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Click ‘Get Form’ to open the omb 3206 0173 1993 form in the editor.
Begin by filling out Section A: Identification. Enter your name, date of birth, and Social Security Number. Indicate your employment status by placing an 'X' in the appropriate box.
Provide details about your current or former department or agency, including bureau and division information.
In Section B, designate your beneficiaries. List their names, addresses, relationships to you, and the share of benefits each will receive. Ensure that the total shares equal 100%.
Sign the form in the designated area and ensure it is witnessed by two individuals who are not beneficiaries.
Review all entries for accuracy before saving or submitting your completed form through our platform.
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A designation of beneficiary must be in writing, signed, and witnessed. If you are an employee, the designation must be received in your employing office prior to your death.
Where do I send my OPM form?
If you prefer, you can write to us at Office of Personnel Management, Federal Employees Retirement System, P.O. Box 45, Boyers, PA 16017-0045, or email us at retire@opm.gov.
What is the address for FEGLI?
How can I contact the Office of Federal Employees Group Life Insurance (OFEGLI)? OFEGLIs address is OFEGLI, P.O. BOX 6080, SCRANTON, PA 18505-6080. Their phone number is 1-800-633-4542.
Where do I send my Fegli designation of beneficiary form?
Complete form SF 2823 Designation of Beneficiary, Federal Employees Group Life Insurance Program and mail original to U.S. Customs and Border Protection, Retirement and Benefits Advisory Services (RABAS), 90K Street NE, 5th Floor, Washington, DC 20229, Mail Stop 1400.
How long does it take to receive FEGLI death benefits?
The Office of Federal Employees Group Life Insurance (OFEGLI) is an administrative unit of Metropolitan Life Insurance Company (MetLife) that pays claims for the FEGLI Program. Once a claim for benefits is fully documented, OFEGLI will generally pay it within 10 working days.
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People also ask
Where do I mail the FEGLI beneficiary form?
Submit the designation form to: Office of Personnel Management, Retirement Operations Center, P.O. Box 45, Boyers, PA 16017-0045.
What is a retirement beneficiary form?
Beneficiary designation forms are used to determine who is entitled to the defined contribution retirement plan benefits upon the death of a participant. While participants complete these forms upon entering a plan, its often overlooked if the participant has a change in status through marriage, divorce, etc.
Do I have to fill out a beneficiary designation form?
Forms for Designations We recommend that you designate beneficiaries to receive your life insurance benefits. However, if you are happy with the order of precedence(PDF file), you dont have to do anything.
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