Federal employees use this form to enroll or to cancel life insurance coverage. New Federal employees in eligible positions are automatically covered by Basic insurance and do not need to use this form if they want only the Basic coverage. Annuitants do …

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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. Note: New employees who want only Basic do not have to file. Employees appointed to positions that allow life insurance coverage following service in positions ...

SF-2817 Life Insurance Election - Federal Employees Group Life Insurance Program Author: U.S. Department of State Subject: SF-2817 Life Insurance Election - Federal Employees Group Life Insurance Program Created Date: 5/21/2009 1:20:08 PM ...

2021年6月30日 · Standard Form 2817, Life Insurance Election, is used by Federal employees and assignees (those who have acquired control of an employee/annuitant's coverage through an assignment or ''transfer'' of the ownership of the life insurance). The latest form for Life Insurance Election expires 2021-06-30 and can be found here.

Until you verify an employee's SF 2817 on file, make deductions based on his or her statement about earlier insurance coverage. Once coverage is confirmed, make any necessary adjustments to correct the withholdings. An employee may at any time file an SF 2817 to waive or reduce coverage, unless the employee has assigned his/her insurance coverage.

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2817. Time Limit - Employee must submit SF 2817 and be at work in a pay status within 31 days after date of OFEGLI’s approval. If employee is not at work in a pay status or doesn’t submit the SF 2817 within those 31 days, Option A does not become effective. Employee must obtain a new physical. Same as Option A. No change permitted for this ...

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