Federal Employees Group Life Insurance Beneficiary Form
This form is essential for federal employees wishing to designate beneficiaries for their life insurance. It details the necessary information and guidelines for filling it out correctly. Ensure you understand the implications of your designations before submission.
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How do I fill this out?
To fill out this form, start by entering your personal information accurately. Next, designate your beneficiaries, specifying their relationships and the percentage of benefits. Finally, review your entries and sign in the presence of witnesses to validate your completion.

How to fill out the Federal Employees Group Life Insurance Beneficiary Form?
1
Enter the name, date of birth, and Social Security number of the insured.
2
Select the appropriate options regarding the insured's employment status.
3
Designate beneficiaries with their names, addresses, relationships, and percentages.
4
Sign the form in front of two witnesses who must also provide their signatures.
5
Submit the completed form to the appropriate agency as instructed.
Who needs the Federal Employees Group Life Insurance Beneficiary Form?
1
Federal employees aiming to designate a beneficiary for their life insurance.
2
Retired federal employees updating their beneficiary designation.
3
Applicants for retirement needing to ensure beneficiaries are clearly defined.
4
Individuals receiving OWCP benefits looking to specify who receives benefits.
5
People wanting to revoke previous beneficiary designations.
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What are the instructions for submitting this form?
To submit this form, send it to your agency's human resources or payroll department using the provided contact information. Ensure that the form is signed by the insured and witnessed appropriately. Always keep a copy of the submitted form for your records, and check with your agency for any specific submission guidelines.
What are the important dates for this form in 2024 and 2025?
The form must be completed and submitted to your agency whenever there are changes in beneficiaries, or upon retirement. Review the guidelines for submission deadlines as they may vary by agency.

What is the purpose of this form?
The purpose of the FEGLI Beneficiary Form is to allow federal employees and retirees to formally designate beneficiaries for their life insurance policies. Completing this form ensures that the chosen beneficiaries will receive benefits upon the insured's death. It is important to keep this form updated to reflect any changes in life circumstances or preferences.

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

- 1. Name of Insured: Full name of the insured, including last, first, and middle names.
- 2. Date of Birth of Insured: The date of birth of the insured, formatted as month, day, and year.
- 3. Social Security Number: The Social Security number associated with the insured.
- 4. Beneficiary Information: Details regarding each beneficiary including names, addresses, relationships, and percentages of division.
- 5. Witness Signatures: Signatures of two witnesses who are not beneficiaries and provide their addresses.
- 6. Signature of Insured/Assignee: The signature of the insured or their authorized assignee.
What happens if I fail to submit this form?
If you fail to submit this form, your life insurance benefits may not be properly designated, leading to delays or complications in payout upon your death. It is essential to ensure all required fields are completed and the form is submitted correctly.
- Delayed Payout: Without a valid designation, insurance proceeds could be delayed or distributed improperly.
- Invalid Designation: Incomplete forms may lead to invalid designations and defaults to order of precedence.
- Potential Legal Issues: Failure to properly submit may result in disputes over beneficiary claims later.
How do I know when to use this form?

- 1. First-time Beneficiary Designation: Use this form to designate beneficiaries if you have never filled one out before.
- 2. Updating Beneficiaries: Complete this form to update existing beneficiary information following life changes.
- 3. Deciding Beneficiary Shares: Utilize this form when you need to specify how benefits are shared among multiple beneficiaries.
- 4. Establishing Contingent Beneficiaries: This form allows you to name contingent beneficiaries in case primary beneficiaries are unavailable.
- 5. Revoking Previous Designations: Use this form to cancel past beneficiary designations and assign new ones.
Frequently Asked Questions
How do I submit the FEGLI Beneficiary Form?
You should submit your completed form to your agency’s human resources or payroll department as instructed on the form.
What if I need to change my beneficiaries later?
You can fill out a new designations of beneficiary form at any time to update your beneficiaries.
Can I designate multiple beneficiaries?
Yes, you can designate multiple beneficiaries and specify the percentage of benefits for each.
Do witnesses need to be beneficiaries?
No, neither witness can be a named beneficiary.
What happens if none of my beneficiaries are alive?
If none of your beneficiaries are living, the proceeds will be distributed according to the order of precedence.
Can this form be completed online?
You can edit and fill this form online using PrintFriendly's tools before downloading it.
Is there guidance available for filling out the form?
Yes, the form includes instructions on how to complete it correctly.
Can I submit this form electronically?
Submission methods may vary; check with your agency for options.
What if I forget to sign the form?
Your submission will be considered invalid if it is not signed properly.
How can I ensure my form is valid?
Make sure to follow all instructions carefully, including signatures from witnesses.
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