Servicemembers group life insurance sgli sgli is a program that provides lowcost term life insurance coverage to eligible servicemembers. Use this form as a continuation to sglv 8286 to designate additional sgli beneficiaries. Servicemembers group life insurance sgli the official. Sglv 8286, servicemembers group life insurance election and certificate author. Servicemembers group life insurance sgli an official air. Certificate sglv 8286 designates the recipient of benefits in the event of a service members death. Sglv 8286a pdf 28 sep servicemembers group life insurance sgli forms sglv a family coverage election sgli. Include the name, address, and social security number if available of the beneficiaryies. If you reduce or cancel sgli on the first day of duty, your election will be effective immediately. The new sglv 8286 form will be available on the department of.
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. Subsequent to the use of sglv form 8286 in emergent situations, the. Nov 30, 2018 sglv 8286a pdf 28 sep servicemembers group life insurance sgli forms sglv a family coverage election sgli. Check all that apply name or update my sgli beneficiary. Use the sglv 8286 to make sgli coverage and beneficiary changes and submit your completed form to your branch of service personnel office.
Soes is the servicemembers group life insurance sgli online enrollment system. Record of emergency data dd form 93 or navpers 1070602 sgli election form sglv 8286 consent for the release of personal information navpers 17708 primarysecondary next of kin information form navpers 17709 claim certification voucher for death gratuity payment dd 397. Servicemembers group life insurance fsgli sglv 8286a documents. A copy of the sglv 8286 is filed in the members service record on microfiche at comnavperscom along with the record of emergency data navpers 1070602 page 2. Dod announces sgli coverage increase united states navy. Inclusion in the ompf is only required if an sglv 8286 is signed outside soes. All entries except the signature and those requested to be in the service members own handwriting, must be typed or printed in ink. Now you can call 800 64286 for a copy of your updated irs form 1095.
Reduced or refused insurance can only be restored by completing form sglv 8285 with proof of good health and compliance with other requirements. If you qualify for sgli, you are automatically enrolled and issued the maximum sgli coverage. E4 core process servicemembers group life insurance sgli sglv 8286 family. Directions to personnel clerks of the uniformed services. Navy, the army and the air force should be made in soes. Use of the servicemembers group life insurance election and certificate sglv form 8286, servicemembers group life insurance election and certificate is permissible in emergent situations, as determined by the secretary concerned, where a member is unable to access the soes within a reasonable time frame. Sglv 8283 claim for death benefits sgli vgli updated.
Sgli beneficiary continuation form, supplemental sgli beneficiary form created date. Secretaries of the military departments and commandant of the. No form is required to end tsgli premium deductions. Vgli is lifetime renewable postseparation coverage available to. Coast guard and noaa members join the army, navy air force, and marine. Soes replaces the sgli election and certificate form sglv 8286 and family coverage election form sglv 8286a as the official lifeinsurance record. Sglv 8286, servicemembers group life insurance election.
This is a continuation of my beneficiary designation on page 2 of this form, servicemembers group life insurance election and certificate. Directions to personnel clerks of the uniformed services 1. Find out if youre eligible, and learn how to manage your sgli coverage while youre servingand convert it when you separate or retire. This form is used by military personnel and department of defense civilian and contractor personnel, collectively referred to. Sailors who require an emergent change in coverage, or beneficiaries who cannot immediately access soes may elect to fill out a paper copy of the sglv 8286, which should be witnessed, signed, and submitted to the ompf. You can download the adobe reader for free by following this link to the adobe website. 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.
Casualty assistance calls officer notification checklist. If this form is being used to decline sgli coverage, inform the service member that. The military member has the absolute right to choose the beneficiary. Servicemembers group life insurance sgli veterans affairs. Sgli may be converted to veterans group life insurance vgli after discharge or converted to a commercial policy after separation from the military. Fill free fillable sglv8286may09 sglv 8286, servicemembers. E4 core process transaction online processing system tops pay and personnel. Use fill to complete blank online utah valley uniersity pdf forms for free. Reduced or refused reduced or refused insurance will also affect the amount of vgli you can convert to upon separation from service. All entries except the signature and those requested to be in the servicemembers own handwriting, must be typed or printed in ink. If eligible, you are automatically issued the maximum sgli coverage.
Servicemembers group life insurance supplemental sgli beneficiary form 1. Servicemembers group life insurance sgli the official army. This form replaces any prior beneficiary or payment instructions. Servicemembers group life insurance supplemental sgli. When the servicemember completes sglv form 8286 to decline sgli and sglv form 8286a to decline family spouse sgli, the fsgli declination should be processed in the dmdc sgli website to stop the deduction of fsgli premiums. Fill online, printable, fillable, blank sglv8286may09 sglv 8286. In order for the soes record to be considered authoritative, sailors must update it online by providing beneficiary names, electing coverage amounts and shares of proceeds. Effective 52012 sglv 8286 page 2 of 4 i have read the instructions and understand that. The form is in pdf format, readable with the adobe reader version 7. Check the box and complete supplemental sgli beneficiary form, sglv 8286s. About you print name first, middle, last rank, title or grade social security number duty location branch of service current amount of sgli married single if married, spouses name spouses date of birth i am completing this form to. You should contact your personnel office for any changes to basic sgli or family sgli coverage.
If you choose either of those options, then sgli proceeds are paid according to the sgli statute. Servicemembers group life insurance sgli offers lowcost term coverage to eligible service members. Sglv 8286, servicemembers group life insurance election and certificate. Servicemembers group life insurance election and certi. Defense finance accounting service militarymembers.
Servicemembers group life insurance sgli life insurance. To reduce or cancel your sgli, you must complete and file a form sglv 8286 service members group life insurance election and certificate. 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. Dd form 2 activereserve, dd form 1173, 11731 issueddeers.
Please consult with a military attorney, professional financial planner, or estate. Type your full name, rank midn, full social, duty location university of michigan nrotc, branch navy or marine corps, current amount of sgli 0, and check if you are married or single and if married type spouses name and date of birth. Include the name, address, and social security number if available of the beneficiaryies, and the. E4 core process temporary additional du ty temadd requests and orders.
About your beneficiaries print name first, middle, last rank, title or grade social security number current amount of sgli coverage duty location branch of service the beneficiaries listed below are in addition to those listed on my completed sglv 8286. Sglv 8286, servicemembers group life insurance election and. This form has been replaced by sglv 8286 and should no longer be used. Print name first, middle, last rank, title or grade social security number. Complete this section unless you are declining coverage. A copy of the sglv 8286 should also be given to the member. All coverage and beneficiary elections for members of the. Servicemembers group life insurance sgli is granted under title 38, united states code, and is subject to the provisions of that title. Please consult with a military attorney, professional financial planner. Sgli8714, application for veterans group life insurance. For now, you must complete and submit the sgli form. Follow this link to find out when your service is scheduled to begin using soes.
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