Sglv 8286, servicemembers group life insurance election and certificate. To reduce or cancel your sgli, you must complete and file a form sglv 8286 servicemembers group life insurance election and certificate. By law, if you are insured under sgli and your spouse is not a member of the uniformed services, your spouse is. Servicemembers group life insurance sgli sgli provides lowcost term life insurance coverage to eligible service members such as active duty, ready reserve, or national guard members. Sglv 8286, servicemembers group life insurance election. Servicemembers group life insurance sgli offers lowcost term coverage to eligible service members. However, you have the option to place no one as your beneficiary, or to indicate by law in the place where you would normally list a beneficiary.
Fill out, securely sign, print or email your sglv 8286 fillable 20072019 form instantly with signnow. Servicemembers group life insurance election and certificate office of servicemembers group life insurance 1. The form is in pdf format, readable with the adobe reader version. Servicemembers group life insurance sgli life insurance. If this form is being used to decline sgli coverage, inform the service member that. If you do not name beneficiaries above, your insurance will be paid by law. Sglv 8286 veterans benefits administration veterans affairs. The most secure digital platform to get legally binding, electronically signed documents in. Dod financial management regulation volume 7a, chapter. We regret any inconvenience and appreciate your patience.
Servicemembers group life insurance sgli is group life. Office of servicemembers group life insurance 2 washington street newark, new jersey 071022999 note. The most incorrect information service members receive is they are told to put their decisions for sgli disbursement in a will. Servicemembers group life insurance election and certificate use this form. Veterans mortgage life insurance statement fillable file type. Sglv 8286 form fill out and sign printable pdf template.
The beneficiaries listed below are in addition to those listed on my completed sglv 8286. If you qualify for sgli, you are automatically enrolled and issued the maximum sgli. Sglv form 8286 servicemembers group life insurance election. If eligible, you are automatically issued the maximum sgli coverage. Verify data from a soldiers servicemembers group life insurance sglv 8286. Group life insurance or to the department of veterans affairs. Fill online, printable, fillable, blank sglv 8286 may09 sglv 8286, servicemembers group life insurance election and certificate form. If this form is used to decline sgli coverage and the servicemember has spousal family sgli coverage, you should take action to discontinue payment of spousal family sgli premiums. Servicemembers group life insurance supplemental beneficiary form author. Your date of birth mm, dd, yyyy your weight your height. Servicemembers group life insurance sgli is the life insurance currently available to all members of the uniformed services.
Life insurance under the jurisdiction of the department of veterans affairs. You can download the adobe reader for free by following this link to the adobe website. All appropriate items on this form must be completed. Send the va form sglv 8283 claim for death benefits and finalized death. With veterans group life insurance vgli, you may be able to keep your life insurance coverage after you leave the military for as long as you continue to pay the premiums. This form cancels any prior beneficiary or payment instructions. Vgli is lifetime renewable postseparation coverage available to. If you are in any uniformed service, except the public health service, and have fulltime sgli coverage da. The most incorrect information service members receive is they are told to put their decisions for sgli disbursement in a will, said ruiz. Va publications, pdf forms fillable savable, pdf forms fillable, pdf forms saveable, pdf. Servicemembers group life insurance sgli is granted under title 38, united states code, and is subject to the provisions of that title and its amendments, and title 38 code of federal regulations. Dd form 93 record of emergency data updated va form sglv 8285, request for insurance sgli completed va form sglv 8286, service members group life insurance completed va form sglv 8285a, request for family coverage sgli completed va form sglv 8286a, family coverage election sgli. Veterans group life insurance vgli veterans affairs. If you are in any uniformed service, except the public health service, and have fulltime sgli coverage you no longer need to use the sglv 8286a to make family sgli elections.
Directions to personnel clerks of the uniformed services 1. Directions to personnel clerks of the uniformed services. Photocopy 2 page 2 to the active or reserve component of the uniformed service. Use the health benefits update form va form 1010ezr to update your personal, financial, and insurance information. Paper versions of the sglifsgli forms will continue to be the authoritative. Form 8286a family coverage election, servicemembers. You have access to the soldier, a completed dd form 93 record of emergency data, a completed va form sglv 8286. Sglv 8286, servicemembers group life insurance election and.
Complete this section only if you are restoring or increasing coverage. Servicemembers group life insurance sgli is granted under title 38, united states code, and is subject to the provisions of that. Report of death of family member sglv 8700, a copy of the death certificate, and this form to the office of servicemembers group life insurance. Dod financial management regulation volume 7a, chapter 47 february 2002 472 table of contents servicemembers group life insurance sgli program. This form replaces any prior beneficiary or payment instructions. Servicemembers group life insurance election and certificate check the box and complete supplemental sgli beneficiary form, sglv 8286s. Servicemembers group life insurance election and certificate use this form to. If you do not name a beneficiary, your insurance benefits will be paid to your survivors under the provisions of federal law. Servicemembers group life insurance election and certi.
This form is not to be used for national service life insurance nsli policy numbers prefixed by v, h, rh, rs, w, j, jr and js or. Ruiz says that even though this is a regular requirement, service members still dont always keep their sgli. Servicemembers group life insurance sgli sgli is a program that provides lowcost term life insurance coverage to eligible servicemembers. Use fill to complete blank online utah valley uniersity pdf forms for free. Itar manage emergency notification data ssi learning. If you qualify for sgli, you are automatically enrolled and do not need to apply for coverage servicemembers can make changes to your sgli coverage.
Servicemembers group life insurance election and certificate. Directions to personnel clerks of the uniformed services for. Servicemembers group life insurance supplemental sgli beneficiary form. This site provides public access to all va forms that are appropriate to be on the web.
The department of veterans affairs va is responsible for oversight of the. If you are in any uniformed service, except the public health service, and have fulltime sgli coverage you no longer need to use the sglv 8286 to make sgli. A will does not override what the 8286 va form sglv 8286 says. If you qualify for sgli, you are automatically enrolled and do not need to apply for coverage servicemembers can make changes to your sgli. Find out if youre eligible, and learn how to manage your sgli coverage while youre servingand convert it when you separate or retire. Traumatic servicemembers group life insurance tsgli. Please read the instructions before completing this form. Use the sglv 8286 to make sgli coverage and beneficiary changes and submit your completed form to your branch of service personnel office. Spousal family sgli coverage, you should take action to discontinue payment of spousal family sgli premiums. When released from active duty or the reserve, members with fulltime sgli.
Please do not send any of the forms or copies to the office of servicemembers group life insurance or to the department of veterans affairs. Use this form as a continuation to sglv 8286 to designate additional sgli beneficiaries. Apply for and manage the va benefits and services youve earned as a veteran, servicemember, or. The military member has the absolute right to choose the beneficiary. I can have sgli and veterans group life insurance vgli at the same time, but the combined. The form is in pdf format, readable with the adobe reader version 7. Many of these forms are fillable pdf, printable blank forms or can be printed, saved and edited. The amount of the service members sgli coverage should be verified to make sure the.
Servicemembers group life insurance sgli the official. However, a copy of the completed form is to be forwarded to osgli in the event of the members death. An eligible beneficiary can be any person or legal entity designated by the military member on an appropriate va form. Application instructions for veterans group life insurance vgli to apply for vgli, complete the attached application and return it with your first premium payment to the office of servicemembers. Ifthememberanswersyestoitem11,ortoanypartofitem12,ortoitem,theoriginalistobefiledinthe members personnel file and a copy of the completed form sent to the. Va form 21p535, may 2018 important if you are certifying that you are married for the purpose of va benefits, your marriage must be recognized by the place where you andor your spouse resided at. After the first mention, refer to it by va form plus the form. Servicemembers group life insurance sgli veterans affairs.
To reduce or cancel your sgli, you must complete and file a form sglv 8286 service members group life insurance election and certificate. Servicemembers group life insurance veterans group life insurance return completed form to. Sglv 8286, family coverage election and certificate. Sgli8714, application for veterans group life insurance.
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