Create an account to pay your premium, update your beneficiaries, and manage your account online. Servicemembers group life insurance, or sgli, is a program of low cost group life insurance for service members on active duty, ready reservists, members of the national guard, members of the commissioned corps of the national oceanic and atmospheric administration and the public health service, cadets and midshipmen of the four service. Veterans group life insurance vgli veterans affairs. Prudential sgli pdf check the box and complete supplemental sgli beneficiary form, sglv 8286s. This document has been published in the federal register.
Servicemembers group life insurance sgli ousd comptroller. Sglv 8286, servicemembers group life insurance election. To request an advance insurance payment for a service member whos terminally ill, a family member would. Sglv 8286, family coverage election and certificate. Sglv form 8286 servicemembers group life insurance election. Download sglv 8721 pdf fax the form to 8002366142, or mail it to. Servicemembers group life insurance election and certi. Check the box and complete supplemental sgli beneficiary form, sglv 8286s. Servicemembers group life insurance traumatic injury protection tsgli tsgli provides all servicemembers who have sgli with traumatic injury protection. Sglv 8286a family coverage election and certificate fill online. View, download and print fillable sglv 8286 prudential insurance servicemembers group life insurance election and certificate in pdf format online. We might record your calls to make sure our service is up to standard. Wall washing and grazing with no mechanical kicker or open cavity. Sgli election and certificate and other sgli forms note revision date 1017.
Servicemembers group life insurance sgli offers lowcost term coverage to eligible service members. Members should be encouraged to name a specific beneficiary. I have read the information on page 3 and instructions on page 4 and understand that. Life insurance, you can call the office of servicemembers group life insurance osgli at 8004191473, or email the prudential insurance company. Form sglv 8286 prudential insurance servicemembers. The bank of new york mellon is the administrator of the prudential alliance. All appropriate items on this form must be completed. Renamed coverage to sgli coverage and updated the applicable. For complete information regarding eligibility and coverage, please visit the sgli page on the department of veterans affairs web site. Servicemembers group life insurance sgli the official. Servicemembers group life insurance election and certificate. I further understand that should i fail to furnish satisfactory evidence of insurability, the fact that withholdings have been made from my pay for the insurance being requested shall not create any liability.
Servicemembers group life insurance election and certificate office of servicemembers group life insurance 1. This form replaces any prior beneficiary or payment instructions. On may 18, 1992, three days after his marriage to lori a. Please be sure to always use the most recent revision when completing new elections or changing beneficiary designations. Perez, airman perez executed form sglv 8286 designating lori perez as. Servicemembers group life insurance sgli is granted under title 38, united states code, and is subject to the provisions of that title and its amendments, and title 38 code of federal regulations. Servicemembers group life insurance supplemental sgli beneficiary form 1. Fill out the servicemembers group life insurance supplemental sgli beneficiary form prudential insurance company of america online and print it out for. Fill out a vgli beneficiary designation form sglv 8721. Form sglv8286s download fillable pdf or fill online. Osgli at 8004191473, or email the prudential insurance company. If the insured member elects a lump sum payment, the beneficiaryies will be given the option of receiving the lump sum payment through the prudential. Please read the instructions before completing this form.
Sgli is a lowcost term insurance for members of the uniformed services. If you are in any uniformed service, except the public health service, and have fulltime sgli coverage you no longer need to use the sglv 8286 to make sgli elections. Link fund solutions limited are responsible for the lf prudential oeic funds. Sglv 8286, servicemembers group life insurance election and. Vgli is lifetime renewable postseparation coverage available to. By law, if you are insured under sgli, your spouse is automatically insured for. About your beneficiaries print name first, middle, last rank, title or grade social security number current amount of sgli coverage duty location branch of service the beneficiaries listed below are in addition to those listed on my completed sglv 8286. If the insured member elects a lump sum payment, the beneficiaryies will be given the option of receiving the lump sum payment either through the prudential.
Increasing sgli does not automatically increase fsgli, if fsgli was 100, 000. Telephone number for enquiries regarding both the prudential isa and lf prudential oeic funds is. Sglv 8286, servicemembers group life insurance election and certificate author. Veterans group life insurance vgli resume application. Given the option of receiving the lump sum payment through the prudential. To view your current coverage, sign in and look for life insurance on milconnects benefits menu. Fill sglv 8286a family coverage election and certificate, download blank or. See led details pdf for more info open office illumination, wall washing or grazing. Find your policy through prudential life insurance company of america, or. Servicemembers group life insurance sgli veterans affairs. You should speak to your financial adviser for more information. Sglv 8286, servicemembers group life insurance election and certificate. If a member does not want to designate a specific beneficiary but prefers the proceeds to be paid in the. Updating the sglv 8286 service members should update their sglv 8286 whenever a change in a beneficiary status changes.
If you have questions about your current coverage, please contact. Servicemembers group life insurance supplemental sgli. Sgli8714, application for veterans group life insurance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status, or any other characteristic protected by law. Naval postgraduate school monterey, ca 939435000 8. Servicemembers group life insurance sgli is granted under title 38, united states code, and is subject to the provisions of that title. Refer to the conversion brochure booklet on the prudential website to calculate the. To reduce or cancel your sgli, you must complete and file a form sglv 8286 service members group life insurance election and certificate.
New three signature patterns available for a distinctive look, view the p4000 patterns spec here. The prudential isa is provided by link financial investments limited, who are the isa plan manager. Sgli is a program of lowcost group life insurance for servicemembers on active duty, ready reservists, members of the national guard, members of the commissioned corps of the national oceanic and atmospheric administration and the public health service, cadets and midshipmen of the four service academies, and members of the reserve officer training corps. Use the pdf linked in the document sidebar for the official electronic format. Servicemembers group life insurance election and certificate use this form to. Group life insurance webpage and complete form sglv 8286, servicemembers group life insurance election and certificate. Directions to personnel clerks of the uniformed services for. Effective 52012 sglv 8286 page 2 of 4 i have read the instructions and understand that. The amount of the service members sgli coverage should be verified to make sure the. If you do not name beneficiaries above, your insurance will be paid by law see page 3. There are a number of important issues to think about around availability of the funds within this guide. The bank of new york mellon is the administrator of the prudential alliance account settlement option, a contractual obligation of the prudential insurance company of america, located at 751 broad street, newark, nj 071023777.
If you reduce or cancel sgli on the first day of duty, your election will be effective immediately. This is a continuation of my beneficiary designation on page 2 of this form, servicemembers group life insurance election and certificate. Choose from one of our premium colors with no setup fee. Directions to personnel clerks of the uniformed services.
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