(if any) and address of minor or incompetent beneficiary. Upload Your Documents using our secure web page - This is a fast and secure way to send your claim.or,3. 0000002900 00000 n You can also try using the flash to eliminate shadows, but make sure it is not adding glare that makes parts of the document unclear. Please wait while your documents are being processed. Go to milConnect and select Manage my SGLI. 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 The forms provided on this page, although reviewed by VA, are not VA forms. Place the document on a flat surface, like a desk or table. 0000063471 00000 n How Much Life Insurance Do You Really Need? GOVERNMENT LIFE INSURANCE. Administration. Veterans Crisis Line: Access your policy online. If you are in crisis or having thoughts of suicide, If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: If you have a VGLI control number, accessyour policy througheBenefits or at this link: Veterans Crisis Line: To enter and activate the submenu links, hit the down arrow. 198 0 obj <> endobj Administration. This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. A . IF YOU HAVE ANY QUESTIONS CONCERNING . 0000004154 00000 n 3. visit VeteransCrisisLine.net for more resources. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 198 58 0000129214 00000 n File claim electronically online-This is the fastest and most secure way to send your claim.or,2. Under certain conditions, the basic S-DVI policy still provides a premium waiver for Veterans who are totally disabled. How Does VGLI Compare to Other Insurance Programs? Mail your documents to the following address: Follow this link for information on how to file a claim for VMLI. visit VeteransCrisisLine.net for more resources. 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 (fillable), Use this form to change your plan of insurance. 2. Attention A T users. You are now being redirected. Please have a look at the full domain report for va.gov for extended statistics about the Va.gov website. hbb``b``3 0@ = Your S-DVI (including policies with premium waivers) will end when your full VALife coverage starts. 0000192225 00000 n [~`\0;i4f d yDE2(| msKI?D(%9s-HCnAL@}X8 Yz-U[!r6hTnS /WgzP2AiKE{]|w4q88z%Q$ To ensure your security and privacy, when using a shared or . Use this form to apply for Veterans Mortgage Life Insurance. File claim electronically online - This is the fastest and most secure way to send your claim. Left-click on the form title to view the form in your browser. Find out how to claim VA life insurance benefits under your policy. These forms are to be used for National Service Life Insurance only. Giving us your Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. 988 (Press 1). The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 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. 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. If you have S-DVI, you have these 2 options: If you apply for VALife by December 31, 2025,you can keep your S-DVI during the 2-year waiting period for VALife benefits. What you can do when you access your policy Check your policy's status to make sure it's up to date Pay your premium (the amount you pay each month or each year to keep your coverage) If you think we may owe you funds from a VA insurance policy, search our unclaimed funds records by the qualifying Veteran's name. 0000014414 00000 n Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? The .gov means its official. Or mail to the Department of Veterans Affairs at the address shown on the reverse. Use this form to request an advance insurance payment for a Servicemember or veteran that is terminally ill. Information about increasing VGLI Coverage. Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. Yes. VA HOME; PRIVACY; FOIA; U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420 . You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). 0000117210 00000 n How Much Life Insurance Do You Really Need? 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. PLEASE BE SURE TO COMPLETE BOTH SIDES OF THIS APPLICATION. 0000008043 00000 n Then click the SEND button at the bottom. 0000117396 00000 n 0000008070 00000 n \6^(lA>{FA\:ruh Qf GAD}/^z}|8"`7Aj*`p8.o_U]^R@S;i>gbMO 5Sp)xU&*/{V5wuy)E Learn the truth about the rumors that there are special dividends for Veterans who don't have an active government life insurance policy. (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. Form name: Claim for Monthly PaymentsNational Service Life Insurance. If you disagree with a decision on your application for life insurance benefits, you can request a decision review. Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. 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. 0 Sign up to pay your Veterans' Group Life Insurance premium automatically from your bank account. We can help answer questions about these policies: Already have VA life insurance? Use this pamphlet when applying for S-DVI. Your premium (the amount youll pay for your coverage) depends on these factors: You can review the premium rates for S-DVI plans. Name and Mailing Address for Insurance Purposes. Use this form to apply for a TSGLI benefit. If you are in crisis or having thoughts of suicide, If you're enrolled in a VA life insurance plan, find out if you can get free financial planning and online will preparation services. Use this form to claim the proceeds of a government life insurance policy. Enter Insurance File Number or Veteran's Name. To access the menus on this page please perform the following steps. 2. BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. Use this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife). U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. HWYoF~'0} hj+5T aEITSwfIJCfoWxp {\pLz^beqy^iNd=9 tUoG^R%@ 1. 0000064186 00000 n Find out when and how you can convert your VA life insurance to a commercial policy. Learn how to access your VA records, benefit letters, and documents online. If the document is folded, smooth it out as much as possible. No insurance deduction may be made unless a completed authorization has been received (38 CFR 8.8). To access the menus on this page please perform the following steps. The site is secure. 1. We apologize for any temporary disruption that may be caused as we move into the new system, however the benefit of having a more secure, safe, efficient, and modern policy maintenance system for our . Request your military records, including DD214. 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. Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . You have 4 options to get life insurance as you transition out of service, but they have time limits. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. 0000002151 00000 n VA Collections Address: PO Box 4019 Portland, OR 97208-4019. Please call us toll-free at 1-800-669-8477 for instructions. You can also manage any review requests or appeals you already filed. 0000116695 00000 n 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 Any VA life insurance policy that starts with a V, J, RS, or W. Use this form to request the proceeds of an NSLI policy be paid in monthly installments. 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 0000084414 00000 n 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) Service-Disabled Veterans Life Insurance (S-DVI) provides low-cost coverage to eligible service members. endstream endobj 254 0 obj <>/Filter/FlateDecode/Index[21 177]/Length 29/Size 198/Type/XRef/W[1 1 1]>>stream This pamphlet provides information on converting SGLI, FSGLI and VGLI coverage to an individual policy. Use this form to request an advance insurance payment for a spouse that is terminally ill. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. Find out if youre eligible for VALife and how to apply. We began accepting applications for VALife on January 1, 2023. (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). The .gov means its official. 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 you are in crisis or having thoughts of suicide, How Does VGLI Compare to Other Insurance Programs? Note: If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. Use this form to appeal a denial of TSGLI benefits. For feature and outage events, refer to the Outage Calendar link at the bottom of the page. Veterans Crisis Line: Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. 2. Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W More information about Life Insurance for Veterans, Choose one of the links below for more information about Life Insurance for Veterans, Veterans Crisis Line: Keep the information up to date about who you want to receive your insurance proceeds. Federal government websites often end in .gov or .mil. 0000084177 00000 n This form should only be used if you are requesting a plan with a lower cash value than your current policy. https://insurance.va.gov/home/IDU. Follow this link to upload documents. use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries. Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. Programs of U.S. Government Life Insurance- VA, and published in the Federal Register. We're here from 8:30 a.m. to 6:00 p.m. ET. 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. 0000003449 00000 n We have a new program called Veterans Affairs Life Insurance (VALife) for Veterans with service-connected disabilities. 988 (Press 1). Right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu. 0000004754 00000 n xref To enter and activate the submenu links, hit the down arrow. Please switch auto forms mode to off. Find out how to reach out to ask a question about your policy or file a claim for benefits. 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. Life Insurance Online Policy Access: Home Access My Policy Online Do you have a VGLI Control Number? Please note, original copies of death certificates are not required. Applications, eBenefits Employment <]/Prev 281345/XRefStm 1822>> You may only apply for VMLI if you have been approved for a, General information about the Veterans Mortgage Life Insurance Program. 0000003934 00000 n 0000001822 00000 n 2 0 obj These are group policies, and factors like gender or. Use this form to authorize the disclosure of VA Life insurance information to a third party. 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). The site is secure. trailer 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. The down arrow online-This is the fastest and most secure way to send your claim.or,2 plan a... Foia ; u.s. Department of Veterans Affairs Life Insurance Center at 800-669-8477 ( TTY: 711.... Transition out of Service, but they have time limits are Group policies, and misconceptions SGLI... Form in your browser for more resources VALife, our new online process for enrolling in '... ( VIC ) how you can convert your VA records, benefit letters, and documents.! Policies, and misconceptions about SGLI and VGLI Insurance Save Target as '' in the federal Register still! ; PRIVACY ; FOIA ; u.s. Department of Veterans Affairs | 810 Vermont Avenue, NW DC... Learn about our new online process for enrolling in Servicemembers ' Group Life Insurance can call the Life... You transition out of Service, but they have time limits the official and! Still provides a premium waiver for Veterans with service-connected disabilities you can call the VA Life Insurance to. How Much Life Insurance Insurance Center at 800-669-8477 ( TTY: 711 ) access: HOME access My online! Of TSGLI benefits % @ 1 of Veterans Affairs Life Insurance ( VALife ) premium and program.. Has been received ( 38 CFR 8.8 ) S-DVI also stopped taking new applications after December 31,.... 1, 2023 Really Need claim the proceeds of a government Life Insurance policy access: access... 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