Claim for Death Benefits FEGLI Program Instructions
This file provides essential details on filing a claim for death benefits under the Federal Employees' Group Life Insurance (FEGLI) Program. It includes instructions on how to fill out the form and who is eligible to receive benefits. This document ensures beneficiaries understand the claims process thoroughly.
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How do I fill this out?
Filling out this claim form is straightforward. Start by gathering the necessary documentation, including the death certificate and any legal documents. Follow the prompts in each section carefully to ensure accurate submission.
How to fill out the Claim for Death Benefits FEGLI Program Instructions?
1
Gather necessary documentation including the death certificate.
2
Complete pertinent sections related to the insured's information.
3
Provide details about marriages and beneficiaries.
4
Check all information for accuracy before submission.
5
Submit the form and attached documents to the designated office.
Who needs the Claim for Death Benefits FEGLI Program Instructions?
1
Beneficiaries of a deceased federal employee who need to claim life insurance benefits.
2
Family members of a retired federal worker seeking to inform the insurance office.
3
Executors of an estate handling financial matters after a federal employee's death.
4
Legal representatives managing claims on behalf of children or dependents.
5
Any individual needing clarification on how to proceed with a death benefits claim.
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What are the instructions for submitting this form?
Submit the completed claim form along with required documents to OFEGLI at PO Box 6080, Scranton, PA 18505-6080. For faster processing, you can fax your claim to 570-558-8659. Alternatively, visit www.opm.gov/reportdeath to report online or call OPM at 1-888-767-6738 for assistance.
What are the important dates for this form in 2024 and 2025?
Be aware of the following important dates for filing claims: deadline for filing claims within two years of the insured's death. For FY2024, ensure submissions are made by your state’s guidelines. Always check for any updates from OFEGLI.
What is the purpose of this form?
The Claim for Death Benefits form is designed to facilitate the process for beneficiaries to claim life insurance benefits under the Federal Employees' Group Life Insurance (FEGLI) Program. This form outlines the systematic steps necessary to file a claim efficiently while ensuring all requisite documentation is collected. Its purpose is to ensure that beneficiaries receive the entitled benefits without unnecessary delays.
Tell me about this form and its components and fields line-by-line.
- 1. Insured's Full Name: The complete name of the individual whose benefits are being claimed.
- 2. Date of Birth: The birth date of the insured to confirm identity.
- 3. Date of Death: The date on which the insured passed away.
- 4. Social Security Number or FEGLI Claim Number: Identification numbers required for tracking the claim.
- 5. Legal Residence: The city and state where the insured was residing at the time of death.
- 6. Department or Agency: The federal agency the insured was affiliated with.
- 7. Location of Last Employment: The last known employment address of the insured.
- 8. Retired Status: Question regarding the insured's retirement status and associated claim numbers.
- 9. Federal Worker’s Compensation Status: Verification if the insured received federal worker's compensation benefits.
What happens if I fail to submit this form?
Failure to submit this claim form may result in the inability to access life insurance benefits. Claimants may face delays in receiving funds or might be deemed ineligible if the submission is not completed accurately. It is crucial to carefully follow the instructions to ensure proper processing.
- Claim Processing Delays: Incomplete or improperly submitted claims can cause significant delays.
- Ineligibility for Benefits: Failure to adhere to submission guidelines may result in denied benefits.
- Lack of Documentation: Not including required documents can lead to your claim being rejected.
How do I know when to use this form?
- 1. Claiming Benefits After Death: To claim life insurance benefits after the death of an insured federal employee.
- 2. Reporting a Death to OPM: To report the death of a federal retiree to the appropriate authorities.
- 3. Executor of an Estate: When acting as an estate executor or administrator to claim benefits.
Frequently Asked Questions
How do I begin filling out the claim form?
Start by gathering the necessary documents, including the death certificate.
Can I submit this form online?
Yes, you can complete the form using our PDF editor and download it for submission.
What if I have trouble filling out the form?
Feel free to contact OFEGLI customer service for assistance with the form.
What documents do I need to submit with the form?
You will need a certified death certificate and any other legal documents related to the claim.
How can I track my claim after submission?
Keep a copy of your claim form and any tracking information provided upon submission.
Is there a deadline for submitting the claim?
It is recommended to submit the claim as soon as possible after the insured's death.
Can I fill out the form on my mobile device?
Yes, our PDF editor is compatible with most mobile devices.
What should I do if the insured did not designate a beneficiary?
The benefits will be distributed according to the state laws of intestate succession.
Are there any fees to access the Total Control Account?
There are no monthly maintenance fees for the Total Control Account.
How do I know if I'm eligible for benefits?
Eligibility is typically determined by your relationship to the insured and the terms of their policy.
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