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. We have a new program called Veterans Affairs Life Insurance (VALife) for Veterans with service-connected disabilities. (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. 0000003262 00000 n You are now being redirected. https://insurance.va.gov/home/IDU. Your response is required to obtain or retain this benefit. Read this page to learn more about S-DVI. If this page does not automatically refresh you may use this direct link.use this direct link. Hit enter to expand a main menu option (Health, Benefits, etc). You have 4 options to get life insurance as you transition out of service, but they have time limits. (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. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. The forms provided on this page, although reviewed by VA, are not VA forms. If you have questions about Government Life Insurance, you can call us toll-free at 1-800-669-8477 or visit our website at: www.insurance.va.gov. APPLICATION FOR SERVICE-DISABLED VETERANS INSURANCE IMPORTANT INFORMATION. . You may fill out the form online or download the form to your hard drive and fill it out from there. 0000064418 00000 n Use this form to enroll in direct deposit or change your direct deposit information. <iframe title="Intentionally Blank" src="https://www.googletagmanager.com/ns.html?id=GTM-MBGXM55" height="0" width="0" aria-hidden="true" style="display:none . 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. Then click the SEND button at the bottom. Get S-DVI RH Information and Premium Rates (VA Pamphlet 29-9) to download. There was a problem uploading the following documents: Use the following tips to get the clearest possible document pictures using your smartphone. The .gov means its official. Find out how to claim VA life insurance benefits under your policy. The .gov means its official. & Employment, Veterans Benefits Federal government websites often end in .gov or .mil. You must pay premiums for both policies during the 2-year waiting period. How Does VGLI Compare to Other Insurance Programs? Before sharing sensitive information, make sure you're on a federal government site. 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) Use this form to apply for a TSGLI benefit. Get help planning a burial, order a headstone or other memorial item, and apply for survivor and dependent benefits. 3. SXv{ZoQ-= (fillable), Use this form to change your plan of insurance. 0000006441 00000 n Q[s7+^YMP^^GV'U^nf 2^S(!gQ{3wG)Jf'9)/z(499HB6yh5p.}V'9A:[vlD!on8NMSU*PR 9e0Re\ 7az=VRId.3[s-DlUlq/lqqE+vl04O1HJZ_cWR_\GOhKb)gAABm97eaS:' 8~9`2Bp^=5G>(KCv,crouLW4k./Us^icAR|Lw'qK0MV.`l&ii&!9syn)eW>k0QMc6QwxV-9m4c =Prca9 zUVRV#>J&VQtHouC-nf/R%.N$bX-:0hnB5aB{R&f1I If you have a waiver for S-DVI premiums, your waiver wont transfer to VALife. PRIVACY ACT . 0000002900 00000 n Insurance File Number 2. Find out if youre eligible for VALife and how to apply. 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BOX 7208 PHILADELPHIA, PA 0000007449 00000 n You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. Find out how to reach out to ask a question about your policy or file a claim for benefits. (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). Youll need to pay only VALife premiums during the 2-year waiting period. 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 . This pamphlet provides information on converting SGLI, FSGLI and VGLI coverage to an individual policy. 0000129191 00000 n If you're enrolled in a VA life insurance plan, find out if you can get free financial planning and online will preparation services. 2. Attention A T users. 0000014414 00000 n An official website of the United States government. The form can then be printed out with your entries already completed. 0000008070 00000 n Form name: Claim for Monthly PaymentsNational Service Life Insurance. 0000064186 00000 n One moment please. oQ ,`-e6=FewD`66 J(S9o:tZ 1(G-l60.cRj=Z#s^0A0d4k4L1HG{(Kx "{89ViRQ_Zi14sO8S4*xZvXa}Rxs>2XZhpAT0i_}}bF9,`($550BPToz!R^#s-p2@`9si C}@!jpkRq 61) IE[{#_V_J,@q: q3a2^FYc|2UAK. Complete form SGLV 8283, Claim for Death Benefits and fax it to 1-877-832-4943 or mail it to the following address with a copy of the death certificate:Office of Servicemembers' Group Life Insurance (OSGLI)PO Box 70173Philadelphia, PA 19176-9912. Please call us toll-free at 1-800-669-8477 for instructions. Keep the information up to date about who you want to receive your insurance proceeds. 0000002002 00000 n Complete form SGLV 8283A, Claim for Family Coverage Death Benefits and contact your Branch of Service Casualty Assistance Office for assistance in submitting the form to the Office of Servicemembers Group Life Insurance (OSGLI). Manage Insurance Benefits - VA/DoD eBenefits. Life Insurance Online Policy Access: Home Access My Policy Online Do you have a VGLI Control Number? Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. Find out if you can get your insurance premium waived or receive your benefits early in certain situations. Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. How Much Life Insurance Do You Really Need? Your letter will indicate whether you should utilize this form when submitting your appeal and the time frame in which you must submit your appeal. A . The price of life insurance coverage through the Department of Veterans Affairs (VA) is based on the policy type and the insured's age. Please switch auto forms mode to off. |UBCPdk:VInrgjuUk=xhu-2 h0XQD@{+-LJR%/lj\VI]ab %A4LF`.hG"(0Dl%V)ZT}8s.3z| f K.da,Ka2 82"3`WyVwVyUpn,yWa?^Nb,d05 VOP*:2d0E\v6y"~0&/XL7\LYR {Y~3ffUT0 prXIyvblCrjrp{$pRIV^2R9 U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 0000084507 00000 n BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. 255 0 obj <>stream 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). or, 3. Note:VALife doesnt offer premium waivers. How Much Life Insurance Do You Really Need? How Does VGLI Compare to Other Insurance Programs? application to VA Insurance is to use the document upload service at: https://insurance.va.gov/home/IDU. You may only apply for VMLI if you have been approved for a, General information about the Veterans Mortgage Life Insurance Program. startxref 0000003771 00000 n Under certain conditions, the basic S-DVI policy still provides a premium waiver for Veterans who are totally disabled. An official website of the United States government. Access your policy online. Get VA life insurance About VA insurance options and eligibility M(IpFiXJK+mTTFNR 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. Use this form to designate or change the beneficiary for your VGLI 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. 988 (Press 1). Veterans Crisis Line: **. Federal government websites often end in .gov or .mil. They cannot be used for VA Compensation, VA Disability, Servicemembers' or Veterans' Group Life Insurance.Document Upload - Did you know you can send your form to VA Life Insurance using ourDocument Uploadweb page? 1. 2. You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. Center, Vocational Rehabilitation 0000117780 00000 n Eliminate shadows by using bright, direct lighting on your document. Choose Documents Select Files to Upload OR Drag and drop files here Selected Documents: 3. 8.WESyr&?saUbi3oPtaS6U{6SE 6m%7*lQ(lX. Use this page to securely send documents to VA Life Insurance. hb``f``c`c` B@Q5:00\e .:=bTXII) ,F+[ED?2,fz&2 F=",7&3LbfHc`a,c~4L0bdhfT1t gjw1f`3a HWn}GaFJKnQD&i$jFwkz3E0&~Jo ?Bw" Find out how to apply for and manage your VA health care benefits. Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. (fillable). Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W 988 (Press 1). Whether you pay once each month or once each year. Register for a Sign-In Partner or Learn More Sign in with DS Logon Sign in with DoD CAC Card Sign in with ID.me Sign in with LOGIN.GOV Select another VA website hbb``b``3 0@ = 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. Find out how to check your policy's status, update your information, or pay your premium online. No insurance deduction may be made unless a completed authorization has been received (38 CFR 8.8). Find out when and how you can convert your VA life insurance to a commercial policy. Or mail to the Department of Veterans Affairs at the address shown on the reverse. ET. Use this form to request an advance insurance payment for a spouse that is terminally ill. 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, Download TSGLI Form or Conversion Information, Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI), Download All Other VA Life Insurance Forms, SGLV 8284 Servicemember/Veteran Accelerated Benefits Option Form, SGLV 8715 Application for SGLI Disability Extension, SGLV 8286A Family Coverage Election (SGLI), SGLV 180 Application for Reinstatement of Coverage (VGLI), Frequently Asked Questions about increasing your Veterans' Group Life Insurance, How to Convert Your SGLI/FSGLI/VGLI Coverage to an Individual Policy, 29-10 Veterans Affairs Life Insurance Information and Premium Rates, 29-9 Service-Disabled Veterans Insurance RH Information and Premium Rates, 29-8636 Application for Veterans Mortgage Life Insurance (VMLI), calculate the premiums which would be paid under VMLI, 29-0975e Authorization to Disclose Personal Information to a Third Party (Insurance). Were here from 8:30 a.m. to 6:00 p.m. File claim electronically online - This is the fastest and most secure way to send your claim. Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. To ensure your security and privacy, when using a shared or . Before sharing sensitive information, make sure you're on a federal government site. 0000004102 00000 n There are 3 ways to send your claim form and documents to the Insurance Center: 1. To enter and activate the submenu links, hit the down arrow. 0000128949 00000 n Please note, original copies of death certificates are not required. 0000004754 00000 n 0000005281 00000 n 0000003606 00000 n This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. 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