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Request For Insurance - OPM.gov

Request For Insurance Federal Employees' Group Life Insurance (FEGLI) Program SF 2822 Instructions (page 1 of 2) Revised December 2013 Instructions for Employees When should I complete this form? You should complete this form if: you are in a position that makes you eligible for FEGLI coverage (ask your human resources office if you don't know), AND at least one year has passed since the effective date of your most recent waiver of Basic, Option A and/or Option B life Insurance , AND either: you are not enrolled in the FEGLI Program, but would like to be, OR you are enrolled in the FEGLI Program, but you have less than the m aximum life Insurance available and you want more life Insurance .

Request For Insurance . Federal Employees' Group Life Insurance (FEGLI) Program . Read instructions before completing this form. Part A Employing Agency

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