0000117369 00000 n Complete form SGLV 8283A, Claim for Family Coverage Death Benefits and contact your Branch of Service Casualty Assistance Office for assistance in submitting the form to the Office of Servicemembers Group Life Insurance (OSGLI). How Much Life Insurance Do You Really Need? visit VeteransCrisisLine.net for more resources. (fillable), Use this form to change your plan of insurance. You dont have to do anything to keep your coverage. 1. Watch our new video following a user, Andrea, as she uses the Benefit Finder on Benefits.gov to discover medical assistance programs such as Medicaid. https://insurance.va.gov/home/IDU. 2 0 obj Whistleblower Rights designate or update the beneficiary on a SGLI policy, restore or increase SGLI coverage when it has previously been reduced or declined, restore or increase Family SGLI coverage when it has previously been reduced or declined. If you apply for VALife on or after January 1, 2026,your S-DVI (including policies with premium waivers) will end the day we approve your VALife application. BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. GOVERNMENT LIFE INSURANCE. 0000004754 00000 n You can call the VA Life Insurance Center at 800-669-8477(TTY: 711). This program stopped taking new applications after December 31, 2022. VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. |UBCPdk:VInrgjuUk=xhu-2 h0XQD@{+-LJR%/lj\VI]ab %A4LF`.hG"(0Dl%V)ZT}8s.3z| f K.da,Ka2 82"3`WyVwVyUpn,yWa?^Nb,d05 VOP*:2d0E\v6y"~0&/XL7\LYR {Y~3ffUT0 prXIyvblCrjrp{$pRIV^2R9 Download all VA life insurance program forms on this page: For other (non-Insurance) Veterans Benefits forms, please use the VA Forms Page. OMB Control No. Keep the information up to date about who you want to receive your insurance proceeds. Find and download the forms you need to apply for and manage your life insurance benefits. If you are in crisis or having thoughts of suicide, Were here from 8:30 a.m. to 6:00 p.m. The .gov means its official. 0000002194 00000 n 0000007918 00000 n 255 0 obj <>stream An official website of the United States government. Support for WWI, WWII, and Korean War era programs: Support for the VGLI program, SGLI claims, and FSGLI claims. Complete form SGLV 8283, Claim for Death Benefits and fax it to 1-877-832-4943 or mail it to the following address with a copy of the death certificate:Office of Servicemembers' Group Life Insurance (OSGLI)PO Box 70173Philadelphia, PA 19176-9912. or, 3. To access the menus on this page please perform the following steps. IF YOU HAVE ANY QUESTIONS CONCERNING . Use this form to apply for a TSGLI benefit. 1. Enter Insurance File Number or Veteran's Name. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. \6^(lA>{FA\:ruh Qf GAD}/^z}|8"`7Aj*`p8.o_U]^R@S;i>gbMO 5Sp)xU&*/{V5wuy)E Access your policy online. 0000007788 00000 n VA Collections Address: PO Box 4019 Portland, OR 97208-4019. 0000010720 00000 n https://insurance.va.gov/home/IDU. Download all VA life insurance program forms on this page: Download SGLI Forms Download Family SGLI Forms Download VGLI Forms Download TSGLI Form or Conversion Information Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI) Download All Other VA Life Insurance Forms The forms provided on this page, although reviewed by VA, are not VA forms. Please switch auto forms mode to off. Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? <>stream Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. PRIVACY ACT . HWYoF~'0} hj+5T aEITSwfIJCfoWxp {\pLz^beqy^iNd=9 tUoG^R%@ This is the fastest and most secure way to send your form. You must pay premiums for both policies during the 2-year waiting period. You may only apply for VMLI if you have been approved for a, General information about the Veterans Mortgage Life Insurance Program. Find out when and how you can convert your VA life insurance to a commercial policy. Request your military records, including DD214. 0000000016 00000 n What you can do when you access your policy Check your policy's status to make sure it's up to date Pay your premium (the amount you pay each month or each year to keep your coverage) 0000084437 00000 n The information requested is required to obtain or retain benefits and will be used by VA employees and your authorized representatives in the maintenance of Government insurance programs. VA HOME; PRIVACY; FOIA; U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420 . 0000013732 00000 n 1. BYObY._S5i*p"H\}' 0BT3KQ;L_f^ggJ Y}V[2UK,UCVsENQMQMS,fQ,iDlKQ-7AiL#A!") rAa*fUK&YR(hAB/%*K[Vf ~T|Y%mE"0i9%1rIJj7+SdtK$guh{nN):ctN2/EAwvAG>"LzA :K&|dsfj- Q\Q!TX T $Op,S#NRBi LDQm Giving us your Many of our forms can be filled out using the Adobe Acrobat Reader. 0000063471 00000 n 198 58 hb``f``c`c` B@Q5:00\e .:=bTXII) ,F+[ED?2,fz&2 F=",7&3LbfHc`a,c~4L0bdhfT1t gjw1f`3a Administration. No insurance deduction may be made unless a completed authorization has been received (38 CFR 8.8). Use this form to reinstate a lapsed VGLI policy. Hit enter to expand a main menu option (Health, Benefits, etc). Veterans Crisis Line: You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. To enter and activate the submenu links, hit the down arrow. Home Find a VA form About VA Form 29-4125 About VA Form 29-4125 Form name:Claim for One Sum PaymentGovernment Life Insurance Related to:Life insurance Form last updated:June 2022 Downloadable PDF Download VA Form 29-4125 (PDF) U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Any VA life insurance policy that starts with a V, J, RS, or W. Use this form to convert all or part of your term insurance to a permanent plan of insurance. 2. 0000004102 00000 n 3. Use this form to authorize the disclosure of VA Life insurance information to a third party. If you have questions about Government Life Insurance, you can call us toll-free at 1-800-669-8477 or visit our website at: www.insurance.va.gov. APPLICATION FOR SERVICE-DISABLED VETERANS INSURANCE IMPORTANT INFORMATION. We can help answer questions about these policies: VALife S-DVI Any VA life insurance policy that starts with a V, J, RS, or W More information about your benefits Access your policy online 0000008070 00000 n VA Collections Address: PO Box 4019 Portland, OR 97208-4019. File claim electronically online-This is the fastest and most secure way to send your claim.or,2. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 0000014414 00000 n Form name: Claim for Monthly PaymentsNational Service Life Insurance. If the document is folded, smooth it out as much as possible. If you are in crisis or having thoughts of suicide, If you are in crisis or having thoughts of suicide, (if any) and address of minor or incompetent beneficiary. Find out how to update your direct deposit information online for disability compensation, pension, or education benefits. About VA insurance options and eligibility, Benefits for totally disabled or terminally ill policyholders, Beneficiary financial counseling and online will preparation, Request a decision review or manage a legacy appeal, Myths and rumors about SGLI/VGLI insurance, About the SGLI Online Enrollment System (SOES), Life insurance if you have preexisting conditions. 0000003934 00000 n Q[s7+^YMP^^GV'U^nf 2^S(!gQ{3wG)Jf'9)/z(499HB6yh5p.}V'9A:[vlD!on8NMSU*PR 9e0Re\ 7az=VRId.3[s-DlUlq/lqqE+vl04O1HJZ_cWR_\GOhKb)gAABm97eaS:' 8~9`2Bp^=5G>(KCv,crouLW4k./Us^icAR|Lw'qK0MV.`l&ii&!9syn)eW>k0QMc6QwxV-9m4c =Prca9 zUVRV#>J&VQtHouC-nf/R%.N$bX-:0hnB5aB{R&f1I Whether you pay once each month or once each year. An official website of the United States government. Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. https://insurance.va.gov/home/IDU. Using the Benefit Finder, Andrea will find the resources she and her family need and automatically compare her eligibility for over 1,000 state and federal benefit programs. If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: If you have a VGLI control number, accessyour policy througheBenefits or at this link: Veterans Crisis Line: 1. endstream endobj 199 0 obj <>/Metadata 19 0 R/Pages 18 0 R/StructTreeRoot 21 0 R/Type/Catalog/ViewerPreferences 200 0 R>> endobj 200 0 obj <> endobj 201 0 obj <>/MediaBox[0 0 792 612]/Parent 18 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 202 0 obj <>/BS<>/F 4/Rect[33.75 162.05 232.83 181.22]/StructParent 1/Subtype/Link>> endobj 203 0 obj <>/BS<>/F 4/Rect[33.75 141.65 221.12 162.05]/StructParent 2/Subtype/Link>> endobj 204 0 obj <>/BS<>/F 4/Rect[285.75 461.54 503.12 481.95]/StructParent 3/Subtype/Link>> endobj 205 0 obj <>/BS<>/F 4/Rect[285.75 441.13 503.12 461.54]/StructParent 4/Subtype/Link>> endobj 206 0 obj <>/BS<>/F 4/Rect[329.65 250.56 434.19 270.97]/StructParent 5/Subtype/Link>> endobj 207 0 obj <>/BS<>/F 4/Rect[285.75 217.74 434.21 238.15]/StructParent 6/Subtype/Link>> endobj 208 0 obj <> endobj 209 0 obj <> endobj 210 0 obj <> endobj 211 0 obj <> endobj 212 0 obj <> endobj 213 0 obj [278 0 0 0 556 0 0 0 333 333 389 0 278 333 278 278 556 556 556 556 556 556 556 556 556 556 278 0 0 0 0 0 0 667 667 722 722 0 611 778 722 278 500 0 556 833 722 778 667 0 722 667 611 0 667 0 0 667 0 0 0 0 0 0 0 556 556 500 556 556 278 556 556 222 0 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500] endobj 214 0 obj <> endobj 215 0 obj [278 0 0 0 0 0 0 0 333 333 0 0 0 333 278 278 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 611 0 722 722 722 722 667 611 778 722 278 0 0 611 833 722 778 667 0 722 667 611 722 667 944 0 0 0 0 0 0 0 0 0 556 611 556 611 556 333 611 611 278 0 556 278 889 611 611 611 0 389 556 333 611 556 778 0 556] endobj 216 0 obj <>stream There are 3 ways to send your claim form and documents to the Insurance Center: 1. 0000117780 00000 n The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 0000001485 00000 n Tips for taking clear document pictures with a smartphone. 0000064032 00000 n Go to milConnect and select Manage my SGLI. The fastest and most secure way to send your application to VA Insurance is to use our document upload service at . PLEASE BE SURE TO COMPLETE BOTH SIDES OF THIS APPLICATION. OR Use this form to update your bank account information when you are having premiums deducted from your checking account. Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. Your premium (the amount youll pay for your coverage) depends on these factors: You can review the premium rates for S-DVI plans. A . & Employment, Veterans Benefits Hwyof~ ' 0 } hj+5T aEITSwfIJCfoWxp { \pLz^beqy^iNd=9 tUoG^R % @ this is the fastest most... About who you want to receive your insurance proceeds Avenue, NW Washington DC.. Manage your Life insurance, you can call the VA Life insurance can financial... Out when and how you can call the VA Life insurance Center at 800-669-8477 ( TTY 711... 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