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Hit enter to expand a main menu option (Health, Benefits, etc). 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. No insurance deduction may be made unless a completed authorization has been received (38 CFR 8.8). Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits. OR Use this form to update your bank account information when you are having premiums deducted from your checking account. Enter Insurance File Number or Veteran's Name. 1. or, 2. 0000000016 00000 n An official website of the United States government. If you have VA life insurance, find out how to access and manage your policy online. A . The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Hit enter to expand a main menu option (Health, Benefits, etc). VA HOME; PRIVACY; FOIA; U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420 . If you are in crisis or having thoughts of suicide, 198 0 obj <> endobj Use this pamphlet when applying for S-DVI. 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. SXv{ZoQ-= You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. VA Life Insurance If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: VA Life Insurance Online Policy Access Veterans' Group Life Insurance (VGLI) If you have a VGLI control number, access your policy through eBenefits or at this link: VGLI Online Policy Access return to top Get help planning a burial, order a headstone or other memorial item, and apply for survivor and dependent benefits. 0000192225 00000 n You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. File claim electronically online - This is the fastest and most secure way to send your claim. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. 0000001822 00000 n Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Download TSGLI Form or Conversion Information, Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI), Download All Other VA Life Insurance Forms, SGLV 8284 Servicemember/Veteran Accelerated Benefits Option Form, SGLV 8715 Application for SGLI Disability Extension, SGLV 8286A Family Coverage Election (SGLI), SGLV 180 Application for Reinstatement of Coverage (VGLI), Frequently Asked Questions about increasing your Veterans' Group Life Insurance, How to Convert Your SGLI/FSGLI/VGLI Coverage to an Individual Policy, 29-10 Veterans Affairs Life Insurance Information and Premium Rates, 29-9 Service-Disabled Veterans Insurance RH Information and Premium Rates, 29-8636 Application for Veterans Mortgage Life Insurance (VMLI), calculate the premiums which would be paid under VMLI, 29-0975e Authorization to Disclose Personal Information to a Third Party (Insurance). The fastest and most secure way to send your application to VA Insurance is to use our document upload service at . Use this form to designate or change the beneficiary for your VGLI policy. 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. 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. Make sure the entire document is visible on screen. https://insurance.va.gov/home/IDU. & Protections, Life Insurance Online Submit an online request to get your DD214 or other military service records through the milConnect website. 2. Sign up to pay your Veterans' Group Life Insurance premium automatically from your bank account. Center, Vocational Rehabilitation Please note, original copies of death certificates are not required. Stand with your phone camera directly over the document looking down, not at an angle. VA FORM XXXX You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. The .gov means its official. You can call the VA Life Insurance Center at 800-669-8477(TTY: 711). Use this form to enroll in direct deposit or change your direct deposit information. 3. o>Gj{^k,:Hs]vhRUd+4?yn4BFP3;#er4h:KEf& ;W.X"1yLWlKa+C6MCLdt-ok:'.qP8-kk/N4b9a|!k7h0t=$?O7Ff]=e_}8gtOB[ibRb:>Ex:y#}Zp?|D^4d pXWj{7|O 0000194545 00000 n If you've received a denial letter for Traumatic Injury Protection Life Insurance benefits that instructs you to use this form, file your appeal by the date provided in your letter. h{)W_Gk7F !U$XLs8(s:p~1ko; This is the fastest and most secure way to send your claim, Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). oQ ,`-e6=FewD`66 J(S9o:tZ 1(G-l60.cRj=Z#s^0A0d4k4L1HG{(Kx "{89ViRQ_Zi14sO8S4*xZvXa}Rxs>2XZhpAT0i_}}bF9,`($550BPToz!R^#s-p2@`9si C}@!jpkRq 61) IE[{#_V_J,@q: q3a2^FYc|2UAK. 3. 0000064186 00000 n Were here from 8:30 a.m. to 6:00 p.m. Center, Vocational Rehabilitation Prudential works with us to provide VGLI benefits to Veterans. Administration. Applications, eBenefits Employment 0000002151 00000 n 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance Records - VA, published in the Federal Register. We began accepting applications for VALife on January 1, 2023. More information about Life Insurance for Veterans Choose one of the links below for more information about Life Insurance for Veterans Veterans Affairs Life Insurance (VALife) 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). If you're enrolled in a VA life insurance plan, find out if you can get free financial planning and online will preparation services. https://insurance.va.gov/home/IDU. 0 trailer Find and download the forms you need to apply for and manage your life insurance benefits. An official website of the United States government. Find out how to check your policy's status, update your information, or pay your premium online. If you have a waiver for S-DVI premiums, your waiver wont transfer to VALife. www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. . Get VA life insurance About VA insurance options and eligibility It also provides a list of commercial insurance companies that will accept a conversion. Use this form to reinstate your insurance policy if it has lapsed for less than 6 months. These are group policies, and factors like gender or. 0000002002 00000 n 0000003262 00000 n visit VeteransCrisisLine.net for more resources. Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. Yes. Find out if youre eligible for VALife and how to apply. To enter and activate the submenu links, hit the down arrow. 0000011713 00000 n 0000010720 00000 n %PDF-1.7 % 0000004206 00000 n ** If you have a problem completing the online Certificate of Eligibility (COE) application, please contact the Help Desk at 1-800-827-1000. Download life insurance handbooks, guides, and newsletters. For feature and outage events, refer to the Outage Calendar link at the bottom of the page. Use this form to request an advance insurance payment for a spouse that is terminally ill. &hE$"% Our call center is also available to assist with any questions you may have. The .gov means its official. How Does VGLI Compare to Other Insurance Programs? Use this form to request an automatic monthly premium deduction from your checking account. <iframe title="Intentionally Blank" src="https://www.googletagmanager.com/ns.html?id=GTM-MBGXM55" height="0" width="0" aria-hidden="true" style="display:none . U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 988 (Press 1). What is Veterans Mortgage Life Insurance? Your premium (the amount youll pay for your coverage) depends on these factors: You can review the premium rates for S-DVI plans. 0000007449 00000 n 1-800-273-8255 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420, Last updated February 28, 2023 | v3.4.0-rc1+build.875.42b350dce982f36c2e2a022cfdc645fb8ffce63b, Service-Disabled Veterans Life Insurance (no new applications), Whistleblower Rights 0000129191 00000 n Before sharing sensitive information, make sure you're on a federal government site. The site is secure. You may only apply for VMLI if you have been approved for a, General information about the Veterans Mortgage Life Insurance Program. Left-click on the form title to view the form in your browser. Learn how to access your VA records, benefit letters, and documents online. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. One moment please. Instant Loan Approval for insurance loans is here - VA News The new Instant Loan Approval service streamlines and automates online processes that eliminate human intervention for providing decisions for loan requests. Eliminate shadows by using bright, direct lighting on your document. YES NO UPLOAD: OR MAIL THE COMPLETED FORM TO: The fastest and more secure way for insureds and beneficiaries to send the application to VA Insurance is to the document upload service at https://insurance.va.gov/home/IDU For an Insured: For a Beneficiary: VAROIC-DD P.O. Track the status of your life insurance appeal. Service-Disabled Veterans Life Insurance (S-DVI) provides low-cost coverage to eligible service members. The site is secure. enter your Insurance File Number as the Account Number. 0000014484 00000 n Upload Your Documents using our secure web page - This is a fast and secure way to send your claim.or,3. Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. 0000002714 00000 n Please have a look at the full domain report for va.gov for extended statistics about the Va.gov website. Right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu. Applications, eBenefits Employment If this page does not automatically refresh you may use this direct link.use this direct link. Attention A T users. More information about Life Insurance for Veterans, Choose one of the links below for more information about Life Insurance for Veterans, Veterans Crisis Line: You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). Federal government websites often end in .gov or .mil. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. **. To apply for this coverage, read the instructions below and complete both sides of the application. Find out if you're eligible for tax-free monthly payments as a wartime Veteran or surviving spouse or child. Read this page to learn more about S-DVI. or, 3. The form can then be printed out with your entries already completed. 0000004982 00000 n The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 0000064418 00000 n 988 (Press 1). 0000084177 00000 n Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. Under certain conditions, the basic S-DVI policy still provides a premium waiver for Veterans who are totally disabled. Federal government websites often end in .gov or .mil. <]/Prev 281345/XRefStm 1822>> 5)SVqefB h(~ZczwSgA|t IF)[3q{^` WO# Use this form to apply for VGLI insurance. Whistleblower Rights Document Upload is located at https://insurance.va.gov/Home/IDU. There was a problem uploading the following documents: Use the following tips to get the clearest possible document pictures using your smartphone. 0000014414 00000 n ET. (fillable), use this form to surrender your VA insurance policy for its cash value or to request a loan against the cash value of your policy. Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . 0000063712 00000 n Complete form SGLV 8600, Application for TSGLI Benefits, or request the form from your service department point of contact, then submit the completed claim to the branch of service listed on the form, along with photocopies of any evidence to support your claim. File claim electronically online-This is the fastest and most secure way to send your claim.or,2. An official website of the United States government. Keep the information up to date about who you want to receive your insurance proceeds. Place the document on a flat surface, like a desk or table. VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Servicemembers' Group Life Insurance (SGLI), Family Servicemembers' Group Life Insurance (FSGLI), VA Administered Life Insurance Program Claims (non-SGLI/VGLI), SGLV 8283A, Claim for Family Coverage Death Benefits, SGLV 8600, Application for TSGLI Benefits, VA Form 29-4125e, Claim for One Sum Payment, VA Form 29-4125, Claim for One Sum Payment, VA Form 29-541, Certificate Showing Residence and Heirs of Deceased Veteran, Upload Your Documents using our secure web page, information on how to file a claim for VMLI, acopy of the death certificate (or a photocopy) AND, a DD Form 214, Certificate of Release or Discharge from Active Duty OR, NGB-22, Report of Separation and Military Service OR, Photocopy of the death certificate of the insured Veteran showing the date and cause of death, Photocopies of the death certificates of all principal beneficiaries showing the date and cause of death, Copies of letters testamentary, letters of administration, or a court order of distribution, letters of guardianship, conservatorship, etc. 8.WESyr&?saUbi3oPtaS6U{6SE 6m%7*lQ(lX. If the beneficiary is a minor or incompetent, the person having custody of the beneficiary should complete the form and give his/her address in Item 8A. 0000008070 00000 n Follow this link to upload documents. GOVERNMENT LIFE INSURANCE. (fillable). (DocuSign), Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). If you have supplemental S-DVI, youll need to pay premiums for this supplemental coverageeven if you have a waiver for your basic S-DVI premiums. Find out how to apply for and manage your VA health care benefits. 0000084507 00000 n Hostname Summary Authoritative Information for the .gov Top-Level Domain Delegation Or mail to the Department of Veterans Affairs at the address shown on the reverse. startxref (fillable). 0000005281 00000 n 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. %%EOF We have a new program called Veterans Affairs Life Insurance (VALife) for Veterans with service-connected disabilities. We will respond as soon as possible using the method (e-mail, phone or letter . 0000007918 00000 n Mail your documents to the following address: Follow this link for information on how to file a claim for VMLI. You can keep your S-DVI. Financial counseling and online will prep, Check your policys status to make sure its up to date, Pay your premium (the amount you pay each month or each yearto keep your coverage), Find out about your plan and renewal options, depending on which type of plan you have, Update your beneficiaries(the peopleyouve picked to get the money from your policy if you die), Veterans Affairs Life Insurance (VALife)policies that start with a G, Service-Disabled Veterans Life Insurance (S-DVI)policies that start with an RH, Any VA life insurance policy that starts with a V, J, RS, or W. AccessVA Choose a secure VA Partner to sign into Life Insurance Online Policy Access: Don't have one? Access your VA life insurance policy online If you have VA life insurance, find out how to access and manage your policy online. Please wait while your documents are being processed. Request your military records, including DD214. 0000116695 00000 n %PDF-1.7 % 0000003075 00000 n 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 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 endstream endobj 254 0 obj <>/Filter/FlateDecode/Index[21 177]/Length 29/Size 198/Type/XRef/W[1 1 1]>>stream 2. You dont have to do anything to keep your coverage. To file a claim for VA Life Insurance online, you will need to complete VA Form 29-4125e, Claim for One Sum Payment and attach a photocopy of the Veterans death certificate and any other documents listed under required documentation. \6^(lA>{FA\:ruh Qf GAD}/^z}|8"`7Aj*`p8.o_U]^R@S;i>gbMO 5Sp)xU&*/{V5wuy)E HWYoF~'0} hj+5T aEITSwfIJCfoWxp {\pLz^beqy^iNd=9 tUoG^R%@ 2900-0068 Respondent Burden: 40 minutes Expiration Date: XXXXXXX APPLICATION FOR SERVICE-DISABLED VETERANS INSURANCE IMPORTANT INFORMATION S-DVI provides up to $10,000 of life insurance for eligible veterans. |UBCPdk:VInrgjuUk=xhu-2 h0XQD@{+-LJR%/lj\VI]ab %A4LF`.hG"(0Dl%V)ZT}8s.3z| f K.da,Ka2 82"3`WyVwVyUpn,yWa?^Nb,d05 VOP*:2d0E\v6y"~0&/XL7\LYR {Y~3ffUT0 prXIyvblCrjrp{$pRIV^2R9 Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site. 0000084414 00000 n To ensure your security and privacy, when using a shared or . Note:VALife doesnt offer premium waivers. Please switch auto forms mode to off. How Much Life Insurance Do You Really Need? ET. Use this form to apply for a TSGLI benefit. https://insurance.va.gov/home/IDU. Follow this link to Access your VGLI Policy Online. Life Insurance Online Policy Access: Home Access My Policy Online Do you have a VGLI Control Number? This will make it easier for your family members to file a claim in their time of need. Find out which life insurance plans you may qualify forand the benefits youll receive with each plan. Use this form to authorize the disclosure of VA Life insurance information to a third party. How Much Life Insurance Do You Really Need? www.insurance.va.gov . Use this form to request an advance insurance payment for a Servicemember or Veteran that is terminally ill. Use this form to apply for a free extension (up to two years) of SGLI coverage if you are a totally disabled at time of discharge. 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. You have 4 options to get life insurance as you transition out of service, but they have time limits. 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) If the document is folded, smooth it out as much as possible. hb``f``c`c` B@Q5:00\e .:=bTXII) ,F+[ED?2,fz&2 F=",7&3LbfHc`a,c~4L0bdhfT1t gjw1f`3a Use this form to reinstate a lapsed VGLI policy. 0000064032 00000 n FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Learn About Insurance for Service-Disabled Veterans, View Veterans Affairs Life Insurance (VALife) FAQs, Federal Benefits for Veterans, Dependents, and Survivors. Find out how to reach out to ask a question about your policy or file a claim for benefits. 0000001485 00000 n Attention A T users. Federal government websites often end in .gov or .mil. Your letter will indicate whether you should utilize this form when submitting your appeal and the time frame in which you must submit your appeal. 0000007619 00000 n 0000128949 00000 n 988 (Press 1). 255 0 obj <>stream Find out if you can get your insurance premium waived or receive your benefits early in certain situations. Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. Tips for taking clear document pictures with a smartphone. Note: Servicemembers' and Veterans' Group Life Insurance forms are created by the Office of Servicemembers' Group Life Insurance, which administers these programs for the Department of Veterans Affairs, and are made available on this web site as a courtesy to Servicemembers and Veterans. 0000003449 00000 n 8DkqL-5c=7v%J`)19_.RW]+;Af}zCqX8 To enter and activate the submenu links, hit the down arrow. To access the menus on this page please perform the following steps. visit VeteransCrisisLine.net for more resources. But if you already have S-DVI, you can keep it. The Veterans Mortgage Life Insurance (VMLI) program is designed to pay up to $200,000 on the home mortgages of eligible 1. If you apply for VALife on or after January 1, 2026,your S-DVI (including policies with premium waivers) will end the day we approve your VALife application. https://insurance.va.gov/home/IDU. To access the menus on this page please perform the following steps. and you have full-time SGLI coverage; use the SGLI Online Enrollment System (SOES) to: If you cannotaccess to SOES or have part time coverage, If you cannot access SOES or have part time coverage. How Much Life Insurance Do You Really Need? IF YOU HAVE ANY QUESTIONS CONCERNING . Before sharing sensitive information, make sure you're on a federal government site. VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. HWn}GaFJKnQD&i$jFwkz3E0&~Jo ?Bw" We can help answer questions about these policies: Already have VA life insurance? 0000012552 00000 n Yes. (fillable), Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. Contact the Insurance Center. If you are in crisis or having thoughts of suicide, 0000003771 00000 n 0000008467 00000 n 0000117369 00000 n Hit enter to expand a main menu option (Health, Benefits, etc). Please switch auto forms mode to off. BOX 7208 PHILADELPHIA, PA The site is secure. Please switch auto forms mode to off. Use this form to claim FSGLI proceeds for a deceased spouse or dependent. Please call us toll-free at 1-800-669-8477 for instructions. U@.\(}{$LjbL{2}Ln%=6g9~w':+_sLuK~j"5z You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. 1. & Employment, Veterans Benefits 1. 0000003606 00000 n (if any) and address of minor or incompetent beneficiary. Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? Use our life insurance needs calculator to help decide how much life insurance you need. 0000117210 00000 n (fillable), Use this form to request an automatic monthly premium deduction from your VA compensation check. This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. Follow this link to Access your VGLI Policy Online. Veterans Crisis Line: 1-800-273-8255 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420, Last updated February 28, 2023 | v3.4.0-rc1+build.875.42b350dce982f36c2e2a022cfdc645fb8ffce63b. PLEASE BE SURE TO COMPLETE BOTH SIDES OF THIS APPLICATION. Use this page to securely send documents to VA Life Insurance. %IH^``1uyHs2=md rDXiF 0 "7 This pamphlet provides information on converting SGLI, FSGLI and VGLI coverage to an individual policy. We can help answer questions about these policies: VALife S-DVI Any VA life insurance policy that starts with a V, J, RS, or W More information about your benefits Access your policy online Q[s7+^YMP^^GV'U^nf 2^S(!gQ{3wG)Jf'9)/z(499HB6yh5p.}V'9A:[vlD!on8NMSU*PR 9e0Re\ 7az=VRId.3[s-DlUlq/lqqE+vl04O1HJZ_cWR_\GOhKb)gAABm97eaS:' 8~9`2Bp^=5G>(KCv,crouLW4k./Us^icAR|Lw'qK0MV.`l&ii&!9syn)eW>k0QMc6QwxV-9m4c =Prca9 zUVRV#>J&VQtHouC-nf/R%.N$bX-:0hnB5aB{R&f1I <>stream 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. Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W 0000129214 00000 n 0000004102 00000 n The price of life insurance coverage through the Department of Veterans Affairs (VA) is based on the policy type and the insured's age. To enter and activate the submenu links, hit the down arrow. But you wont have full coverage during this time. Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. You are now being redirected. Youll need to pay only VALife premiums during the 2-year waiting period. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). 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