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. endstream endobj 254 0 obj <>/Filter/FlateDecode/Index[21 177]/Length 29/Size 198/Type/XRef/W[1 1 1]>>stream Note: If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? 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. 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). 0000002714 00000 n & Employment, Veterans Benefits Select " VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. These forms are to be used for National Service Life Insurance only. (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. 0000116941 00000 n Find out how to claim VA life insurance benefits under your policy. Please switch auto forms mode to off. (fillable), Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . How Much Life Insurance Do You Really Need? 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. The fastest and most secure way to send your application to VA Insurance is to use our document upload service at . VA Collections Address: PO Box 4019 Portland, OR 97208-4019. 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. 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). Hit enter to expand a main menu option (Health, Benefits, etc). But if you already have S-DVI, you can keep it. 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 Under certain conditions, the basic S-DVI policy still provides a premium waiver for Veterans who are totally disabled. Hit enter to expand a main menu option (Health, Benefits, etc). The site is secure. We can help answer questions about these policies: Already have VA life insurance? How Much Life Insurance Do You Really Need? Complete form SGLV 8283, Claim for 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). 0000084507 00000 n Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W |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{$pRIV^2R9 This will make it easier for your family members to file a claim in their time of need. Use this form to claim SGLI or VGLI proceeds for a deceased policyholder. You are now being redirected. Were here from 8:30 a.m. to 6:00 p.m. BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. 0000003771 00000 n 0000004102 00000 n Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. Complete form SGLV 8283, Claim for Death Benefits and fax it to 1-877-832-4943 or mail it to the following address with a copy of the death certificate:Office of Servicemembers' Group Life Insurance (OSGLI)PO Box 70173Philadelphia, PA 19176-9912. Track the status of your life insurance appeal. Veterans Crisis Line: HWn}GaFJKnQD&i$jFwkz3E0&~Jo ?Bw" 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. Learn how to access your VA records, benefit letters, and documents online. 1. &hE$"% Your letter will indicate whether you should utilize this form when submitting your appeal and the time frame in which you must submit your appeal. AfO%7s$XMwBnb?Svg ;mv0NCd\]k)f#be!v) The Veterans Mortgage Life Insurance (VMLI) program is designed to pay up to $200,000 on the home mortgages of eligible Hit enter to expand a main menu option (Health, Benefits, etc). hbb``b``3 0@ = 0000129191 00000 n 0000084437 00000 n To apply for this coverage, read the instructions below and complete both sides of the application. 8.WESyr&?saUbi3oPtaS6U{6SE 6m%7*lQ(lX. %PDF-1.7 % Using the Benefit Finder, Andrea will find the resources she and her family need and automatically compare her eligibility for over 1,000 state and federal benefit programs. Center, Vocational Rehabilitation You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. If the document is folded, smooth it out as much as possible. We're here from 8:30 a.m. to 6:00 p.m. Our call center is also available to assist with any questions you may have. You can also try using the flash to eliminate shadows, but make sure it is not adding glare that makes parts of the document unclear. Find out if you're eligible for tax-free monthly payments as a wartime Veteran or surviving spouse or child. Find and download the forms you need to apply for and manage your life insurance benefits. The .gov means its official. & Employment, Veterans Benefits 988 (Press 1). To ensure your security and privacy, when using a shared or . You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). If you are in crisis or having thoughts of suicide, o>Gj{^k,:Hs]vhRUd+4?yn4BFP3;#er4h:KEf& ;W.X"1yLWlKa+C6MCLdt-ok:'.qP8-kk/N4b9a|!k7h0t=$?O7Ff]=e_}8gtOB[ibRb:>Ex:y#}Zp?|D^4d pXWj{7|O Make sure the entire document is visible on screen. Use our life insurance needs calculator to help decide how much life insurance you need. Before sharing sensitive information, make sure you're on a federal government site. startxref Administration. Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. Hostname Summary Authoritative Information for the .gov Top-Level Domain Delegation How Does VGLI Compare to Other Insurance Programs? 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 You can also manage any review requests or appeals you already filed. You must pay premiums for both policies during the 2-year waiting period. 0000012725 00000 n Request your military records, including DD214. VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. Submit an online request to get your DD214 or other military service records through the milConnect website. Attention A T users. 0000128949 00000 n Find out how to check your policy's status, update your information, or pay your premium online. Applications, eBenefits Employment To access the menus on this page please perform the following steps. Learn the truth about the rumors that there are special dividends for Veterans who don't have an active government life insurance policy. Before sharing sensitive information, make sure you're on a federal government site. https://insurance.va.gov/home/IDU. Use this form to enroll in direct deposit or change your direct deposit information. We began accepting applications for VALife on January 1, 2023. (fillable), Use this form to change your plan of insurance. Upload Documents Cancel 0000007918 00000 n 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. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Federal government websites often end in .gov or .mil. SXv{ZoQ-= You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. Yes. You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. The form can then be printed out with your entries already completed. Use this form to authorize the disclosure of VA Life insurance information to a third party. Follow this link to Access your VGLI Policy Online. Select "VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. Use this form to designate or change the beneficiary for your VGLI policy. Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. (fillable). Before using this form, please refer to the denial letter you received from your branch of service. But you wont have full coverage during this time. 0000014484 00000 n If you have VA life insurance, find out how to access and manage your policy online. Administration. 0000002194 00000 n Your response is required to obtain or retain this benefit. Federal government websites often end in .gov or .mil. OR Use this form to update your bank account information when you are having premiums deducted from your checking account. visit VeteransCrisisLine.net for more resources. If you have a question about your government life insurance policy or a general question about government life insurance, please complete as much of the information in the form below as possible. (fillable), Use this form to give us information concerning the heirs of a deceased veteran or beneficiary. 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. Please switch auto forms mode to off. This pamphlet provides information on converting SGLI, FSGLI and VGLI coverage to an individual policy. An official website of the United States government. Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. AccessVA Choose a secure VA Partner to sign into Life Insurance Online Policy Access: Don't have one? 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 If you're enrolled in a VA life insurance plan, find out if you can get free financial planning and online will preparation services. This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. You dont have to do anything to keep your coverage. Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. Find out when and how you can convert your VA life insurance to a commercial policy. 0000008043 00000 n 0000192225 00000 n or, 2. The site is secure. 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. If you are in crisis or having thoughts of suicide, Before sharing sensitive information, make sure you're on a federal government site. Yes. 988 (Press 1). 0 The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Sure you 're on a federal government websites often end in.gov or.mil financial security for Veterans with disabilities. Payee and enter your insurance File Number as the Payee and enter your insurance File Number the! Military service records through the milConnect website lapsed for more than 6 months are special dividends for Veterans service... Applications for VALife on January 1, 2023 it out as much as possible select & quot VA! 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