Form sbp 2025

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The document is a Survivor Benefit Plan (SBP) Election Certificate form from the Department of Health and Human Services for members of the U.S. Public Health Service. It requires retirees to indicate their participation in the SBP, designate beneficiaries, and specify coverage options for spouses, children, or former spouses. The form includes instructions on submission, irrevocability of elections, monthly costs associated with different coverage types, and privacy notifications regarding the handling of personal information.

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Click ‘Get Form’ to open the Survivor Benefit Plan (SBP) Election Certificate in the editor.
Begin by filling in your name, Social Security Number (SSAN), grade, date of birth, and date of retirement in the designated fields.
Indicate your marital status by selecting 'Yes' or 'No' for whether you are married. If married, ensure your spouse completes section 5.
Answer questions regarding dependent children and former spouses. Select 'Yes' or 'No' as applicable.
Choose the type of coverage desired by checking one of the options: Spouse Only, Spouse and Child(ren), Child(ren) Only, Former Spouse, Former Spouse and Child(ren), or Person Having an Insurable Interest.
Complete the designation sections for spouse and children if applicable, providing names and dates of birth as required.
Sign and date the form at the bottom. Ensure a witness also signs to validate your election.

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What is SBP form?

The Survivor Benefit Plan (SBP) allows a retiree to ensure, after death, a continuous lifetime annuity for their dependents. The annuity which is based on a percentage of retired pay is called SBP and is paid to an eligible beneficiary.

What is a normal SBP?

Introduction. Spontaneous bacterial peritonitis (SBP) is a term used to describe acute infection of ascites, an abnormal accumulation of fluid in the abdomen without a distinct or identifiable source of infection.

What does SBP stand for?

Medically reviewed by Jenneh Rishe, RN Written by Markus MacGill Updated on January 18, 2024. Blood pressure levels can vary between individuals, but the American Heart Association (AHA) recommends a target blood pressure below 120 mm Hg systolic and 80 mm Hg diastolic.

What does the medical term SBP mean?

Systolic blood pressure (SBP) is the peak aortic pressure that occurs during the ejection of the blood from the left ventricle into the aorta during the contraction of the heart. From: Encyclopedia of Biomedical Gerontology, 2020.

What form do I use to stop SBP?

The Survivor Benefit Plan (SBP) provides financial support to military spouses and/or children when a military member dies while on duty or after retirement. SBP provides eligible beneficiaries with a monthly payment known as an annuity. The recipient of an SBP annuity is referred to as the annuitant.

sbp certificate

DD Form 2656 dd form 2656-7 DD Form 2656 download dd form 2656-2 DD Form 2656 march 2022 pdf DFAS SBP Forms DD Form 2656 Instructions dd form 2656-1

What does SBP mean?

If you believe you are eligible, please complete a Survivor Benefit Plan Termination Request (DD 2656-2 available for download on our Forms Library webpage) and mail or fax it to DFAS Retired and Annuitant Pay.