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Important: Read instructions on the Back of Part 2 before completing this form. A. Information About the Insured (not the Assignee, if there is one) (type or print) Name of Insured (Last, first, middle) Date of birth of Insured (mm/dd/yyyy) an employee The Insured is: Place an "X" in the appropriate box. Social Security Number of Insured If the Insured is retired or receiving Federal Employees' Compensation, give CSA, CSI, or OWCP claim number: a retiree a compensationer Department or.

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Submit the designation form to: Office of Personnel Management, Retirement Operations Center, P.O. Box 45, Boyers, PA 16017-0045.

Where do I send my completed Designation of Beneficiary (SF 2823) for FEGLI life insurance? Employees: Submit the designation form to your human resources office. If you do not know how to contact your human resources office, you can ask your supervisor or your Agency Benefits Officer.

How can I contact the Office of Federal Employees' Group Life Insurance (OFEGLI)? OFEGLI's address is OFEGLI, P.O. BOX 6080, SCRANTON, PA 18505-6080. Their phone number is 1-800-633-4542.

Please call the Office of Federal Employees' Group Life Insurance (OFEGLI) at 1-800-633-4542 to file a FEGLI claim.

The Federal Employees' Group Life Insurance Program (FEGLI) offers Basic Life Insurance that is equal to your annual basic pay, rounded to the next higher $1,000, plus $2,000.

Abstract: Standard Form 2823 is used by any Federal employee or retiree covered by the Federal Employees' Group Life Insurance (FEGLI) Program, or an assignee who owns an insured's coverage, to instruct the Office of Federal Employees' Group Life Insurance how to distribute the proceeds of the FEGLI coverage when the ...

You can write to the Office of Personnel Management at OPM, P.O. Box 45, Boyers, PA 16017-0045, call OPM's Retirement Information Office at 1-888-767-6738, or send us email at retire@opm.gov.

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.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232