988 (Press 1). Applications, eBenefits Employment 255 0 obj <>stream Federal government websites often end in .gov or .mil. Many of our forms can be filled out using the Adobe Acrobat Reader. About VA insurance options and eligibility, Benefits for totally disabled or terminally ill policyholders, Beneficiary financial counseling and online will preparation, Request a decision review or manage a legacy appeal, Myths and rumors about SGLI/VGLI insurance, About the SGLI Online Enrollment System (SOES), Life insurance if you have preexisting conditions. trailer How Does VGLI Compare to Other Insurance Programs? Use our life insurance needs calculator to help decide how much life insurance you need. 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. Name and Mailing Address for Insurance Purposes. 0000002002 00000 n 0000004429 00000 n Use this form to reinstate a lapsed VGLI policy. This is the fastest and most secure way to send your form. Prudential works with us to provide VGLI benefits to Veterans. (fillable). Follow this link to upload documents. AccessVA Choose a secure VA Partner to sign into Life Insurance Online Policy Access: Don't have one? enter your Insurance File Number as the Account Number. Download life insurance handbooks, guides, and newsletters. 2. 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. Request your military records, including DD214. Yes, in some cases. 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. (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. Before using this form, please refer to the denial letter you received from your branch of service. Download all VA life insurance program forms on this page: Download SGLI Forms Download Family SGLI Forms Download VGLI Forms Download TSGLI Form or Conversion Information Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI) Download All Other VA Life Insurance Forms OMB Control No. 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). Use this form to claim FSGLI proceeds for a deceased spouse or dependent. Use this form to apply for VGLI insurance. https://insurance.va.gov/home/IDU. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). The .gov means its official. These forms are to be used for National Service Life Insurance only. 0000004154 00000 n Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? Use this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife). Find out which life insurance plans you may qualify forand the benefits youll receive with each plan. 198 58 0000004754 00000 n You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. 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 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. The fastest and most secure way to send your application to VA Insurance is to use our document upload service at . www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. Hit enter to expand a main menu option (Health, Benefits, etc). Go to milConnect and select Manage my SGLI. You can access your policy through our VA life insurance portal if you have one of these policies: You can access your Veterans Group Life Insurance (VGLI) policy online through Prudential Insurance Company of America. Our call center is also available to assist with any questions you may have. 3. 988 (Press 1). 0000003262 00000 n To apply for this coverage, read the instructions below and complete both sides of the application. Before sharing sensitive information, make sure you're on a federal government site. Or mail to: VA Insurance Center P.O. Submit an online request to get your DD214 or other military service records through the milConnect website. 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. File claim electronically online-This is the fastest and most secure way to send your claim.or,2. Before sharing sensitive information, make sure you're on a federal government site. We began accepting applications for VALife on January 1, 2023. 0000117210 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. 0000002714 00000 n Form name: Claim for Monthly PaymentsNational Service Life Insurance. 0000005281 00000 n You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. 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. Upload Your Documents using our secure web page - This is a fast and secure way to send your claim.or,3. Life Insurance Online Policy Access: Home Access My Policy Online Do you have a VGLI Control Number? & Employment, Veterans Benefits https://insurance.va.gov/home/IDU. Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. h{)W_Gk7F !U$XLs8(s:p~1ko; But if you already have S-DVI, you can keep it. The site is secure. Find and download the forms you need to apply for and manage your life insurance benefits. Use this page to securely send documents to VA Life Insurance. 2. 1. 0000002194 00000 n How Does VGLI Compare to Other Insurance Programs? 0000011713 00000 n Then click the SEND button at the bottom. Center, Vocational Rehabilitation Use this form to apply for Veterans Mortgage Life Insurance. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). 0000004206 00000 n CHILDREN OF DECEASED BROTHERS(S) AND SISTER(S) Applications, eBenefits Employment Please note, original copies of death certificates are not required. Use this form to request an advance insurance payment for a Servicemember or veteran that is terminally ill. Information about increasing VGLI Coverage. Any VA life insurance policy that starts with a V, J, RS, or W. 0000084414 00000 n Mail your documents to the following address: Follow this link for information on how to file a claim for VMLI. Tips for taking clear document pictures with a smartphone. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 0000129191 00000 n |UBCPdk:VInrgjuUk=xhu-2 h0XQD@{+-LJR%/lj\VI]ab %A4LF`.hG"(0Dl%V)ZT}8s.3z| f K.da,Ka2 82"3`WyVwVyUpn,yWa?^Nb,d05 VOP*:2d0E\v6y"~0&/XL7\LYR {Y~3ffUT0 prXIyvblCrjrp{$pRIV^2R9 Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. An official website of the United States government. 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). hb``f``c`c` B@Q5:00\e .:=bTXII) ,F+[ED?2,fz&2 F=",7&3LbfHc`a,c~4L0bdhfT1t gjw1f`3a This will make it easier for your family members to file a claim in their time of need. You can also manage any review requests or appeals you already filed. The .gov means its official. One moment please. Find out if you can get your insurance premium waived or receive your benefits early in certain situations. 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. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Whistleblower Rights The .gov means its official. <]/Prev 281345/XRefStm 1822>> 0000003606 00000 n An official website of the United States government. \6^(lA>{FA\:ruh Qf GAD}/^z}|8"`7Aj*`p8.o_U]^R@S;i>gbMO 5Sp)xU&*/{V5wuy)E 0 Use this form to reinstate your insurance policy if it has lapsed for less than 6 months. Right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu. If you have VA life insurance, find out how to access and manage your policy online. The price of life insurance coverage through the Department of Veterans Affairs (VA) is based on the policy type and the insured's age. 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. VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. Please switch auto forms mode to off. www.insurance.va.gov . Your S-DVI (including policies with premium waivers) will end when your full VALife coverage starts. 0000006441 00000 n 0000003075 00000 n Use this form to apply for a TSGLI benefit. Select "VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. 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. 0000128949 00000 n Choose Documents Select Files to Upload OR Drag and drop files here Selected Documents: 3. Read this page to learn more about S-DVI. If you are signing as the guardian or attorney-in-fact, please include a copy of the court appointment . xref 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. Enter Insurance File Number or Veteran's Name. If you think we may owe you funds from a VA insurance policy, search our unclaimed funds records by the qualifying Veteran's name. 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 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).