Search results
Comprehensive list of Forms and Documents. Alphabetical list of PEIA forms and documents . Documents for Benefit Coordinators
Download Fillable Form Sf-2817 In Pdf - The Latest Version Applicable For 2024. Fill Out The Life Insurance Election Online And Print It Out For Free.
The following is an alphabetical list of forms and documents on the Web site. If you see (Complete Online) next to a form, you can do this online by going to Manage My Benefits. It's easier, faster and leads to fewer mistakes than printing a form and sending it to PEIA.
The employee's copy of this form, when completed by the employing office, together with the FEGLI Program Booklet (FE 76-21 or FE 76-20 for U.S. Postal Service employees) constitute the employee's Certificate (proof) of Insurance. U.S. Office of Personnel Management Standard Form 2817 www.opm.gov/insure/life Previous edition is not usable.
PART 1 - File in Official Personnel Folder U.S. Office of Personnel Management www.opm.gov/healthcare-insurance/life-insurance Previous edition is usable. Standard Form 2817 Revised September 2021 Instructions for Agencies 1. Who Should File This Form? New employees eligible for life insurance who want optional insurance or no insurance.
If a form has (Complete Form Online) next to it, you can complete it online by going to Manage My Benefits. It's easier, faster and leads to fewer mistakes than printing a form and sending it to PEIA.
Federal Employees Group Life Insurance Program. To obtain this form go to. http://www.opm.gov/forms/pdf_fill/SF2817.pdf.
