one assignee, but they are connected by the word or.
Your name, as shown in the body of the assignment, is significantly different from your
signature. The difference is not significant if initials of first and middle names are used
in one place and full names in the other place.
You have already assigned your insurance, and your assignee(s) has(have) not assigned
ownership back to you.
Your date of birth is not shown or is obviously wrong.
Shares of assignees are not stated correctly (e.g., the shares total less than or more than
100 Percent, or they are given in dollar amounts, rather than percentages or fractions).
You did not sign the assignment form. (A guardian or someone with power of attorney
cannot make an assignment on your behalf.)
The assignment form does not have the signatures of two witnesses.
An assignee is a witness.
The employing office does not receive the assignment until after you die.
Please note that any erasures or corrections made on the assignment form may have the effect of
invalidating the assignment.
If your assignment is unacceptable, your employing office will VOID the form, and return it to
you with an explanation of why it is unacceptable. However, your employing office's failure to
return an incorrect Assignment (RI 76-10) does not make your assignment valid.
Withholdings and Contributions after an Assignment
After making an assignment, by regulation you continue to pay the premiums. Your employing
office must continue to withhold the premiums from your salary or annuity or compensation and
U.S. Office Of Personnel Management
190
must continue to make the Government contribution. The assignee may not pay the premiums.
(However, you may wish to negotiate privately to have the viatical settlement company
reimburse you. This is a private transaction between you and the company. Neither your agency
nor OPM is a party to any arrangement you make with a viatical settlement company.)
AFTER ASSIGNMENT
Your Rights as the Insured
Rights of the Assignee
Current Address
Your Rights as the Insured
After making an assignment, you still have the right to:
Continue Option C coverage, if you have it;
Elect more insurance (during a FEGLI open season, by providing satisfactory medical
information, or with a life event). Note: All of the new insurance except Option C
comes under the existing assignment;
Elect a post-65 reduction at retirement for Basic insurance (however, if you elect other
than 75 Percent Reduction, you cannot later change to 75 Percent Reduction); and
Elect a post-65 reduction at retirement for Options B and C (however, if you elect No
Reduction for Option B, you cannot later change to Full Reduction).
After making an assignment, you cannot:
Revoke that assignment;
Cancel or reduce insurance;
Designate a beneficiary;
Convert to a private policy when FEGLI terminates;
Elect a living benefit;
Change your post-65 reduction election for Basic insurance from No Reduction or 50
Percent Reduction to 75 Percent Reduction;
Make another assignment (unless your insurance has been reassigned back to you); or
Change your post-65 reduction election for Option B from No Reduction to Full
Reduction.
U.S. Office Of Personnel Management
191
Rights of the Assignee
After you assign your insurance, the assignee has the right to:
Cancel or reduce insurance;
Change a post-65 reduction election for Basic insurance to 75 Percent Reduction (unless
you had previously elected a partial living benefit);
Designate and change beneficiaries;
Convert to a private policy when FEGLI terminates (except Option C);
Reassign the insurance; and
Change your post-65 reduction election for Option B from No Reduction to Full
Reduction.
An assignee cannot:
Increase the amount of insurance;
Elect a living benefit;
Make the original post-65 reduction elections;
Take any action regarding your Option C coverage, if you have it; or
Change your post-65 reduction election for Option B from Full Reduction to No
Reduction.
Current Address
Each assignee is responsible for keeping your employing office aware of his/her current address.
Employing offices must attach an assignee's change of address notice to the assignment form in
your Official Personnel Folder (or its equivalent).
DESIGNATIONS OF BENEFICIARY
Your Designation
Assignee's Designation
Your Designation
An assignment automatically cancels your prior designation(s) of beneficiary. (However, the
agency must continue to retain the cancelled designation(s) in your Official Personnel Folder (or
its electronic equivalent), in case the assignment is later found to be invalid.)
Once an assignment is effective, you no longer have the right to designate a beneficiary.
U.S. Office Of Personnel Management
192
Assignee's Designation
Assignees can designate beneficiaries. An assignee's beneficiary(ies) will receive the designated
amount of assigned insurance upon your death. Your assignee is the beneficiary if s/he does not
designate a different beneficiary.
An assignee can designate him/herself as the primary beneficiary and name some other person(s)
as contingent beneficiary(ies) in case s/he dies before you. By naming a contingent beneficiary,
your assignee can simplify life insurance payment.
PAYMENT OF BENEFITS
If You Die before Your Assignee
If Your Assignee Dies before You
If You Die before Your Assignee
When you die, benefits will be paid either to your assignee's beneficiary(ies), or to the assignee if
there are no living designated beneficiaries and the assignee did not complete a designation.
If Your Assignee Dies before You
If your assignee dies before you, your assignee’s heir(s) become the new owners of your
insurance and therefore the new assignee(s). These heirs have the same right as the original
assignee to designate a beneficiary.
If the new assignee did not designate a beneficiary, but the previous assignee did designate a
beneficiary, benefits will still be paid to the original (previous) assignee’s designated beneficiary.
Example:
Sue assigned her insurance to her brother, Todd. Todd designated his girlfriend, Tracy, as his
beneficiary. Todd died before his sister Sue, and Todd’s son Vincent inherited all of Todd’s
property, including ownership of Sue’s insurance. Vincent, however, did not designate a
beneficiary; so when Sue died, benefits were paid to Tracy, the beneficiary designated by the
original assignee, Todd.
U.S. Office Of Personnel Management
193
If the original assignee did not designate a beneficiary, and s/he dies before you, benefits will be
paid to the new assignee (i.e., the person(s) who inherits the original assignee’s property),
according to the laws of the state in which your assignee lived at the time of his/her death. The
new assignee may also designate a beneficiary, in which case the benefits will be paid to the new
assignee’s beneficiary.
Example:
Vera assigned her insurance to her brother, Warren. Warren died before Vera, and he had not
designated a beneficiary. Warren’s widow, Wendy, inherited all of Warren’s property, so Wendy
became the new owner/assignee. When Vera dies, benefits will be paid to Wendy. If Wendy
chooses to designate a beneficiary, then the benefits will be paid to Wendy’s beneficiary.
VIATICAL SETTLEMENTS
Information about Viatical Settlement Companies
Tax Treatment of Viatical Settlement Payments
Information about Viatical Settlement Companies
When you want to assign your insurance to a viatical settlement company, the company may ask
your employing office to provide information about your FEGLI coverage.
Your employing office must have a signed release from you before it can provide the
information; the viatical settlement company should give you the necessary release form. Your
employing office will file copies of the release and the information disclosed to the viatical
settlement company in your Official Personnel Folder (or its electronic equivalent).
Some of the items that a viatical settlement company may request are:
Group Policy Number This number is 17000-G, with the Metropolitan Life Insurance
Company.
Certificate Number There is no certificate number for FEGLI.
Copy of the Group Certificate Your certificate of insurance is a copy of your most
recent Life Insurance Election (SF 2817), or open season election form along with a copy
of the FEGLI Program Booklet for Federal Employees (FE 76-21), or for U.S. Postal
Service Employees (FE 76-20).
Total Death Benefit This is the amount of your Basic insurance, plus any Optional
insurance. If you are under age 45, this would also include information about the Extra
U.S. Office Of Personnel Management
194
Benefit age multiplication factor. If you are retired and over age 65, this would include
any post-65 reductions that have occurred.
Waiting Period before the Employee Can Make an Assignment There is no waiting
period.
Bi-weekly or Monthly Premium
Whether the Policy Has Accelerated Benefits Yes, but only Basic insurance can be
accelerated (i.e., only Basic insurance can be taken as a living benefit). Only employees,
not retirees, can elect a living benefit.
Whether Partial Acceleration Is Permitted Yes, i.e., employees (but not retirees) can
elect a partial living benefit.
Whether the Viatical Settlement Company Can Pay the Premiums No. By regulation,
premiums must continue to be withheld from your salary, annuity, or compensation. You
can negotiate privately to have the viatical settlement company reimburse you. (This is a
private transaction between you and the company. Neither your agency nor OPM is a
party to any arrangement you make with a viatical settlement company.)
Whether There Are Any Assignments Against the Policy The employing office must
check to see whether you have already assigned your insurance and whether that
assignment still appears to be valid.
Whether the Policy Has a Disability Waiver There is no disability waiver under FEGLI.
Whether the Policy Can Be Converted The group insurance can be converted if it
terminates, other than by voluntary cancellation. If the insurance has been assigned, only
the assignee(s) can convert it, and only if it terminates. EXCEPTION: If the annuity or
compensation of an insured individual is terminated, or if the Department of Labor finds
that an insured compensationer is able to return to duty, his/her FEGLI coverage held as
an annuitant or compensationer stops on the date of the termination or finding. There is
no 31-day extension of coverage or conversion right.
Whether the Employee Must Have a Minimum Amount of Insurance to be Eligible to
Make an Assignment No.
Whether an Irrevocable Beneficiary Can Be Designated No. Designations can be
changed at any time. Only an assignment is irrevocable.
Tax Treatment of Viatical Settlement Payments
Qualified payments from viatical settlement companies received on or after January 1, 1997, are
not subject to Federal income tax (Pub. L. 104-191, the Health Insurance Portability and
Accountability Act of 1996, Subtitle D, Treatment of Accelerated Death Benefits). Payments
received from a viatical settlement company before that date were subject to Federal income tax.
This law sets qualification standards for viatical settlement providers, terminally ill insured
persons, chronically ill insured persons, and in the case of chronically ill insured persons, how
the payment may be spent. If you are considering assigning your insurance to a viatical
settlement company, you should consult a tax advisor to determine if you and the viatical
settlement company meet the qualification standards. Under this law, to be considered
terminally ill, a person's life expectancy can be no more than 24 months.
U.S. Office Of Personnel Management
195
This law amends the Federal Internal Revenue Code, which directly affects Federal income
taxes, not state taxes. However, many states have laws, regulations, or rulings concerning the
taxability of payments received from viatical settlement companies. You may wish to consult a
tax advisor or your state's tax department for specific information concerning state income tax
laws.
EMPLOYING OFFICE RESPONSIBILITIES
General
Prohibited Actions
Notification to Assignee
When You Die
When You Separate
General
It is your employing office's responsibility to make information available to employees about
how to make an irrevocable assignment and of the permanence of the assignment. However,
employees are still responsible for knowing about their benefits.
Prohibited Actions
If you assign your insurance, you cannot make another assignment (unless your assignee
reassigned your insurance back to you), designate a beneficiary, elect a living benefit, or cancel
or reduce insurance. Therefore, whenever you want to take any of these actions, your employing
office must verify whether you are eligible to do so by determining whether you have a valid
assignment on file.
If you are hired after a break in Federal service of less than 31 days, your employing office must
check your Official Personnel Folder (or its electronic equivalent) to determine whether there is a
valid assignment on file. Your assignment remains valid unless your break in service is 31 days
or more.
Notification to Assignee
When you make an assignment, your employing office will notify each assignee that you have
assigned ownership of your life insurance. The notice will include the amount of insurance you
assigned and will give the percentage of the total insurance that the assignee now owns. The
notice will also inform the assignee of his/her responsibility for notifying the employing office of
any change of address. See below for a sample notice.
U.S. Office Of Personnel Management
196
Your employing office must also provide each assignee a copy of FEGLI Program Booklet for
Federal Employees (FE 76-21), or for U.S. Postal Service Employees (FE 76-20). a copy of the
completed form Assignment, Federal Employees’ Group Life Insurance Program (RI 76-10),
and a blank Designation of Beneficiary (SF 2823).
Sample Notice
This is a sample notice that your employing office can use:
Dear (assignee's name):
This is to notify you that (employee's name) has assigned _____ Percent
ownership of his/her coverage in the Federal Employees' Group Life Insurance
(FEGLI) Program to you. (Employee's name) has Basic insurance (as applicable:
plus Option A-Standard and Option B-Additional at _____ times his/her annual
pay). The enclosed booklet explains the features of the different types of
insurance.
You are the beneficiary of the life insurance coverage, and you will be entitled to
the benefit upon (employee's name)'s death. However, we urge you to designate a
contingent beneficiary to receive the benefits in the event that you die before
(employee's name). To do this, complete the attached Designation of Beneficiary
form and return it to (name and address of employing office). To designate a
contingent beneficiary, name yourself as primary beneficiary and another person
to receive benefits in case you die before the insured person. See example 3 on
the Back of Part 1 of the Designation of Beneficiary form.
It is important that you tell us when your address changes, so that we can notify
you if events occur that affect the life insurance coverage that has been assigned
to you. When you write to tell us about a change of address, be sure to include
the name and Social Security number of the insured employee. Whenever your
named beneficiary's address changes, please submit a new designation of
beneficiary form showing the updated address.
Sincerely,
(Employing Office Official)
When You Die
When you die, your employing office will send a Claim for Death Benefits (FE-6) to each
assignee at the last known address. If an assignee has designated a beneficiary, the FE-6 will be
sent to the assignee's beneficiary(ies).
U.S. Office Of Personnel Management
197
When You Separate
When you separate from service (when the Nature of Action Code for SF 50 (Notification of
Personnel Action) begins with a “three”(3)), your employing office will include on your
separation SF 50 Remark B69: Employee has assigned ownership of life insurance coverage.
ANNUITANTS AND COMPENSATIONERS
Assignment Remains in Effect
Conversion vs. Continuation
Assignments by Annuitants and Compensationers
Assignment Remains in Effect
When you retire or become insured as a compensationer and you are eligible to continue FEGLI
coverage, your assignment remains in effect, unless your assignee(s) choose(s) to convert your
insurance to a private policy at the time of your retirement (it cannot be converted afterwards).
Your employing office will transfer the assignment form to OPM with the rest of your FEGLI
documents.
Conversion vs. Continuation
When you have assigned your insurance and you retire or become insured as a compensationer,
your employing office will send a Notice of Conversion Privilege (SF 2819) to each assignee.
Your employing office must also send each assignee a copy of the Agency Certification of
Insurance Status (SF 2821) and a copy of the Assignment (RI 76-10) by which you made the
assignment.
When there are multiple assignees, some may choose to let their share of the FEGLI coverage
continue and some may choose to convert their share to a private policy. The amount of
insurance continued or converted depends on the assignee's share of the total; if the amount is
not a multiple of $1,000, it is rounded up to the next thousand dollar amount.
Example
Yolanda has Basic and Option A. She assigns her insurance to three assignees as follows:
Zachary gets 50 Percent, Adrian gets 30 Percent, and Arlene gets 20 Percent. At the time
Yolanda retires, her Basic Insurance Amount is $90,000.
Zachary wants to let his share of the insurance continue into retirement; Adrian and Arlene want
to convert their shares.
U.S. Office Of Personnel Management
198
As a result of Adrian and Arlene’s elections to convert, Yolanda will carry $45,000 of Basic
insurance and $5,000 of Option A into retirement (Zachary's share [$90,000 x 50 Percent and
$10,000 x 50 Percent]). Withholdings from her annuity will be based on these amounts.
Adrian can convert up to $27,000 of Basic insurance and up to $3,000 of Option A ($90,000 x 30
Percent and $10,000 x 30 Percent). Arlene can convert up to $18,000 of Basic insurance and
$2,000 of Option A ($60,000 x 20 Percent and $10,000 x 20 Percent).
If your assignee(s) choose(s) to continue FEGLI coverage, rather than convert, you must make a
post-65 reduction election on the Continuation of Life Insurance Coverage As an Annuitant or
Compensationer (SF 2818). If you choose other than 75 Percent Reduction for Basic insurance,
the assignee(s) can change to 75 Percent Reduction (unless you previously elected a partial living
benefit). You must also make a post-65 reduction election for Option B, if you have it. If you
choose No Reduction, the assignee(s) can change to Full Reduction.
Assignments by Annuitants and Compensationers
Annuitants and compensationers can assign their insurance in the same manner as employees.
If you are an annuitant and wish to make an assignment, you must contact OPM’s Retirement
Operations Center, P.O. Box 45, Boyers, PA 16017-0045 for a copy of the form, or download it
at http://www.opm.gov/healthcare-insurance/life-insurance/reference-materials/publications-
forms/assignment-of-life-insurance/. The phone number is 1-888-767-6738 and 202-606-0500 in
the DC Metro Area. The phone lines are open from 7:45 AM to 5:00 PM EST Monday through
Friday.
If you are a compensationer still insured as an employee and wish to make an assignment, you
must contact your employing office. If you are insured as a compensationer (you have separated
or completed 12 months in nonpay status), you must contact OPM.
TERMINATION AND CONVERSION
Termination
Conversion
Termination
Your assignment terminates 31 days after your FEGLI coverage terminates, unless you are
reemployed during the 31-day period in a position in which you are eligible for life insurance.
U.S. Office Of Personnel Management
199
Once terminated, an assignment is not reinstated if you get FEGLI again at a later date. If you
still want the insurance to be assigned, you must complete a new Assignment (RI 76-10)
Conversion
When your assigned insurance terminates (other than by voluntary cancellation by all assignees),
each assignee has the right to convert his/her share of the insurance to a private policy on you. If
an assignee's share is not a multiple of $1,000, it is rounded up to the next thousand dollar
amount.
EXCEPTION: If the annuity or compensation of an insured individual is terminated, or if the
Department of Labor finds that an insured compensationer is able to return to duty, his/her
FEGLI coverage held as an annuitant or compensationer stops on the date of the termination or
finding. There is no 31-day extension of coverage or conversion right.
When your assigned insurance terminates, your employing office will send a Notice of
Conversion Privilege (SF 2819), a copy of the Agency Certification of Insurance Status (SF
2821), and a copy of your Assignment (RI 76-10) to each assignee.
If you also have Option C coverage, your employing office will send you a Notice of Conversion
Privilege (SF 2819) and a copy of the Agency Certification of Insurance Status (SF 2821). You
can use these forms only to convert your Option C coverage.
HISTORICAL INFORMATION
Federal judges are allowed to assign their FEGLI coverage beginning July 10, 1984.
All other Federal employees, annuitants, and compensationers are allowed to assign their FEGLI
coverage beginning October 3, 1994.
U.S. Office Of Personnel Management
200
LIVING BENEFITS
What Are Living Benefits?
Election Procedures
Effect of a Living Benefit Election
Miscellaneous Provisions
Historical Information
WHAT ARE LIVING BENEFITS?
Definition
Living Benefits vs. Assignment to a Viatical Settlement Company
Eligibility
Amount of Insurance Available for Election
Limit on Number of Elections
Definition
Living benefits are life insurance benefits paid to you while you are still living, rather than paid
to a beneficiary or survivor when you die. (They are also known as accelerated benefits in the
private sector.)
Living Benefits vs. Assignment to a Viatical Settlement Company
Living benefits payments come from the Employees' Life Insurance Fund (part of the U.S.
Treasury). Viatical settlement companies are private sector businesses not connected with the
Federal Government. A viatical settlement is an exchange for cash for the life insurance due to a
terminally or chronically ill person. (See Assignment chapter at [link]).
The amount of insurance available and the requirements for receiving a living benefit payment
are set forth in Federal law. Viatical settlement companies set their own requirements and
payment amounts. Any contract entered into with a viatical settlement company is a private
agreement between you and the company.
Eligibility
You are eligible to elect a living benefit if you are an employee, annuitant, or compensationer
enrolled in the FEGLI Program who has been diagnosed as terminally ill with a life expectancy
U.S. Office Of Personnel Management
201
of 9 months or less, the Office of Federal Employees’ Group Life Insurance (OFEGLI) agrees
with that diagnosis, and you have not assigned your insurance.
You cannot apply in advance; you must be terminally ill at the time of application.
Another person may apply for a Living Benefit on your behalf if all of the following conditions
are met: (i) Your physician must certify that you are physically or mentally incapable of making
an election; (ii) The applicant must have power of attorney or a court order authorizing him or
her to elect a Living Benefit on your behalf; (iii) The applicant must place his or her own
signature on the application and attach it to a true and correct copy of the power of attorney or
court order authorizing the applicant to make the election on your behalf; and (iv) The applicant
must either be your sole beneficiary or attach a true and correct copy of each beneficiarys
written and signed consent.
Amount of Insurance Available for Election
Only Basic insurance is available for payment as a living benefit. Optional insurance cannot be
paid as a living benefit.
If you are an employee, you can elect either a full living benefit, i.e., all of your Basic insurance,
or a partial living benefit (which must be expressed as a multiple of $1,000). Annuitants and
compensationers can elect only a full living benefit.
Limit on Number of Elections
You can elect living benefits only once.
If you elect a full living benefit, you have no Basic insurance left. If you elect a partial living
benefit, you cannot later elect another living benefit from the remaining Basic insurance.
ELECTION PROCEDURES
Application Process
Completing the Election
Living Benefits Approval
Living Benefits Disapproval
Employing Office Responsibilities during the Election Process
Employing Office Processing of a Living Benefit Election
U.S. Office Of Personnel Management
202
Application Process
If you (or a power of attorney acting on your behalf) want to apply for a living benefit, you must
contact the Office of Federal Employees' Group Life Insurance (OFEGLI) at 1-800-633-4542.
OFEGLI will send you a Claim for Living Benefits (FE-8).
Note: Agencies cannot obtain a supply of FE-8, and employing offices are not to give this form
to employees who ask about living benefits. Agencies should provide the employee with the
phone number for OFEGLI, as listed above.
When OFEGLI sends the FE-8, it also sends a calculation sheet, so you can estimate the amount
of Basic insurance available. The calculation sheet takes into account the age multiplication
factor for employees under age 45 and the post-65 reduction for annuitants age 65 and over.
The amount available to be paid as a living benefit will be reduced by an amount representing
lost earnings to the Employees' Life Insurance Fund because of the early payment of benefits.
The amount is called an actuarial reduction.
Completing the Election
You complete Part A of the Claim for Living Benefit (FE-8), and your doctor completes Part B.
Send the form back to OFEGLI. The address shown on the FE-8 form may not be current. The
current address is P.O. Box 6080, Scranton PA 18505-6080. The address for overnight
deliveries is OFEGLI, 123 Wyoming Avenue 3rd Floor, Scranton, PA 18503.
OFEGLI determines whether you qualify for a living benefit, not your agency or OPM.
Living Benefits Approval
If OFEGLI approves your living benefits application, you will receive a check along with an
Explanation of Benefits (FE-8C). You can change your mind about electing a living benefit up
until you cash or deposit the check. The effective date of the living benefit election is the date
you cash or deposit the payment.
If you decide not to elect the living benefit, you should write Void on the check and return it to
OFEGLI. If the living benefit payment is not cashed before your death, your representative must
return the check to OFEGLI. Your beneficiaries may then file a claim for death benefits.
U.S. Office Of Personnel Management
203
Living Benefits Disapproval
If OFEGLI does not approve your living benefit application, you will be notified. There are no
appeal rights; however, you can provide OFEGLI with additional medical evidence to support
your claim or reapply if future circumstances warrant.
Employing Office Responsibilities during the Election Process
When OFEGLI receives your application for a living benefit, it will fax or email your employing
office a Certification for FEGLI Living Benefits for Employees (FE-8A). (If you are retired,
OFEGLI will send a certification form to OPM’s Retirement Office.) Your employing office (or
OPM’s Retirement Office) must certify whether you are enrolled in Basic insurance, whether
you have assigned your insurance, and the amount of your current annual basic pay.
Like the Agency Certification of Insurance Status (SF 2821), the FE-8A requires dual
certification, i.e., it must be certified by both a personnel official and a payroll official.
Employing offices must ensure the addresses of the personnel and payroll offices are complete,
since OFEGLI uses these addresses to send the agency a copy of the Explanation of Benefits
(FE-8C).
It is critical this certification be completed and returned to OFEGLI promptly. Agencies must
fax the completed certification to OFEGLI, at 1-866-554-8357 and then mail the original to
OFEGLI.
If an employing office's personnel and payroll functions are in different geographic locations, the
personnel office can send the FE-8A with its signature directly to OFEGLI and fax a copy to its
payroll office. The payroll office can make its certification on the faxed copy, faxing it to
OFEGLI when it is complete (so OFEGLI can start processing it) and also mailing it. In this
case the required original signatures will be on 2 separate copies of the FE-8A.
Employing Office Processing of a Living Benefit Election
When your employing office receives notification of a living benefit election (i.e., a copy of the
FE-8C, Explanation of Benefits), the personnel office must produce a Notification of Personnel
Action (SF 50). The appropriate Nature of Action code for the SF 50 is either 805 (Elected full
living benefits) or 806 (Elected partial living benefits).
Note: There will be no change to the codes used in box 27 on this form. The code for FEGLI
will remain the same as it was before the living benefit election. You still have Basic insurance;
however the amount of insurance in force is either $0 (in the case of a full living benefit) or a
reduced amount (in the case of a partial living benefit).
The Remarks section of the SF 50 should state:
U.S. Office Of Personnel Management
204
Code B67
Elected full living benefits on ________.
Basic coverage now equals zero.”
Or
Code B68
Elected partial living benefits on ________.
Post-election Basic Insurance Amount is ________.
Must elect “No reduction” for Basic insurance at retirement.”
The Remarks section should state what Optional insurance, if any, you have, including the
number of multiples of Option B and Option C, if applicable.
When the OPM Retirement Office receives notification of a living benefits election, it will make
changes to the online annuity roll system to show that the retiree elected living benefits. No
SF 50 forms are completed for retirees.
EFFECT OF A LIVING BENEFIT ELECTION
Post-election BIA
Retirement Election for Post-65 Reductions
Changes in Withholdings and Contributions
Post-election BIA
When you cash or deposit the living benefits check, OFEGLI sends a copy of the Explanation of
Benefits (FE-8C) to your personnel and payroll offices. This Explanation of Benefits shows the
effective date of your living benefit election and the amount of Basic insurance that remains (the
post-election BIA); if you elected a full living benefit, the post-election BIA is $0.
Your employing office does not calculate the amount of your post-election BIA; this is done by
OFEGLI.
This post-election BIA never changes after the effective date of the living benefits election.
Even if your salary changes, the post-election BIA remains the same. Your premiums also are
based on your post-election BIA. If you are under age 45 at the time of death, OFEGLI will
U.S. Office Of Personnel Management
205
multiply the post-election BIA by the appropriate factor. If you are age 45 or older at the time of
death, the age factor used in computing benefits payable upon your death will not change.
Example
Ben elects a partial living benefit; his post-election BIA is $15,000. Three months later he gets a
pay raise; 2 months later he turns 41; 1 month later he dies.
At the time of death, his BIA is $15,000; his pay raise had no effect on his BIA, since a post-
election BIA never changes. Although he was 41 at the time of death, the death benefits are
computed based on age 40 since that was his age at the time of his living benefit election. His
beneficiary(ies) would therefore receive $22,500 (Basic insurance of $15,000 x an age factor of
1.5 [the age factor for age 40]).
Retirement Election for Post-65 Reductions
The BIA for an employee who elects a living benefit cannot change. If you elected a partial
living benefit and you qualify to continue coverage into retirement, you must elect No
Reduction for Basic insurance on the Continuation of Life Insurance Coverage (SF 2818),
unless you decide to cancel or convert your coverage. You cannot change to 75 Percent
Reduction at a later date.
A living benefits election has no effect on your post-65 reduction election for Option B or
Option C.
Changes in Withholdings and Contributions
If you elect a full living benefit, withholdings and contributions for Basic insurance stop.
If you elect a partial living benefit, withholdings and contributions for Basic insurance are
reduced, and based on your post-election BIA.
Changes in withholdings and contributions are effective at the end of the pay period in which
your living benefit election is effective. If the pay period ends before your employing office
receives its copies of the Explanation of Benefits (FE-8C), it must make a retroactive adjustment.
MISCELLANEOUS PROVISIONS
Optional Insurance
Accidental Death & Dismemberment Coverage
Designations of Beneficiary
U.S. Office Of Personnel Management
206
Assignment
Incorrect Prognosis
Tax Treatment of Living Benefits
Optional Insurance
A living benefits election has no effect on your Optional insurance. All Optional insurance
remains in place, and your living benefits election has no effect on the withholdings for Optional
insurance.
Although changes in pay do not change the amount of your Basic insurance after a living
benefits election, the amount of Option B insurance does continue to change when pay increases
or decreases. If you elect a partial living benefit, premium withholdings for Basic insurance and
Option B insurance will be based on different amounts.
Accidental Death & Dismemberment Coverage
If you elect a full living benefit, you lose Accidental Death & Dismemberment (AD&D)
coverage on Basic insurance, since your Basic Insurance Amount is $0. (AD&D coverage
remains in effect for Option A.)
If you elect a partial living benefit, you still have AD&D coverage, but only on your post-
election BIA.
Designations of Beneficiary
A living benefit election has no effect on your designation of beneficiary. Option A benefits,
Option B benefits, and any Basic benefits remaining after a partial living benefit election are paid
to your designated beneficiary (or according to the order of precedence, if there is no
designation).
However, if you designated Basic insurance to one beneficiary and Optional insurance to another
beneficiary, and you elect a full living benefit, the beneficiary designated to receive Basic
benefits will not receive any payment when you die. The beneficiary designated to receive
Optional insurance will still receive those benefits.
Assignment
If you have assigned your insurance, you cannot elect a living benefit. Your assignee(s) cannot
elect a living benefit on your behalf.
U.S. Office Of Personnel Management
207
If you elect a full living benefit, you can assign Optional insurance. If you elect a partial living
benefit, you may assign any remaining Basic insurance, as well as Optional insurance.
Incorrect Prognosis
If you elect a living benefit and live longer than the expected 9 months, you do not have to repay
the living benefit.
Tax Treatment of Living Benefits
Living benefit payments are not subject to Federal income tax.
You should consult a tax advisor or your state's tax department for specific information
concerning state income tax laws.
HISTORICAL INFORMATION
Living Benefits Allowed
Tax Treatment
Assignment
Power of Attorney
Living Benefits Allowed
Living benefits first became available July 25, 1995 as a result of Public Law 103-409.
Tax Treatment
Prior to January 1, 1997, living benefits payments were subject to Federal income tax. Effective
January 1, 1997, living benefits payments are not subject to Federal income tax.
Assignment
Until October 17, 1997, individuals who elected a living benefit could not later assign their
remaining insurance.
U.S. Office Of Personnel Management
208
Power of Attorney
Effective October 1, 2010, a power of attorney acting on behalf of an insured individual can
apply for the living benefit.
U.S. Office Of Personnel Management
209
CLAIMS
Information for Claimants
Employing Office Responsibilities
Amount of Death Benefit Payable
Timely Notice and Filing of Claims for Accidental Loss
Payment of Claims
Payment to a Minor
Questions regarding Claims
INFORMATION FOR CLAIMANTS
Claims Processing
Requirements for Payment of a Claim
Filing a Claim:
o Active Employee at Time of Death
o Retired or Receiving Compensation at Time of Death
o Option C
Death of Child Incapable of Self-Support
Limitation on Payment
Claims Processing
Claims for benefits are adjudicated and paid by the Office of Federal Employees' Group Life
Insurance (OFEGLI), an administrative unit of MetLife that contracts with OPM to pay FEGLI
claims . Any questions about the status of a claim must be directed to that office at
P.O. Box 6080, Scranton PA 18505-6080. The address for overnight deliveries is OFEGLI, 123
Wyoming Avenue 3rd Floor, Scranton, PA 18503.
or by calling 1-800-633-4542. The telephone lines are open from 8:30 AM to 4:00 PM EST.
Overseas beneficiaries should call 1-212-578-2975.
Requirements for Payment of a Claim
OFEGLI can only pay death benefits after it has received:
Claim for Death Benefits (Form FE-6);
A certified copy of the death certificate or other satisfactory proof of death; and
Certification by the employing office for employees, or by OPM’s Retirement Operations
Center for retirees or compensationers. Such certification must include all supporting
U.S. Office Of Personnel Management
210
documentation, as described below. Agencies use the Agency Certification of Insurance
Status (SF 2821).
The supporting documentation must include all of your designations of beneficiary (if any).
Your employing office must also send all of your FEGLI election forms, any assignments and
any court order(s) on file that direct payment of FEGLI benefits.
A dismemberment claim must include a physician's statement and a Claim for Accidental Means
Dismemberment Benefits (FE-7).
Filing a Claim
Active Employee at Time of Death
If you are employed at the time of your death, your family or other individual(s) should provide
notification of your death to your employing office. Your employing office will provide a copy
of the Claim for Death Benefits (FE-6) to the person(s) who appear eligible to claim benefits,
although the agency does not determine who is eligible. Each claimant must submit a separate
claim form to your employing office.
Your employing office will forward the claim(s) to OFEGLI, along with the Agency Certification
of Insurance Status (SF 2821), all of your completed original designations of beneficiary, any
assignment forms, any court orders on file, and any other election forms and documents relating
to your insurance status. However, your employing office may tell your survivors/beneficiaries
to send their claim forms and other documentation directly to OFEGLI.
OFEGLI will process the claim(s) once it has received the insurance certification from your
employing office and the claim form(s) from the claimant(s).
Retired or Receiving Compensation at the Time of Death
If you are retired or insured due to receipt of Office of Workers' Compensation Programs
(OWCP) benefits at the time of your death, your claimant(s) should report your death to OPM at
1-888-US-OPM-RET (1-888-767-6738) outside the Washington, DC metropolitan area or 202-
606-0500 within the Washington, DC metropolitan area. Claimants may also report the death
online at http://www.opm.gov/retirement-services/contact-retirement/#General%20Contact/ .
OPM will mail a Claim for Death Benefits (FE-6) form to the person who reports your death.
Each claimant must submit a separate claim form to the Office of Federal Employees' Group Life
Insurance (OFEGLI) at P.O. Box 6080, Scranton PA 18505-6080. The address for overnight
deliveries is OFEGLI at 123 Wyoming Avenue 3rd Floor, Scranton, PA 18503. Claim forms
should not to be sent to OPM. OPM will send the certification of the insured’s FEGLI coverage
to OFEGLI.
U.S. Office Of Personnel Management
211
OFEGLI will process the claim(s) once it has received the insurance certification from OPM's
Retirement Operations Center and the claim form(s) from the claimant(s).
Option C
If you are an employee, and an insured family member dies, you must complete Parts A through
C of the Statement of Claim, Option C-Family Life Insurance (FE-6 DEP) and provide it, along
with a certified copy of the death certificate, to your employing office. Your employing office
must complete Part D, Certification of Insurance Status, and send the completed form, with the
death certificate, to OFEGLI.
If you are retired or insured as a compensationer, you must send the FE-6 DEP claim form and a
certified copy of the death certificate to OPM, Retirement Operations Center, P.O. Box 45,
Boyers, PA 16017-0045. OPM will complete Part D of the claim form and send the completed
form with the death certificate to OFEGLI.
If you die after your spouse or eligible child(ren) die, but before Option C benefits are paid
(whether or not you filed a claim), the person(s) eligible for your Basic insurance benefits may
submit a claim for the Option C benefits. If you had assigned your Basic insurance, payment of
Option C benefits will be made under the order of precedence, starting with the 2
nd
on the list
(widow or widower).
Death of Child Incapable of Self-Support
OFEGLI can only pay Option C benefits for a child age 22 or over if the deceased child was
incapable of self-support because of a mental or physical disability that existed before s/he
reached age 22. If you do not have an employing office determination of incapability of self-
support on file, or if the determination has expired, you must provide your employing office with
the information necessary to make this determination.
This determination is made by your employing office, not by OFEGLI or by OPM.
Limitation on Payment
Benefits will not be paid to someone who wrongfully causes the death of the insured person. For
example, if someone wrongfully causes your death, he/she cannot receive Basic, Option A or
Option B benefits, even if he/she is otherwise entitled to those benefits. If you wrongfully cause
the death of one of your insured family members, you cannot receive Option C benefits for that
death.
EMPLOYING OFFICE RESPONSIBILITIES
U.S. Office Of Personnel Management
212
Inviting Claims
Certification
Claim Review
Errors in Certification
Pre-payment Verification
Death during 31-day Extension of Coverage
Inviting Claims
Upon your death or dismemberment, your employing office must promptly contact the person(s)
who appear entitled to benefits and provide assistance in filing a claim.
Certification
When you die, your employing office must immediately prepare an Agency Certification of
Insurance Status (SF 2821, available at http://www.opm.gov/forms/pdf_fill/sf2821.pdf) and send
Parts 1 and 2 along with all other supporting documentation, to OFEGLI. Your employing office
should keep the original in your Official Personnel Folder (the OPF, or its electronic equivalent)
until it receives a claim form from you, although it is acceptable for them to send the original.
Part 3 is the file copy. Your employing office will send the original with the claims filed by your
beneficiar(y)ies to OFEGLI. However, to expedite processing, your agency may instead send the
certification to OFEGLI without waiting for your beneficiary’s(ies’) claim forms and direct your
beneficiar(y)ies to send their claim(s) directly to OFEGLI.
With the advent of electronic Official Personnel Folders (eOPFs), many agencies now submit
imaged versions and/or photocopies of original FEGLI documents. This is acceptable as long as
the submitted documents are produced from an official system of records. For more information
refer to Benefits Administration Letter 12-102.
Claim Review
When your employing office receives a claim, it should verify it has been completed properly.
Your name and date of birth as shown on the claim form must agree with the information on the
agency certification. If there is an apparent discrepancy, your employing office should attach a
statement to the claim verifying that both the claim and the agency certification refer to the same
person.
U.S. Office Of Personnel Management
213
Errors in Certification
If your employing office discovers an error in its certification of your insurance status, it must
immediately contact the Office of Federal Employees' Group Life Insurance (OFEGLI) at 1-800-
633-4542 (or fax to 1-866-554-8357) to request that payment based on the incorrect certification
not be made. It must send a revised Agency Certification of Insurance Status (SF 2821) showing
the correct insurance amount as soon as possible.
Pre-payment Verification
OFEGLI is required to obtain verification before making payment to beneficiaries of insured
individuals with $200,000 or more of FEGLI coverage, and, at their discretion, to verify any
unclear certification. When seeking pre-payment verification, OFEGLI asks for the insured's
current salary, annual salary (if different), and details on enrollment in Optional insurance, if
applicable.
Any discrepancies identified in the claims selected for pre-payment verification must be resolved
before OFEGLI can authorize payment of benefits.
Employing offices must cooperate with OFEGLI in doing these pre-payment verifications and
resolutions of discrepancies. This will ensure timely payments to the beneficiaries.
Death during 31-day Extension of Coverage
If you die after your FEGLI terminates, but within the 31-day extension of coverage, your
employing office must make sure that the Agency Certification of Insurance Status (SF 2821)
shows the date of and reason for termination of insurance coverage, not the date of your death.
The 31-day extension of coverage does not include Accidental Death & Dismemberment
(AD&D) coverage.
The 31-day extension only applies to terminated coverage. It does not apply when you
voluntarily waive or cancel coverage.
AMOUNT OF DEATH BENEFIT PAYABLE
The amount of death benefit payable is always the amount of insurance in force on the date of
your death. It will be based on your annual rate of basic pay and the FEGLI coverage you are
enrolled in on the date of death. The “regular” death benefit (Basic and Option A and Option B
if applicable) is payable regardless of the cause of death. For employees, accidental death
U.S. Office Of Personnel Management
214
benefits may also be payable, depending on the cause of death. Accidental Death and
Dismemberment (AD&D) coverage stops when your employment ends. It does not carry into
retirement.
You cannot have more than one amount of each type of insurance in force, even if you are
concurrently employed, or even if you were employed under different retirement systems. In the
event there seems to be overlapping amounts of insurance, the higher amount will be paid.
Example #1
Beverly separates from service in a position in which she had Basic insurance of $80,000,
Option A, and 1 multiple of Option B worth $78,000. During the 31-day free extension of
coverage period, she is employed in a position where she has Basic coverage of $60,000, Option
A, and 1 multiple of Option B worth $58,000. After she starts the new job, but before the end of
the 31-day extension, she dies.
Benefits payable will be based on the Basic and Option B insurance she had from her first
employment, since that is the higher amount; Option A benefits are $10,000. (If her death was
the result of an accident, however, the amount of benefits payable would be increased by
$70,000: $60,000 accidental death benefit under Basic insurance from her second position and
$10,000 accidental death benefit under Option A from her second position.)
Exception: If you are a reemployed annuitant at the time of your death, the Option B coverage
that you chose to carry (either your annuitant coverage or your coverage as an employee) will be
paid, regardless of which is the higher amount.
Example #2
Sally retires from her position with the Tennessee Valley Authority (TVA), in which she had
Basic insurance worth $36,000 that she was eligible to carry into her TVA-retirement. Two
years later she is employed in a position with the Social Security Administration (SSA) under the
Federal Employees Retirement System (FERS), where she has Basic coverage worth $40,000
and Option A worth $10,000.
Even though she receives annuity or salary under two different retirement systems, she is only
entitled to be insured under one FEGLI enrollment. Her coverage should be treated the same as
if she were a reemployed annuitant. Her coverage as an annuitant under TVA is suspended while
she is reemployed, and she pays premiums for the coverage under the FERS position. If she is
reemployed at the time of her death, benefits payable are based on the higher of the two
coverages. If she retires from his FERS position and is eligible to continue her SSA-acquired
FEGLI coverage into retirement, she must choose between the two coverages.
U.S. Office Of Personnel Management
215
TIMELY NOTICE AND FILING OF CLAIMS FOR
ACCIDENTAL DISMEMBERMENT
Filing of Claim
Late Notice and Filing
Filing of Claim
A claim for accidental dismemberment benefits, with proof of the loss, must be submitted within
one year of the loss, on the FE-7 (Claim for Accidental Means Dismemberment Benefits,
available at http://www.opm.gov/forms/pdf_fill/fe7.pdf).
Late Filing
If it is not possible to file a claim within the specified times, you must file your claim as soon as
reasonably possible, along with an explanation of the delay. OFEGLI will determine if the
explanation is satisfactory enough to allow payment of benefits.
PAYMENT OF CLAIMS
Payment of Claims
o Payment of FEGLI Claims
o Federal Income Tax
o Payments of Less Than $5,000
o Payments of $5,000 or More
o Total Control Account
Payments of FEGLI Claims
The Office of Federal Employees’ Group Life Insurance (OFEGLI) is an administrative unit of
Metropolitan Life Insurance Company that pays claims for the Federal Employees’ Group Life
Insurance (FEGLI) Program.
When an insured enrollee dies while insured under FEGLI, the beneficiary(ies) or other survivors
will receive the insured’s Basic, and Option A/Option B benefits (if enrolled).
U.S. Office Of Personnel Management
216
Federal Income Tax
Life insurance proceeds are not considered taxable income for personal income tax purposes.
Interest paid on FEGLI proceeds, however, is reportable as income for Federal income tax
purposes. The Office of Federal Employees' Group Life Insurance pays interest on claims from
the date of the insured's death to the date of the payment. OFEGLI pays a maximum of two
years interest, even if the time from date of death to date of payment is over two years. You may
wish to consult your tax advisor for further advice.
Payments of Less Than $5,000
If OFEGLI is paying the beneficiary less than $5,000, the beneficiary will receive a check.
Payments of $5,000 or More
If OFEGLI is paying the beneficiary $5,000 or more, the beneficiary will have a choice of two
ways to receive the payment:
A check; or
A MetLife Total Control Account (TCA), an interest bearing account set up in the
beneficiary’s name with Metropolitan Life Insurance Company (MetLife)
If the beneficiary is receiving $5,000 or more and does not make a decision on how to receive
payment, a MetLife Total Control Account will be set up in the beneficiary’s name.
Total Control Accounts
The MetLife TCA is a settlement option offered by MetLife for the payment of claims. It
is also known as a “retained asset account (RAA)”. A MetLife TCA is not a checking,
savings, or money market bank account. Since the MetLife TCA is not a bank account, it
is not insured by the Federal Deposit Insurance Corporation (FDIC) or any government
agency. Instead, MetLife guarantees the full amount in the MetLife TCA, including all
interest earned. MetLife’s guarantee is further backed by the beneficiary’s respective state
guaranty association. Maximum guarantee limits vary from state to state and may change
over time. If the beneficiary chooses a MetLife TCA, the relationship is between the
beneficiary and MetLife, not with the federal government or any of its agencies.
The MetLife TCA offers a minimum guaranteed annual effective interest rate, meaning
that MetLife commits to pay the beneficiary at least that specified rate of interest on the
money in the account. The beneficiary begins earning interest the day the MetLife TCA is
created. Interest is earned daily, but is not credited until the last day of the month. The
interest rate offered on the MetLife TCA may be better or worse than the prevailing
market rates. The MetLife TCA is a product offered by MetLife on which the company
may make a profit. The beneficiary pays no monthly maintenance fees on a MetLife TCA.
The beneficiary has complete control of, and access to, the entire amount of the insurance
proceeds. The beneficiary can withdraw the full amount from the MetLife TCA at any
U.S. Office Of Personnel Management
217
time. The information packet the beneficiary receives will include a draft book (similar to
a checkbook). At any time and at no cost, the beneficiary can write drafts (similar to
checks) from a minimum of $250 up to the full balance of the account. In addition, the
beneficiary will receive periodic activity statements, and can designate a beneficiary for
the account. If the beneficiary chooses the MetLife TCA settlement option, he or she will
receive more detailed information from MetLife when the account is opened.
Claimants who need more information about the MetLife TCA settlement option, how
retained asset accounts work in general, and how insurance companies are regulated in a
claimant’s respective state can contact the National Association of Insurance
Commissioners (NAIC). NAIC is the standard-setting and regulatory support organization
created and governed by the chief insurance regulators from the 50 states, the District of
Columbia and five U.S. territories, and assists state insurance regulators, individually and
collectively, in serving the public interest regarding insurance issues. Claimants can visit
www.naic.org. The site also provides links to the respective state insurance commissions
at http://www.naic.org/state_web_map.htm.
PAYMENT TO A MINOR
Payment to a Guardian
Payment to the Minor's Parents
Held on Deposit
Designations in Trust for a Minor
Life insurance benefits cannot be paid to a minor. The age of adulthood for the FEGLI Program
is 18, unless the state in which the minor lives has established a lower age of adulthood. In that
case, the lower age applies.
When a minor is entitled to payment of benefits, OFEGLI will:
Pay the court-appointed guardian of the minor child's estate;
Pay the parent(s) of the minor child, if the proceeds are $10,000 or less; or
Hold the proceeds on deposit until the minor child reaches adulthood.
Payment to a Guardian
A parent does not automatically qualify as a guardian of the child’s estate. S/he must apply to be
the guardian. A court must appoint a guardian and grant to the guardian the authority to collect
money on behalf of the child. The guardian then can submit a claim to OFEGLI with proof of
the guardianship, and OFEGLI will pay benefits to the guardian on behalf of the minor.
Payment to the Minor's Parents
U.S. Office Of Personnel Management
218
When the benefits payable to a minor do not exceed $10,000, OFEGLI will release the funds to
the minor's parent(s), provided that the parent(s) agree(s) in writing to meet all of the following
conditions:
The parent(s) will hold such amount for the sole use and benefit of the minor until the
minor reaches adulthood;
The parent(s) will account to the minor for such amount when the minor reaches
adulthood; and
The parent(s) will hold OFEGLI harmless in the event the minor, when he/she reaches
adulthood, brings any legal action challenging OFEGLI's payment of such amount to the
minor's parent(s).
Held on Deposit
If there is no guardian and there are no plans to appoint one, and the proceeds are greater than
$10,000, OFEGLI will hold the funds in the minor's name in an interest-bearing account.
OFEGLI will pay the funds, plus interest, to the minor when he/she reaches adulthood.
Designations In Trust For A Minor
When a designation of beneficiary calls for payment to be made in trust for a minor, OFEGLI
will determine whether a trust has been established and whether payment can be made in
accordance with the designation and trust. If not, then OFEGLI will request that a guardian be
appointed by a court. If no guardian is appointed, then payment will be made either to the parent
if the proceeds are less than $10,000, or held on deposit until the minor reaches adulthood.
QUESTIONS REGARDING CLAIMS
If a claimant has a question regarding the status of a claim, he/she must contact OFEGLI at
1-800-633-4542. Overseas beneficiaries should call 1-212-578-2975.
The following information should be provided to OFEGLI:
1. The name of the insured employee/retiree/compensationer
2. The insured's social security number
3. The name of the deceased (if different than above), and
4. The date of death of the deceased
5. Contact information for the claimant(s)
If a claimant thinks OFEGLI made an error in paying benefits, s/he must contact OFEGLI.
U.S. Office Of Personnel Management
219
If a claimant thinks s/he is due money from FEGLI benefits and that legal action is necessary to
get the money, the claimant must take action in Federal court against MetLife, the company that
OPM contracts with, not against OPM.
U.S. Office Of Personnel Management
220
GLOSSARY OF TERMS
A - B - C - D - E - F - I - L - O - P - R - S - T - U - V - W
Accidental Death
Death caused solely through violent, external, and accidental means. This has meaning under
FEGLI if, as a direct result of the bodily injuries, independently of all other causes, you die
within 1 year of the accidental injury.
Accidental Death & Dismemberment (AD&D) Exclusions
The Office of Federal Employees’ Group Life Insurance (OFEGLI) will not pay AD&D benefits
if your death or loss in any way results from, is caused by, or is contributed to by:
physical or mental illness;
the diagnosis of or treatment of a physical or mental illness;
ptomaine or bacterial infection (however, OFEGLI will pay AD&D benefits if the loss is
caused by an accidentally sustained external wound);
a war (declared or undeclared), any act of war, or any armed aggression against the
United States, in which nuclear weapons are actually being used;
a war (declared or undeclared), any act of war, or any armed aggression or insurrection in
which you are in actual combat at the time bodily injuries are sustained;
suicide or attempted suicide;
injuring yourself on purpose;
illegal or illegally obtained drugs that you administer to yourself;
driving a vehicle while intoxicated, as defined by the laws of the jurisdiction in which
you were operating the vehicle.
Accidental Dismemberment
Bodily injuries caused solely through violent, external and accidental means. This has meaning
under FEGLI if, as a direct result of the bodily injuries, independently of all other causes, you
lose your limb(s) or eyesight in one or both eyes within 1 year of the accidental injury.
Loss of hand means loss by severance at or above the wrist joint, or equivalent loss, as
determined by OFEGLI.
Loss of foot means loss by severance at or above the ankle joint, or equivalent loss, as
determined by OFEGLI.
Loss of sight means total and permanent absence of any usable vision in one eye.
U.S. Office Of Personnel Management
221
Acquisition of an Eligible Child
Acquisition of an eligible child occurs when a child is born to the insured; the insured adopts a
child; the insured acquires a foster child; the insured’s stepchild or recognized natural child
moves in with the insured; an otherwise eligible child’s marriage is dissolved by divorce or
annulment, or his or her spouse dies; or the insured gains custody of an eligible child.
Age Multiplication Factor
A factor used to determine the extra amount of Basic insurance payable at the time of your death,
if you die before age 45 (also referred to as the extra benefit). Please see the table of extra
benefit amounts.
Agency (see also “Employing Office”)
A department or independent establishment of the executive, legislative, or judicial branch of the
United States Government. This includes Government-owned or -controlled corporations, the
District of Columbia Government (for certain eligible employees), and Gallaudet College. This
term refers to the whole organization, as distinguished from its subdivisions and field
installations.
Independent establishment includes the Senate, the House of Representatives, the Library of
Congress, the Office of the Architect of the Capitol, the Administrative Office of the United
States Courts, and the Supreme Court of the United States.
In the executive branch, the Department of Defense, Department of the Army, Department of the
Navy, and Department of the Air Force are considered to be separate agencies.
Annuity
A retirement benefit (pension) paid on a monthly basis.
Annuitant
A former employee (retiree) entitled to an annuity under a retirement system established for
employees. This includes the retirement system of a nonappropriated fund instrumentality of the
Department of Defense or the Coast Guard.
Annuity Starting Date
The effective date of your annuity. This date may be retroactive. Also called “annuity
commencing date.”
U.S. Office Of Personnel Management
222
Assign and Assignment
Your irrevocable (permanent it can’t be undone) transfer of ownership of your FEGLI
coverage (except Dismemberment coverage and Option C) to another individual, corporation,
trust, or other entity.
Assignee
The individual, corporation, trust, or other entity to whom you irrevocably transfer ownership of
your FEGLI coverage (except Dismemberment coverage and Option C).
Automatic Cancellation of Waiver
The automatic entitlement to Basic insurance and ability to elect Optional insurance if you are
reinstated to a FEGLI eligible position after a break in service of at least 180 days.
Basic Insurance
The coverage, based on your annual rate of basic pay, which you automatically have as an
eligible employee unless you waive (cancel) it.
Basic Insurance Amount (BIA)
The amount of your Basic insurance on which you pay premiums. It is determined by:
taking your annual rate of basic pay;
rounding it up to the next even $1,000; and
adding $2,000.
Beneficiary
The individual, corporation, trust, or other entity that is eligible to receive FEGLI benefits when
you die.
Cancellation
The stopping of FEGLI coverage by voluntary action. Also called “waiver.” You may cancel
coverage at any time.
To cancel coverage an employee must complete an SF 2817 (or its electronic equivalent if you
work for an agency that utilizes online electronic enrollment and recordkeeping) waiving
coverage. An annuitant or compensationer must write a letter to the retirement system stating
that he/she no longer wants Basic or all or part of Optional life insurance coverage. Reducing
the number of multiples of Option B or Option C is a cancellation of those multiples.
U.S. Office Of Personnel Management
223
Cancellation also happens if you agree to make direct premium payments, then fail to do so
within the required timeframe.
Canceling a Waiver
Obtaining Basic or Optional life insurance coverage after you have previously waived or
cancelled it.
CFR
Code of Federal Regulations. The FEGLI regulations are found at part 870, title 5 of the Code of
Federal Regulations.
Child (as used in the definition of family member (for Option C) and as used with life events)
a child born within marriage;
an adopted child;
a stepchild or foster child who lives with you in a regular parent-child relationship; or
a recognized natural child.
It does not include a stillborn child or a grandchild (unless the grandchild qualifies as a foster
child).
Your child must be unmarried and under age 22 or, if age 22 or over, must be incapable of self-
support because of a physical or mental disability that existed before the child reached age 22.
Child (as used in the order of precedence for payment of benefits)
a child born within marriage;
an adopted child; or
a recognized natural child.
It does not include a stepchild, a stillborn child, a grandchild, or a foster child.
Adopted children inherit from their adoptive parents under the order of precedence, not from
their birth parents (unless they are designated beneficiaries). However, a child who is adopted
by the spouse of a birth parent inherits from that birth parent.
OFEGLI cannot pay benefits to a minor. A child who has reached the age of 18 is considered an
adult and can receive a benefit payment in his/her name. But if the age of adulthood where the
individual has legal residence is set at a lower age, the child is considered an adult upon reaching
that lower age.
U.S. Office Of Personnel Management
224
Compensation
The compensation under Subchapter I of Chapter 81 of Title 5, United States Code, which is
payable because of an on-the-job injury or disease.
Compensationer
An employee or former employee who is receiving compensation and who the Department of
Labor, Office of Workers’ Compensation Programs (OWCP), determines is unable to return to
duty.
Concurrent Employment
Legally serving in more than 1 position at the same time.
Contributions
Amounts which the Government pays from its salary appropriations or other available funds as
the employer's share of the cost of Basic insurance.
Conversion
The exchange of FEGLI coverage for insurance under an individual policy purchased from a
private insurance company listed by the Office of Federal Employees’ Group Life Insurance
(OFEGLI) and approved by OPM.
Court Order
A court decree of divorce, annulment, or legal separation; or a court-approved property
settlement agreement relating to any court decree of divorce, annulment, or legal separation-that
requires benefits to be paid to a specific person or persons and is received in the employing office
before the insured dies. A court order has meaning under FEGLI if it requires FEGLI benefits to
be paid expressly to a specific person or persons.
Covered Position
A position in which an employee is not excluded from FEGLI eligibility by law or regulation.
Date of retirement
The starting date of annuity. This date may be retroactive.
Days
Calendar days.
U.S. Office Of Personnel Management
225
Dependent
Living with or receiving regular and substantial support from you, the insured individual.
Designation of Beneficiary
A notice, signed by you, witnessed and signed by two persons, and on file with the appropriate
office prior to death indicating the person(s), firm, corporation or legal entity you want to receive
your life insurance benefits. The form generally used for life insurance designations is the SF
2823 (Designation of Beneficiary, available at http://www.opm.gov/forms/pdf_fill/sf2823.pdf).
Employee
An individual appointed or elected to a position in or under the executive, legislative, or judicial
branch of the United States Government, as defined at 5 U.S.C. 8701(a).
Employing Office
The agency office (or retirement system office) that has responsibility for life insurance actions.
The Administrative Office of the United States Courts is the employing office for judges
of the following courts:
All United States Courts of Appeals;
All Unites States District Courts;
The Court of International Trade;
The Court of Federal Claims; and
The District Courts of Guam, the Northern Mariana Islands, and the Virgin
Islands.
The Washington Headquarters Services is the employing office for judges of the United
States Court of Appeals for the Armed Forces.
The United States Tax Court is the employing office for judges of the United States Tax
Court.
The United States Court of Veterans Appeals is the employing office for judges of the
United States Court of Veterans Appeals.
Extension of Coverage
Automatic continuation of your life insurance coverage for 31 days after your life insurance
ends, unless your coverage ends by your waiver or cancellation of coverage or because your
annuity or compensation terminates. The 31-day extension of coverage does not include AD&D
coverage.
U.S. Office Of Personnel Management
226
Family Member
A spouse (including a valid common law or same-sex marriage) and unmarried dependent
eligible child(ren).
Foster Child
As used in the definition of family member (for Option C) and for life events, a foster child is a
child:
who is unmarried and under age 22 (if the child is over age 22, he/she must be incapable
of self-support because of a physical or mental disability that existed before age 22);
who lives with you;
who has a parent-child relationship with you, not the child’s biological parent;
who is dependent upon you for his/her primary source of financial support; and
whom you expect to raise to adulthood.
Immediate annuity
An annuity that begins no later than 1 month after the date the insurance would otherwise
stop (the date of separation from service); or
An annuity under 5 CFR 842.204(a)(1) for which the starting date has been postponed
under 5 CFR 842.204 (called an MRA+10 annuity).
Incontestability
A statutory provision allowing coverage you received erroneously to become valid.
Incontestability applies if it has been at least 2 years between the time the error was made and the
time the error was discovered and you paid the applicable premiums during that time. For
annuitants and compensationers, incontestability applies if you erroneously continued insurance
upon retirement or entitlement to compensation under subchapter I of chapter 81 of title 5 U.S.C.
In Force
The amount of insurance in force is the amount of coverage you have at any particular point in
time.
Inter Vivos Trust
A trust that you establish during your lifetime.
Life Event
For purposes of electing or increasing Option B and/or Option C coverage, a life event is:
U.S. Office Of Personnel Management
227
Marriage (including a valid common-law or same-sex marriage);
Divorce (including a valid common-law or same-sex marriage);
death of spouse; or
acquiring an eligible child.
Living Benefit
A life insurance benefit (Basic insurance only) paid to you while you are still living, rather than
paid to a beneficiary after you die. To qualify for a living benefit you must be terminally ill,
with a life expectancy of 9 months or less.
OFEGLI
The Office of Federal Employees' Group Life Insurance, an administrative unit of Metropolitan
Life Insurance Company which makes payments to beneficiaries under the FEGLI contract.
OFEGLI is not a Federal agency. It is staffed by employees of the life insurance contractor.
OFEGLI is located in Oriskany, NY. Its address for mailing processing is P.O. Box 6080,
Scranton, PA 18505-6080. The address for overnight deliveries (such as Federal Express) only
is OFEGLI, 123 Wyoming Avenue, 3rd Floor, Scranton PA 18503. The phone number is 1-800-
633-4542. The phone lines are open from 8:30 AM to 4:00 PM (EST).
Open Season
Time period set by OPM in which employees may elect or increase life insurance coverage,
regardless of any current waiver of insurance in effect. FEGLI Open Seasons are not held
annually and are infrequent.
OPM
The U.S. Office of Personnel Management, the Federal agency charged with administering the
FEGLI Program and the contract between the government and MetLife. .
Option A
$10,000 in coverage that you can elect in addition to Basic insurance. Also called Standard
Optional Insurance.
Option B
Coverage equal to one, two, three, four, or five multiples of your annual basic rate of pay that
you can elect in addition to Basic insurance. Also called Additional Optional Insurance.
Option C
U.S. Office Of Personnel Management
228
Coverage to insure your spouse and eligible child(ren) that you can elect in addition to Basic
insurance. You can elect one, two, three, four or five multiples (each multiple equals $5,000 for
a spouse and $2,500 for an eligible child). Also called Family Optional Insurance. It is payable
to you, the insured, based on the death of an eligible family member.
Optional Insurance
Insurance that you can elect in addition to Basic insurance. There are three types of Optional
insurance: Option A, Option B, and Option C.
Order of Precedence
Under Federal law, the order* in which life insurance benefits are paid to your survivors:
1. your designated beneficiary or beneficiaries;
2. if there is no designated beneficiary, your widow or widower;
3. if neither of the above, your child or children in equal shares, with the share of any
deceased child distributed among the descendants of that child (see “Payment to a
Minor”);
4. if none of the above, to your parents in equal shares or the entire amount to the
surviving parent;
5. if none of the above, to the executor or administrator of your estate;
6. if none of the above, to the next of kin as determined under the laws of the State where
you lived.
*Exception: The order of precedence does not apply when you have validly assigned your
insurance or when a valid court order is on file.
OWCP
The Office of Workers' Compensation Programs, U.S. Department of Labor, which administers
Subchapter I of Chapter 81 of Title 5, United States Code.
Parent
The mother or father of a child born within marriage or an adopted child;
The mother of a child born outside of marriage; or
The father of a child born outside of marriage, if the child meets the definition of a
recognized natural child.
Pay and Duty Status
Time when you are actually working; it does not include time on annual or sick leave, leave
without pay, excused absence, military leave, or other absence from duty. Required for FEGLI
coverage to initially become effective.
U.S. Office Of Personnel Management
229
Post-65 Reduction
The schedule by which your insurance coverage as an annuitant reduces from its original
retirement amount after your 65
th
birthday (or after retirement, if later). For Basic insurance, the
choices are 75 Percent Reduction (2% monthly), 50 Percent Reduction (1% monthly), and No
Reduction. For Option B and Option C, the choices are Full Reduction (2% monthly) and No
Reduction. There is no choice for Option A; it reduces by 75 Percent (2% monthly from its
original amount of $10,000.
Recognized Natural Child
A child born outside of marriage. An insured individual is considered to be the father of such a
child under the following conditions:
The individual acknowledged paternity in writing;
A court ordered the individual to provide support;
Before the individual died, a court pronounced him to be the father;
The individual names himself as the father on a certified copy of the public record of
birth or church record of baptism; or
Public records, such as records of schools or social welfare agencies, show that with his
knowledge the individual was named as the father of the child.
If paternity is not established by one of the above means, OFEGLI may consider other evidence,
such as the child's eligibility as a recognized natural child under other State or Federal programs
or proof that the father included the child as a dependent child on his income tax returns.
Reconsideration
The final level of administrative review of an employing office’s initial decision to determine if
the employing office followed the law and regulations correctly when making the initial decision
concerning FEGLI eligibility and coverage. It must be done at the same level or above at which
the initial decision took place.
Regular Parent-Child Relationship
Exercising parental authority, responsibility, and control over the child;
Caring for, supporting, and disciplining the child; and
Making decisions about the child’s education and medical care.
Return to Duty
(compensationers only)
Return to the duty or occupation or work that you were doing at the time of the injury.
U.S. Office Of Personnel Management
230
Separation
Leaving Federal service, either by resignation, retirement, being laid off, or being fired.
Service
Federal civilian service that is creditable under Subchapter III of Chapter 83 or Subchapter II of
Chapter 84 of Title 5, United States Code. This includes service under a nonappropriated fund
instrumentality (NAF) of the Department of Defense or the U.S. Coast Guard for an individual
who elected to remain under a retirement system established for employees described in Section
2105(c) of Title 5, United States Code.
Terminal Leave
Leave taken immediately prior to separation.
Terminally Ill
(for purposes of qualifying for a Living Benefit)
Having a medical prognosis of a life expectancy of 9 months or less.
Termination
The stopping of an insured’s FEGLI coverage by involuntary action.
Testamentary Trust
A trust that is created by your will at your death.
Total Control Account
The MetLife TCA, also known as a retained asset account, is a settlement option offered by
MetLife and an alternative to a lump sum check for the payment of FEGLI claims.
Underdeduction
Failure to withhold the required amount of life insurance deductions from your pay, annuity, or
compensation. This includes nondeductions (when none of the required amount is withheld) and
partial deductions (when only part of the required amount is withheld). If there is no pay during
a pay period, there is no underdeduction.
U.S.C.
United States Code.
U.S. Office Of Personnel Management
231
Viatical Settlement Firm
A private company that exchanges cash for assignment of life insurance to a terminally or
chronically ill person.
Waiver
Not electing a particular type of coverage or multiple of coverage (for Option B and
Option C); or
Cancellation of coverage.
Withholdings
Amounts deducted from your pay, annuity, or compensation for the full cost of Optional
insurance and your share of the cost of Basic insurance.
SF50 Equivalents of Insurance Codes
SF50 Equivalents of Insurance Codes
INSURANCE SF 50 Code
An employee in a position excluded from FEGLI coverage by law or regulation. A0
FEGLI coverage as an employee ended due to completion of 12 months in nonpay status. A1
(Applicable even when employee remains in nonpay status with the agency but continues all or
some of the FEGLI coverage as a compensationer while in receipt of workers' compensation).
Waived B0
Basic only C0
Basic + Option A D0
Basic + Option C (1x) E1
Basic + Option C (2x) E2
Basic + Option C (3x) E3
Basic + Option C (4x) E4
Basic + Option C (5x) E5
Basic + Option A +Option C (1x) F1
Basic + Option A +Option C (2x) F2
Basic + Option A +Option C (3x) F3
Basic + Option A +Option C (4x) F4
Basic + Option A +Option C (5x) F5
Basic + Option B (1x) G0
Basic + Option B (1x) + Option A H0
Basic + Option B (1x) + Option C (1x) I1
Basic + Option B (1x) + Option C (2x) I2
Basic + Option B (1x) + Option C (3x) I3
Basic + Option B (1x) + Option C (4x) I4
Basic + Option B (1x) + Option C (5x) I5
U.S. Office Of Personnel Management
232
Basic + Option B (1x) + Option A + Option C (1x) J1
Basic + Option B (1x) + Option A + Option C (2x) J2
Basic + Option B (1x) + Option A + Option C (3x) J3
Basic + Option B (1x) + Option A + Option C (4x) J4
Basic + Option B (1x) + Option A + Option C (5x) J5
Basic +Option B (2x) K0
Basic + Option B (2x) + Option A L0
Basic + Option B (2x)+ Option C (1x) M1
Basic + Option B (2x)+ Option C (2x) M2
Basic + Option B (2x)+ Option C (3x) M3
Basic + Option B (2x)+ Option C (4x) M4
Basic + Option B (2x)+ Option C (5x) M5
Basic + Option B (2x) + Option A + Option C (1x) N1
Basic + Option B (2x) + Option A + Option C (2x) N2
Basic + Option B (2x) + Option A + Option C (3x) N3
Basic + Option B (2x) + Option A + Option C (4x) N4
Basic + Option B (2x) + Option A + Option C (5x) N5
Basic +Option B (3x) 90
Basic + Option B (3x)+ Option A P0
Basic+ Option B (3x) + Option C (1x) Q1
Basic+ Option B (3x) + Option C (2x) Q2
Basic+ Option B (3x) + Option C (3x) Q3
Basic+ Option B (3x) + Option C (4x) Q4
Basic+ Option B (3x) + Option C (5x) Q5
Basic + Option B (3x) + Option A+ Option C (1x) R1
Basic + Option B (3x) + Option A+ Option C (2x) R2
Basic + Option B (3x) + Option A+ Option C (3x) R3
Basic + Option B (3x) + Option A+ Option C (4x) R4
Basic + Option B (3x) + Option A+ Option C (5x) R5
Basic + Option B (4x) S0
Basic + Option B (4x) + Option A T0
Basic + Option B (4x) + Option C (1x) U1
Basic + Option B (4x) + Option C (2x) U2
Basic + Option B (4x) + Option C (3x) U3
Basic + Option B (4x) + Option C (4x) U4
Basic + Option B (4x) + Option C (5x) U5
Basic + Option B(4x) + Option A + Option C (1x) V1
Basic + Option B(4x) + Option A + Option C (2x) V2
Basic + Option B(4x) + Option A + Option C (3x) V3
Basic + Option B(4x) + Option A + Option C (4x) V4
Basic + Option B(4x) + Option A + Option C (5x) V5
Basic + Option B (5x) W0
Basic + Option B (5x) + Option A X0
Basic + Option B (5x) + Option C (1x) Y1
Basic + Option B (5x) + Option C (2x) Y2
Basic + Option B (5x) + Option C (3x) Y3
U.S. Office Of Personnel Management
233
Basic + Option B (5x) + Option C (4x) Y4
Basic + Option B (5x) + Option C (5x) Y5
Basic + Option B (5x) + Option A +Option C (1x) Z1
Basic + Option B (5x) + Option A +Option C (2x) Z2
Basic + Option B (5x) + Option A +Option C (3x) Z3
Basic + Option B (5x) + Option A +Option C (4x) Z4
Basic + Option B (5x) + Option A +Option C (5x) Z5
Table of Legislation Affecting FEGLI
Public Act
Or
Resolution
Number
Congress
Date of
Law
Citation
Nature
598
83
Aug 17,
1954
68 Stat.
736
Original Act
763
83
Sept. 1,
1954
68 Stat
1116
Stipulates that official
reporters of the proceedings
and debates of the Senate
and their employees shall be
considered employees in the
legislative branch for life
insurance purposes.
356
84
Aug. 11,
1955
68 Stat
676
Creates the Insurance Fund
and provides for the
investment of moneys in the
Fund, in addition to
providing for the
Commission's assumption of
Beneficial Association
Agreements. This law also
provides for continuation of
insurance during retirement
and nonpay status.
541
84
May 28,
1956
70 Stat.
213
Provides for continuance of
insurance by employees
receiving benefits under the
U.S. Office Of Personnel Management
234
Federal employees'
compensation law.
881
84
Aug. 1,
1956
70 Stat.
882
Provides that insurance
coverage ceases when an
employee enters active
military service.
918
84
Aug. 2,
1956
70 Stat.
934
Retains life insurance
coverage for certain
Agriculture Department
employees detailed to
States.
935
84
Aug. 2,
1956
70 Stat.
955
Grants coverage to
employees of Gallaudet
College.
177
85
Aug. 28,
1957
71 Stat.
452
Retains life insurance
coverage for employees
transferring to International
Atomic Energy Agency.
377
85
Apr. 11,
1958
72 Stat.
87
Authorizes payment of
expenses incurred by the
Commission in making
Beneficial Association
Assumption Agreements
and extends the time for
these agreements.
745
85
Aug. 25,
1958
72 Stat.
838
Provides for each former
President an office staff, and
directs that the staff
members be considered
Federal employees for life
insurance purposes.
795
85
Aug. 28,
1958
72 Stat.
959
Retains life insurance
coverage for employees
transferring to international
organizations.
U.S. Office Of Personnel Management
235
91
86
July 17,
1959
73 Stat.
217
Excludes from life insurance
coverage any Federal
employment performed by
teachers in dependent
schools of the Department of
Defense in overseas areas
in other capacity during a
recess period between two
school years.
377
86
Sept. 23,
1959
73 Stat.
700
Permits life insurance
coverage to continue for
nondisability retirees after at
least 12 years of service;
reduces amount of
insurance by 2 percent per
month when employee
attains age 65 or retires,
whichever is later.
568
86
July 1,
1960
74 Stat.
302
Provides life insurance
coverage for Agricultural
Stabilization and
Conservation County
Committee employees.
611
87
Aug. 28,
1962
76 Stat.
406
Provides that the amount of
insurance payable will
escheat to the credit of the
Fund if claim for payment
has not been filed within four
years after the death of the
employee.
195
88
Dec. 11,
1963
77 Stat.
348
Provides that persons
employed on the office staff
of Mrs. Jacqueline B.
Kennedy shall be
considered "Federal
employees for life insurance
purposes."
U.S. Office Of Personnel Management
236
531
88
Aug. 31,
1964
78 Stat.
737
Provides insurance
coverage for certain United
States Commissioners.
631
88
Oct. 6,
1964
78 Stat.
1007
Provides insurance
coverage for temporary
teachers in the District of
Columbia if they have been
so temporarily employed for
a total time of at least two
years.
4
89
Mar. 9,
1965
79 Stat.
9
Authorizes the Commission
to contract with the
Appalachian Regional
Commission for continuance
of life insurance coverage
held by a Federal employee
transferring to a regional
commission as a regular
employee.
136
89
Aug. 26,
1965
79 Stat.
567
Authorizes the Commission
to contract with regional
commissions established
under the Public Works and
Economic Development Act
of 1965 for continuance of
life insurance coverage held
by a Federal employee
transferring to a regional
commission as a regular
employee.
373
89
Mar. 23,
1966
80 Stat.
78
Specifies that a designation,
change, or cancellation of
beneficiary in a will or other
document not filed with the
Commission is invalid.
379
89
Mar. 30,
80 Stat.
Preserves life insurance
U.S. Office Of Personnel Management
237
1966
94
coverage of Congressional
employees receiving certain
Congressional staff
fellowships.
206
90
Dec. 16,
1967
81 Stat.
646
Provides for $10,000
minimum regular insurance,
increases maximum amount
of regular insurance from
$20,000 to $32,000,
provides for automatic
increases in maximum
amount of insurance
whenever pay assigned to
Federal executive pay level
II increases, creates a new
program of optional
insurance, and improves
financing of insurance costs.
578
90
Oct. 17,
1968
82 Stat.
1107
Grants insurance coverage
to all full-time and part-time
United States magistrates
and all clerical and
secretarial assistants
employed in the office of full-
time magistrates.
418
91
Sept. 25,
1970
84 Stat.
869
Extends insurance coverage
to noncitizen employees
whose duty station is in the
Panama Canal Zone.
529
92
Oct. 21,
1972
86 Stat.
1050
Authorizes the waiver of
retroactive salary deductions
for Federal Employees'
Group Life Insurance
purposes upon an
employee's restoration to
duty following a finding of
erroneous removal or
U.S. Office Of Personnel Management
238
suspension.
437
95
Oct. 10,
1978
92 Stat.
1055
Provides that all employees
appointed under the
provisions of this Act are
eligible under the FEGLI
Program.
454
95
Oct. 13,
1978
92 Stat.
1111
Amends the FEGLI law by
striking out "Commission"
each place it appears and
inserting in lieu thereof
"Office". In addition, various
technical amendments to
Section 8716 and the
Federal Employees Part-
Time Career Act of 1978
(Pub. L. 95-437) are
effected.
583
95
Nov. 2,
1978
92 Stat.
2481
Reduces from 12 years to 5
years the length of service
requirement for retaining
group life insurance
coverage into retirement. In
addition, provides that for an
employee who becomes
eligible to continue optional
and/or regular life insurance
while receiving
compensation for a work
injury on or after November
2, 1978, the amount of the
compensationer's insurance
will be subject to the same 2
percent monthly reduction
as is applied to all other
insured persons when they
attain age 65 and are
retired.
U.S. Office Of Personnel Management
239
54
96
Aug. 14,
1979
93 Stat.
384
Redefines "employee" for
the purpose of life insurance
coverage to exclude the
previous reference to a
United States
Commissioner.
330
96
Aug. 26,
1980
94 Stat.
1035
Provides that bonuses be
included as annual pay for
FEGLI for physicians and
dentists of the Department
of Veterans Affairs.
427
96
Oct. 10,
1980
94 Stat.
1831
Restructures the "regular
insurance" and renames it
"basic insurance" renames
"optional insurance" as
"standard optional
insurance" and creates the
"additional optional" and
"family optional" insurance.
Also provides an age
multiplication factor to permit
additional amounts of "basic
insurance" for younger
employees, permits
employees who retire on or
after December 9, 1980, to
elect a lesser reduction in
the "basic insurance" after
attaining age 65 and
requires employees retiring
after 1989 to continue to pay
premiums for basic coverage
until they attain age 65. In
addition, this law provides
that agencies may waive
retroactive collection of
premiums under certain
circumstances so long as
U.S. Office Of Personnel Management
240
the agency remits the
amount due to the Fund.
This law also repeals the
requirement of maintaining
an advisory committee for
life insurance, and provides
for preemption of conflicting
state and local group
insurance laws.
499
96
Dec. 5,
1980
94 Stat.
2606
Exempts the premiums
received by the office of
Federal Employees' Group
Life Insurance under the
FEGLI Program from state
and local premium taxes.
164
97
April 2,
1982
96 Stat.
48
Amends the FEGLI law by
striking out "Court of Claims"
and inserts in lieu thereof
"United States Claims
Court."
353
98
July 10,
1984
98 Stat.
350
Allows certain Federal
judges to continue their
FEGLI coverage as active
employees after they retire,
and to make an irrevocable
assignment of their FEGLI
coverage to another person.
621
98
Nov. 8,
1984
98 Stat.
3379
Allows FEGLI coverage for
employees of St. Elizabeths
Hospital who went to work
for the District of Columbia
Government immediately
following Federal
employment, without any
break in service.
53
99
June 17,
99 Stat.
Allows an annuitant whose
U.S. Office Of Personnel Management
241
1985
95
disability is terminated
because of restoration to
earning capacity or recovery
from disability and whose
disability annuity is restored
to elect to resume FEGLI
coverage held immediately
before his or her disability
annuity is terminated.
335
99
June 6,
1986
100 Stat.
597
Ends the availability of
FEGLI coverage for the
employees of the
government of the District of
Columbia, beginning with
individuals first employed
with the District on or after
October 1, 1987. Allows an
employee who enters the
military on active duty or
active duty training to
continue FEGLI coverage for
up to 12 months. Provides
for reinstatement of FEGLI
coverage for individuals who
qualify for an immediate
annuity when they leave
Federal service but
postpone the commencing
date of the annuity. Allows
FERS annuitants to make
direct payment of premiums
for their FEGLI coverage
when their annuity is too low
to cover the insurance
premiums.
336
99
June 19,
1986
100 Stat.
639
Clarifies Public Law 98-353
by providing that certain
Federal judges who retire on
U.S. Office Of Personnel Management
242
or after January 1, 1982,
may continue their basic and
optional FEGLI coverage as
if they were still in active
employment.
238
100
June 8,
1988
100 Stat.
1744
Authorizes OPM to convert
the premium pay of law
enforcement officers under
FERS to annual pay.
Specifies that any provision
of law outside of the FEGLI
law which confers eligibility
for FEGLI coverage shall not
apply to individuals
commencing employment in
these positions on or after
October 1, 1988.
679
100
Nov. 7,
1988
102 Stat.
4071
Provides FEGLI coverage to
certain individuals appointed
to the staff of a former
President or a former Vice
President under the
Presidential Transition Act of
1963.
303
101
May 29,
1990
104 Stat.
250
Authorizes the payment of
the Government contribution
for Basic life insurance
coverage for individuals
under age 65 who retire, or
commence receiving
compensation, after
December 31, 1989.
508
101
Nov. 5,
1990
104 Stat.
1388
[855]
Allows certain employees
who retire under a
Nonappropriated Fund
instrumentality retirement
plan to retain FEGLI
U.S. Office Of Personnel Management
243
coverage as annuitants.
509
101
Nov. 5,
1990
104 Stat.
1432
Provides that interim
geographic adjustments and
locality-based comparability
payments be included in
annual pay for FEGLI.
513
101
Nov. 5,
1990
104 Stat.
2064
Extends coverage under the
FEGLI Program to U.S.
hostages in Iraq, Kuwait,
and Lebanon while they are
in hostage status and for 12
months thereafter.
66
103
Aug. 10,
1993
107 Stat.
312
Provides that premium pay
for overtime inspectional
service be included as
annual pay for FEGLI for
customs officers.
336
103
Oct. 3,
1994
108 Stat.
2661
Allows all insured individuals
to make an irrevocable
assignment of their Basic,
Option A, and Option B
coverage to an individual,
corporation, or trustee.
409
103
Oct. 25,
1994
108 Stat.
4230
Allows insured employees
and annuitants to elect to
receive their Basic insurance
as a living benefit if they are
terminally ill with a life
expectancy of 9 months or
less.
134
104
Apr. 26,
1996
110 Stat.
1321
Allows certain employees of
the District of Columbia
Financial Control Authority
to elect to be considered
Federal employees for
purposes of FEGLI.
U.S. Office Of Personnel Management
244
33
105
Aug. 5,
1997
11 Stat.
251
Allows judicial and
nonjudicial employees of the
District of Columbia Courts;
the District of Columbia
Corrections Trustee; the
District of Columbia Pretrial
Services, Defense Services,
Parole, Adult Probation, and
Offender Supervision
Trustee; and employees of
these trustees to be
considered Federal
employees for purposes of
FEGLI.
205
105
Jul. 22,
1998
112 Stat.
683
Provides that certain court
orders supersede the order
of precedence for the
payment of life insurance
benefits.
274
105
Oct. 21,
1998
112 Stat.
2419
Makes technical corrections
to Pub. L. 105-33, extends
FEGLI to employees of the
Public Defender Service of
the District of Columbia, and
allows certain former DC
Government employees who
work for the Federal
Government to continue
their DC Government
insurance.
311
105
Oct. 30,
1998
112 Stat.
2950
Eliminates the maximums on
Basic and Option B; allows
coverage of foster children
under Option C; makes
erroneous coverage valid, if
it has been in effect for at
least 2 years and the
U.S. Office Of Personnel Management
245
individual has paid the
applicable premiums; allows
direct payment of premiums
for any employee, annuitant,
or compensationer whose
pay is too small to make
withholdings; allows retiring
employees to elect
unreduced Options B and C;
allows certain employees
whose coverage terminates
to port Option B (3-year
demonstration project); and
increases Option C
coverage to 1-5 multiples of
the current amounts.
113
106
Nov. 29,
1999
113 Stat.
1501
Amends title 28 to require
the Judiciary to pay on
behalf of Justices and
judges of the United States
any increases in FEGLI
premiums imposed after
April 24, 1999.
398
106
Oct. 30,
2000
114 Stat.
1654
Allows Department of
Defense employees who
waived or cancelled Basic
insurance to elect it within
60 days of being designated
emergency essential under
section 1580 of title 10
U.S.C.
522
106
Nov. 22,
2000
114 Stat.
2440
Allows the Court Services
and Offender Supervision
Trustee and the trustee's
employees to be treated as
Federal employees for the
purpose of FEGLI.
U.S. Office Of Personnel Management
246
181
110
Jan. 28,
2008
Allows Federal civilian
military reservists called up
to active duty to elect FEGLI
coverage for an additional
12 months (24 total) while in
civilian nonpay status
246
110
Jun.
18,
2008
122 Stat.
1651
Authorizes the offset of
nontax payments to collect
delinquent Federal debt
without regard to the amount
of time the debt has been
delinquent.
417
110
Oct. 14,
2008
Allows new election
opportunity for certain
civilian employees
supporting military
contingency operations
under section 101(a) (13),
title 10 and DoD employees
deemed ”emergency
essential” under section
1580, title 10.
United StateS
Office Of PerSOnnel ManageMent
Healthcare & Insurance
1900 E Street, NW
Washington, DC 20415
HI-2014-76-26