Sf 2823-2025

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  1. Click ‘Get Form’ to open the sf 2823 in the editor.
  2. Begin with Section A, providing your name, date of birth, and Social Security Number. Indicate your employment status by placing an 'X' in the appropriate box.
  3. In Section B, list each beneficiary's full name, Social Security Number, address, relationship to you, and the percentage of benefits they will receive. Ensure that the total equals 100%.
  4. Proceed to Section C where you must sign and date the form. Confirm whether you are the Insured or Assignee and ensure two witnesses sign below your signature.
  5. If needed, refer to the back of Part 2 for additional instructions on designating beneficiaries or if more space is required.

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Versions Form popularity Fillable & printable
2014 4.8 Satisfied (246 Votes)
2001 4.2 Satisfied (69 Votes)
1995 4 Satisfied (70 Votes)
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As a rule, you can only continue your FEHB and/or FEGLI coverage into retirement if you are 1) currently enrolled, 2) have been enrolled for at least five years or from your earliest opportunity to enroll, and 3) are retiring on an immediate annuity (including disability).
If you do not name a beneficiary, The Standard will pay the life benefit ing to the policy order. This means your surviving spouse will be paid the benefit as the first person listed in the order.
Cancellation or Reduction of FEGLI An employee can cancel, waive, or reduce their insurance coverage at any time. Employees can use their agencys electronic enrollment system or submit form SF 2817 to their human resources office.
Mail Form To SF 2823, Designation For FEGLI Determines how proceeds from the life insurance are distributed.
To make your choice, submit SF 2818 to your human resources office shortly before you retire. If you do not turn in the form, you will be defaulted to 75% Reduction.
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75% Reduction: your Basic coverage reduces 2% each month until it reaches 25% of its pre-reduction amount. Your Basic is free (no premium) once the reductions begin and remains free until your death.

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