29-0189. Application for Supplemental Service-Disabled Veterans (SRH) Life Insurance-2026

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The document provides information regarding the eligibility and application process for Supplemental Service-Disabled Veterans Insurance (SRH) for veterans who have been approved for a waiver of premiums on their Service-Disabled Veterans Insurance (RH) coverage. It outlines the available plans, premium payment options, and the necessity to apply before a specified deadline or before turning 65. Additionally, it emphasizes that unlike basic coverage, supplemental coverage does not allow for premium waivers if the insured is totally disabled.

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Click ‘Get Form’ to open the 29-0189 application in the editor.
Begin by entering the amount of insurance you wish to apply for, selecting from any of the nine plans available. Refer to pamphlet 29-9 for detailed premium rates.
Indicate your preferred payment method for premiums. Options include monthly deductions from VA compensation, military allotments, automatic bank withdrawals, or direct payments.
Designate your beneficiaries by providing their names, addresses, and Social Security numbers if known. Specify the relationship and share of benefits each beneficiary will receive.
Complete your personal information including your Social Security number, daytime telephone number, email address, and signature.
Review all entries for accuracy before submitting the form through our platform.

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2011	4.8 Satisfied (133 Votes)

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