U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

Publications

• FEGLI Booklet for Federal Employees (FE 76-21)
• FEGLI Booklet for Postal Employees (FE 76-20)
• Information for Retirees and their Families (RI 76-12)
• FEGLI Handbook (RI 76-26)

Forms

What Forms Do I Need?

• All FEGLI Enrollees
• Current Federal/Postal Employees Only
• Agencies Only

Standard Forms

• Life Insurance Election (SF 2817)
• Continuation of Life Insurance (SF 2818)
• Notice of Conversion Privilege (SF 2819)
• Certification of Insured Employee's Retired Status (SF 2820)
• Agency Certification of Insurance Status (SF 2821)
• Request for Insurance (SF 2822)
• Designation of Beneficiary (SF 2823)

OPM and RI Forms

• Agency Certification of Status of Reemployed Annuitants (OPM 1482)
• Assignment of Life Insurance (RI 76-10)

Claims Forms

• Claim for Death Benefits (FE-6)
• Statement of Claim, Option C – Family Life Insurance (FE-6DEP)
• Claim for Accidental Dismemberment (FE-7)
• Living Benefits Claim Form (FE-8)

Miscellaneous Forms

• FE-2004 Open Season Election Form