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. Find out which life insurance plans you may qualify forand the benefits youll receive with each plan. Upload Documents Cancel 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) You may only apply for VMLI if you have been approved for a, General information about the Veterans Mortgage Life Insurance Program. If you are in crisis or having thoughts of suicide, 988 (Press 1). 0 & Protections, Life Insurance Online Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. Administration. Hit enter to expand a main menu option (Health, Benefits, etc). These are group policies, and factors like gender or. Use this form to claim the proceeds of a government life insurance policy. Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. Life Insurance Online Policy Access: Home Access My Policy Online Do you have a VGLI Control Number? 2. If you are in crisis or having thoughts of suicide, BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. www.insurance.va.gov . Federal government websites often end in .gov or .mil. Use this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife). The .gov means its official. 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. How Much Life Insurance Do You Really Need? Hit enter to expand a main menu option (Health, Benefits, etc). 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. Please have a look at the full domain report for va.gov for extended statistics about the Va.gov website. An official website of the United States government. Use this form to reinstate a lapsed VGLI policy. 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. 0000003771 00000 n Before using this form, please refer to the denial letter you received from your branch of service. Track the status of your life insurance appeal. hb``f``c`c` B@Q5:00\e .:=bTXII) ,F+[ED?2,fz&2 F=",7&3LbfHc`a,c~4L0bdhfT1t gjw1f`3a 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. 0000117396 00000 n Choose Documents Select Files to Upload OR Drag and drop files here Selected Documents: 3. 0000003262 00000 n Hit enter to expand a main menu option (Health, Benefits, etc). Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. (fillable), Use this form to change your plan of insurance. 0000007918 00000 n The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 1. designate or update the beneficiary on a SGLI policy, restore or increase SGLI coverage when it has previously been reduced or declined, restore or increase Family SGLI coverage when it has previously been reduced or declined. 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. Use this form to request an advance insurance payment for a Servicemember or veteran that is terminally ill. Information about increasing VGLI Coverage. ET. (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. To access the menus on this page please perform the following steps. Manage Insurance Benefits - VA/DoD eBenefits. Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. This form is used by military casualty and personnel offices only. PLEASE BE SURE TO COMPLETE BOTH SIDES OF THIS APPLICATION. Upload Your Documents using our secure web page - This is a fast and secure way to send your claim.or,3. Please wait while your documents are being processed. Read this page to learn more about S-DVI. Left-click on the form title to view the form in your browser. 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. To enter and activate the submenu links, hit the down arrow. Veterans Crisis Line: Place the document on a flat surface, like a desk or table. We have a new program called Veterans Affairs Life Insurance (VALife) for Veterans with service-connected disabilities. 0000007788 00000 n 0000004206 00000 n 0000006441 00000 n Find out how to update your direct deposit information online for disability compensation, pension, or education benefits. 0000003606 00000 n 0000002002 00000 n GOVERNMENT LIFE INSURANCE. About VA insurance options and eligibility, Benefits for totally disabled or terminally ill policyholders, Beneficiary financial counseling and online will preparation, Request a decision review or manage a legacy appeal, Myths and rumors about SGLI/VGLI insurance, About the SGLI Online Enrollment System (SOES), Life insurance if you have preexisting conditions. Or mail to: VA Insurance Center P.O. Contact the Insurance Center. application to VA Insurance is to use the document upload service at: https://insurance.va.gov/home/IDU. 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. 2. 1. 5)SVqefB h(~ZczwSgA|t IF)[3q{^` WO# SXv{ZoQ-= Then click the SEND button at the bottom. Keep the information up to date about who you want to receive your insurance proceeds. If this page does not automatically refresh you may use this direct link.use this direct link. Right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu. https://insurance.va.gov/home/IDU. Center, Vocational Rehabilitation Support for WWI, WWII, and Korean War era programs: Support for the VGLI program, SGLI claims, and FSGLI claims. (fillable), Use this form to request an automatic monthly premium deduction from your VA compensation check. The forms provided on this page, although reviewed by VA, are not VA forms. You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). Attention A T users. What is Veterans Mortgage Life Insurance? Use this form to request an advance insurance payment for a spouse that is terminally ill. Programs of U.S. Government Life Insurance- VA, and published in the Federal Register. Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. This pamphlet gives Service-Disabled Veterans Insurance (S-DVI) premium and plan information. How Does VGLI Compare to Other Insurance Programs? 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. Learn about the law requiring us to pay all benefits by electronic funds transfer. Or mail to the Department of Veterans Affairs at the address shown on the reverse. Yes, in some cases. The Veterans Mortgage Life Insurance (VMLI) program is designed to pay up to $200,000 on the home mortgages of eligible Your S-DVI (including policies with premium waivers) will end when your full VALife coverage starts. Find out if youre eligible for VALife and how to apply. But you wont have full coverage during this time. 0000005281 00000 n This program stopped taking new applications after December 31, 2022. 0000003449 00000 n 0000013732 00000 n You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. Note: If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. 1. 988 (Press 1). One moment please. 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. 0000063471 00000 n The site is secure. Select "VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. We can help answer questions about these policies: Already have VA life insurance? HWYoF~'0} hj+5T aEITSwfIJCfoWxp {\pLz^beqy^iNd=9 tUoG^R%@ An official website of the United States government. 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. & Employment, Veterans Benefits The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Use this form to authorize the disclosure of VA Life insurance information to a third party. xref PRIVACY ACT . You have 4 options to get life insurance as you transition out of service, but they have time limits. 0000002194 00000 n 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). 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. 0000012552 00000 n 0000009493 00000 n Our call center is also available to assist with any questions you may have. Use our life insurance needs calculator to help decide how much life insurance you need. 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 Federal government websites often end in .gov or .mil. 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. The .gov means its official. 0000084507 00000 n 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. or, 2. 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). Request your military records, including DD214. You can call the VA Life Insurance Center at 800-669-8477(TTY: 711). 0000128949 00000 n Make sure the entire document is visible on screen. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. 0000002151 00000 n 3. (if any) and address of minor or incompetent beneficiary. If you have VA life insurance, find out how to access and manage your policy online. Find out when and how you can convert your VA life insurance to a commercial policy. This will make it easier for your family members to file a claim in their time of need. If you're enrolled in a VA life insurance plan, find out if you can get free financial planning and online will preparation services. Center, Vocational Rehabilitation 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 . To enter and activate the submenu links, hit the down arrow. 0000007619 00000 n Veterans Crisis Line: Use this form to designate or change the beneficiary for your VGLI policy. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. (fillable), Use this form to give us information concerning the heirs of a deceased veteran or beneficiary. 0000014414 00000 n Note:VALife doesnt offer premium waivers. 0000064418 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. You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. There are 3 ways to send your claim form and documents to the Insurance Center: 1. Form name: Claim for Monthly PaymentsNational Service Life Insurance. ET. oQ ,`-e6=FewD`66 J(S9o:tZ 1(G-l60.cRj=Z#s^0A0d4k4L1HG{(Kx "{89ViRQ_Zi14sO8S4*xZvXa}Rxs>2XZhpAT0i_}}bF9,`($550BPToz!R^#s-p2@`9si C}@!jpkRq 61) IE[{#_V_J,@q: q3a2^FYc|2UAK. &hE$"% Find out how to apply for and manage your VA health care benefits. (fillable), Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. 8.WESyr&?saUbi3oPtaS6U{6SE 6m%7*lQ(lX. Use this form to convert all or part of your term insurance to a permanent plan of insurance. startxref Mail your documents to the following address: Follow this link for information on how to file a claim for VMLI. Yes. Eliminate shadows by using bright, direct lighting on your document. Insurance File Number 2. 2 0 obj Find out how to check your policy's status, update your information, or pay your premium online. 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). [~`\0;i4f d yDE2(| msKI?D(%9s-HCnAL@}X8 Yz-U[!r6hTnS /WgzP2AiKE{]|w4q88z%Q$ OR Use this form to update your bank account information when you are having premiums deducted from your checking account. (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. 0000084177 00000 n Attention A T users. Get help planning a burial, order a headstone or other memorial item, and apply for survivor and dependent benefits. Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. 0000194545 00000 n Please switch auto forms mode to off. or, 3. If you apply for VALife on or after January 1, 2026,your S-DVI (including policies with premium waivers) will end the day we approve your VALife application. 0000014484 00000 n How Does VGLI Compare to Other Insurance Programs? Document Upload is located at https://insurance.va.gov/Home/IDU. This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. Use this form to request an automatic monthly premium deduction from your checking account. The site is secure. There was a problem uploading the following documents: Use the following tips to get the clearest possible document pictures using your smartphone. Follow this link to Access your VGLI Policy Online. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 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 U@.\(}{$LjbL{2}Ln%=6g9~w':+_sLuK~j"5z 255 0 obj <>stream AccessVA Choose a secure VA Partner to sign into Life Insurance Online Policy Access: Don't have one? Veterans Crisis Line: 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. 0000064032 00000 n 0000003075 00000 n 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 How Much Life Insurance Do You Really Need? hbb``b``3 0@ = 0000002714 00000 n 0000002900 00000 n 198 0 obj <> endobj Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . VA FORM SEP 2021. %PDF-1.7 % 0000008070 00000 n 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) VA Collections Address: PO Box 4019 Portland, OR 97208-4019. Download all VA life insurance program forms on this page: For other (non-Insurance) Veterans Benefits forms, please use the VA Forms Page. Submit an online request to get your DD214 or other military service records through the milConnect website. Please switch auto forms mode to off. Box 7208 Philadelphia, PA 19101 10. Name and Mailing Address for Insurance Purposes. Use this pamphlet when applying for S-DVI. 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. We're here from 8:30 a.m. to 6:00 p.m. Any VA life insurance policy that starts with a V, J, RS, or W. Learn the truth about the rumors that there are special dividends for Veterans who don't have an active government life insurance policy. 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. The price of life insurance coverage through the Department of Veterans Affairs (VA) is based on the policy type and the insured's age. (fillable). This is the fastest and most secure way to send your form. 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: 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. Were here from 8:30 a.m. to 6:00 p.m. & Protections, Life Insurance Online 0000064701 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. Attention A T users. 0000008467 00000 n File claim electronically online-This is the fastest and most secure way to send your claim.or,2. 0000129191 00000 n 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 0000010720 00000 n Whistleblower Rights Yes. 0000003934 00000 n Get S-DVI RH Information and Premium Rates (VA Pamphlet 29-9) to download. Use this page to securely send documents to VA Life Insurance. 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) 2. VA FORM XXXX Find out how to claim VA life insurance benefits under your policy. You may fill out the form online or download the form to your hard drive and fill it out from there. 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. You dont have to do anything to keep your coverage. www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. <]/Prev 281345/XRefStm 1822>> Use this form to appeal a denial of TSGLI benefits. 0000001485 00000 n 0000004982 00000 n Access your VA life insurance policy online If you have VA life insurance, find out how to access and manage your policy online. IF YOU HAVE ANY QUESTIONS CONCERNING . Under certain conditions, the basic S-DVI policy still provides a premium waiver for Veterans who are totally disabled. It also provides a list of commercial insurance companies that will accept a conversion. You must pay premiums for both policies during the 2-year waiting period. Use this form to enroll in direct deposit or change your direct deposit information. use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries. Please call us toll-free at 1-800-669-8477 for instructions. 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 0000004102 00000 n You are now being redirected. We will respond as soon as possible using the method (e-mail, phone or letter . Access your policy online. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 0000063712 00000 n For feature and outage events, refer to the Outage Calendar link at the bottom of the page. An official website of the United States government. Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. 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. \6^(lA>{FA\:ruh Qf GAD}/^z}|8"`7Aj*`p8.o_U]^R@S;i>gbMO 5Sp)xU&*/{V5wuy)E Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. How Much Life Insurance Do You Really Need?