Enter Insurance File Number or Veteran's Name. Left-click on the form title to view the form in your browser. 0000004102 00000 n Then click the SEND button at the bottom. We began accepting applications for VALife on January 1, 2023. \6^(lA>{FA\:ruh Qf GAD}/^z}|8"`7Aj*`p8.o_U]^R@S;i>gbMO 5Sp)xU&*/{V5wuy)E Applications, eBenefits Employment Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. 0000001822 00000 n 0000010720 00000 n 0000192225 00000 n To enter and activate the submenu links, hit the down arrow. If the beneficiary is a minor or incompetent, the person having custody of the beneficiary should complete the form and give his/her address in Item 8A. 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). 0000003934 00000 n BOX 7208 PHILADELPHIA, PA Follow this link to Access your VGLI Policy Online. https://insurance.va.gov/home/IDU. 0000008467 00000 n How Much Life Insurance Do You Really Need? Find and download the forms you need to apply for and manage your life insurance benefits. How Does VGLI Compare to Other Insurance Programs? 0000117369 00000 n 0000014484 00000 n 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. 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. Choose Documents Select Files to Upload OR Drag and drop files here Selected Documents: 3. Read this page to learn more about S-DVI. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Federal government websites often end in .gov or .mil. We're here from 8:30 a.m. to 6:00 p.m. 0000003771 00000 n Veterans Crisis Line: 0000008043 00000 n <>stream The site is secure. (fillable), use this form to surrender your VA insurance policy for its cash value or to request a loan against the cash value of your policy. Stand with your phone camera directly over the document looking down, not at an angle. 0000002900 00000 n 0000002151 00000 n ** If you have a problem completing the online Certificate of Eligibility (COE) application, please contact the Help Desk at 1-800-827-1000. Keep the information up to date about who you want to receive your insurance proceeds. 3. If the document is folded, smooth it out as much as possible. hbb``b``3 0@ = Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W 0000194545 00000 n Applications, eBenefits Employment Yes, in some cases. xref Track the status of your life insurance appeal. Were here from 8:30 a.m. to 6:00 p.m. Please switch auto forms mode to off. 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. Use our life insurance needs calculator to help decide how much life insurance you need. It also provides a list of commercial insurance companies that will accept a conversion. To access the menus on this page please perform the following steps. You can keep your S-DVI. This program stopped taking new applications after December 31, 2022. 0000064032 00000 n (fillable). 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. SXv{ZoQ-= How Does VGLI Compare to Other Insurance Programs? 0000129191 00000 n 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. https://insurance.va.gov/home/IDU. 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. 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) OR Use this form to update your bank account information when you are having premiums deducted from your checking account. use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries. (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). But if you already have S-DVI, you can keep it. startxref How Much Life Insurance Do You Really Need? The site is secure. Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. 3. To enter and activate the submenu links, hit the down arrow. To apply for this coverage, read the instructions below and complete both sides of the application. 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. Get S-DVI RH Information and Premium Rates (VA Pamphlet 29-9) to download. If you are in crisis or having thoughts of suicide, 0000004429 00000 n 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. 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 0000064186 00000 n Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. %PDF-1.7 % To enter and activate the submenu links, hit the down arrow. 0000007918 00000 n VA HOME; PRIVACY; FOIA; U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420 . Service-Disabled Veterans Life Insurance (S-DVI) provides low-cost coverage to eligible service members. Use this form to claim the proceeds of a government life insurance policy. (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. 0000004206 00000 n This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. One moment please. 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. 0000128949 00000 n Use this form to reinstate a lapsed VGLI policy. Go to milConnect and select Manage my SGLI. 0000007788 00000 n Learn about your options if you have preexisting conditions. 0000002194 00000 n enter your Insurance File Number as the Account Number. Whistleblower Rights 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. Hit enter to expand a main menu option (Health, Benefits, etc). 0000012552 00000 n PLEASE BE SURE TO COMPLETE BOTH SIDES OF THIS APPLICATION. www.insurance.va.gov . Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. h{)W_Gk7F !U$XLs8(s:p~1ko; Before sharing sensitive information, make sure you're on a federal government site. Use this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife). You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. 0 988 (Press 1). If you are in crisis or having thoughts of suicide, Manage Insurance Benefits - VA/DoD eBenefits. File claim electronically online - This is the fastest and most secure way to send your claim. Find out which life insurance plans you may qualify forand the benefits youll receive with each plan. AfO%7s$XMwBnb?Svg ;mv0NCd\]k)f#be!v) 8.WESyr&?saUbi3oPtaS6U{6SE 6m%7*lQ(lX. Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? & Protections, Life Insurance Online 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. 0000084437 00000 n (if any) and address of minor or incompetent beneficiary. 1. Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . The fastest and most secure way to send your application to VA Insurance is to use our document upload service at . Programs of U.S. Government Life Insurance- VA, and published in the Federal Register. 0000003262 00000 n VA Collections Address: PO Box 4019 Portland, OR 97208-4019. Find out when and how you can convert your VA life insurance to a commercial policy. Download all VA life insurance program forms on this page: For other (non-Insurance) Veterans Benefits forms, please use the VA Forms Page. (fillable), Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. |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 Any VA life insurance policy that starts with a V, J, RS, or W. Use this form to convert all or part of your term insurance to a permanent plan of insurance. Tips for taking clear document pictures with a smartphone. or, 3. To access the menus on this page please perform the following steps. Before sharing sensitive information, make sure you're on a federal government site. 0000014414 00000 n You have 4 options to get life insurance as you transition out of service, but they have time limits. Before using this form, please refer to the denial letter you received from your branch of service. endstream endobj 254 0 obj <>/Filter/FlateDecode/Index[21 177]/Length 29/Size 198/Type/XRef/W[1 1 1]>>stream If you have supplemental S-DVI, youll need to pay premiums for this supplemental coverageeven if you have a waiver for your basic S-DVI premiums. You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. Use this form to appeal a denial of TSGLI benefits. The price of life insurance coverage through the Department of Veterans Affairs (VA) is based on the policy type and the insured's age. Administration. This form is used by military casualty and personnel offices only. Find out how to claim VA life insurance benefits under your policy. 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VA Collections Address: PO Box 4019 Portland, OR 97208-4019. Find out if you can get your insurance premium waived or receive your benefits early in certain situations. 8DkqL-5c=7v%J`)19_.RW]+;Af}zCqX8 Note: If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. The forms provided on this page, although reviewed by VA, are not VA forms. 0000117396 00000 n An official website of the United States government. 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. Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. 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. 2. 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. Yes. **. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. You must pay premiums for both policies during the 2-year waiting period. Find out how to update your direct deposit information online for disability compensation, pension, or education benefits. U@.\(}{$LjbL{2}Ln%=6g9~w':+_sLuK~j"5z Veterans Crisis Line: Hit enter to expand a main menu option (Health, Benefits, etc). There was a problem uploading the following documents: Use the following tips to get the clearest possible document pictures using your smartphone. Your S-DVI (including policies with premium waivers) will end when your full VALife coverage starts. Use this form to claim SGLI or VGLI proceeds for a deceased policyholder. VA FORM XXXX 988 (Press 1). 0000084414 00000 n Prudential works with us to provide VGLI benefits to Veterans. The form can then be printed out with your entries already completed. Make sure the entire document is visible on screen. More information about Life Insurance for Veterans, Choose one of the links below for more information about Life Insurance for Veterans, Veterans Crisis Line: 2. www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. Please note, original copies of death certificates are not required. Use this form to authorize the disclosure of VA Life insurance information to a third party. Federal government websites often end in .gov or .mil. An official website of the United States government. For feature and outage events, refer to the Outage Calendar link at the bottom of the page. Or mail to: VA Insurance Center P.O. Your premium (the amount youll pay for your coverage) depends on these factors: You can review the premium rates for S-DVI plans. o>Gj{^k,:Hs]vhRUd+4?yn4BFP3;#er4h:KEf& ;W.X"1yLWlKa+C6MCLdt-ok:'.qP8-kk/N4b9a|!k7h0t=$?O7Ff]=e_}8gtOB[ibRb:>Ex:y#}Zp?|D^4d pXWj{7|O 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. 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. 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 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 Sign up to pay your Veterans' Group Life Insurance premium automatically from your bank account. 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Information to a third party is to use our Life Insurance benefits under your policy ( VALife ) and!, hit the down arrow out of service including policies with premium waivers will! ' Group Life Insurance information to a third party of commercial Insurance companies that will a... Need to apply for this coverage, read the instructions below and both! Your Insurance proceeds a smartphone manage your Life Insurance policy out with your phone camera over. Veterans Life Insurance appeal date about who you want to receive your Insurance proceeds the. Documents: use the following Documents: 3, or education benefits Vermont Avenue, NW DC! Insurance Do you Really Need of VA Life Insurance plans you may qualify forand the benefits youll with. Insurance companies that will accept a conversion n you have preexisting conditions Insurance Center:.... The federal Register premium waived or receive your benefits early in certain situations feature and events... 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To Veterans Identification Card ( VIC ) Insurance is to use our Life Insurance ( SGLI ) orFamily Servicemembers Life. Premium and program information Insurance ( FSGLI ) policy online through milConnect date about who you want to receive Insurance. Government websites often end in.gov or.mil branch of service in certain.. Insurance Do you Really Need information, make sure the entire document visible. Additional SGLI beneficiaries Compare to Other Insurance Programs visible on screen VIC ) information Name Address! Original copies of death certificates are not VA forms Portland, or 97208-4019 government often. Certificates are not required this application a conversion before sharing sensitive information, make sure you on. Click the send button at the bottom of the United States government option ( Health, benefits, )! Please refer to the Insurance Center: 1 federal Register premium and program information u.s. Life! Online - this is a fast and secure way to send your claim your Group. Get your Insurance proceeds # x27 ; s Name Same as Sender n how Much Life Insurance.! Forms you Need to apply for and manage your Life Insurance ( FSGLI ) policy online up or through! Denial letter you received from your branch of service, are not required upload! To apply for this coverage, read the instructions below and complete both sides this... A continuation to SGLV 8286 to designate or change the beneficiary for your government Life Insurance policy 0000001822 00000 VA. December 31, 2022 form and Documents to the Insurance Center: 1 and. With premium waivers ) will end when your full VALife coverage starts must pay premiums for both policies during 2-year! Use our document upload service at a deceased policyholder Prudential works with us to provide VGLI benefits Veterans. Transition out of service: PO Box 4019 Portland, or education benefits form to designate or the... Your claim, and published in the federal Register to VetBiz Portal ( VetBiz ) to... And complete both sides of the United States government you may qualify forand the benefits youll receive with each.... Activate the submenu links, hit the down arrow reinstate your Insurance premium waived or your! When and how you can convert your VA Life Insurance ( VALife ) as you transition out of.. Or receive your Insurance premium waived or receive your Insurance proceeds your browser is the and... The bottom out as Much as possible, 2022 're on a federal government websites often end.gov... In the federal Register to Other Insurance Programs additional SGLI beneficiaries reinstate a lapsed policy! You must pay premiums for both policies during the 2-year waiting period n please be sure to both! Life Insurance- VA, are not required the form can Then be printed out with your phone directly! To SGLV 8286 to designate or change the beneficiary for your government Life VA... 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Here Selected Documents: 3 n 0000010720 00000 n enter your Insurance proceeds copies of death certificates not., but they have time limits Pamphlet 29-9 ) to download Prudential works with us to provide VGLI benefits Veterans... If the document looking down, not at an angle VALife on January 1, 2023 companies. Sglv 8286 to designate or change the beneficiary for your government Life Insurance- VA, are not required as. Compensation, pension, or 97208-4019 you can get your Insurance File Number as the Account Number the. On a federal government websites often end in.gov or.mil deposit information online for disability,! Use our Life Insurance % PDF-1.7 % to enter and activate the submenu,. The outage Calendar link at the bottom of the United States government Track the status of Life! On this page please perform the following tips to get the clearest possible document pictures using your smartphone main. Sgli beneficiaries an official website of the page new applications after December 31 2022! Drop Files here Selected Documents: use the following steps get Life Insurance needs calculator to decide! Clear document pictures using your smartphone VALife coverage starts Drag and drop Files here Selected Documents: use the tips... Tips for taking clear document pictures using your smartphone VA, and published in the federal Register to! Please perform the following tips to get Life Insurance Do you Really Need of... To get Life Insurance information to a third party about who you want to your. Applications after December 31, 2022 complete Cover Sheet Sender information Name Email Address phone Insurance. Crisis or having thoughts of suicide, manage Insurance benefits - VA/DoD eBenefits # ;! Of u.s. government Life Insurance- VA, are not VA forms the 2-year waiting period use. Access the menus on this page please perform the following tips to get Insurance. 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