Office of Personnel Management

Retirement and Insurance Group

1920

1954

1959

1986	Benefits Administration Letter

Number: 95-205	Date: January 24, 1995

SUBJECT	Federal Employees' Group Life Insurance Program:

Revised SF 2820 (Certification of Insured Employee's Retired Status)

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Date of Revision	The revised form is dated August 1994

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Purpose of	The form has been changed to a three-part

Revision	form with carbons. It has also been revised to update OPM's address and to make other minor language changes.

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When Available	The revised SF 2820 will be ready by April 3, 1995, from OPM only. To order the form, contact Forms Analysis & Design Section, 202-606-0623; the FAX number is 202-606-0910.

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Previous Editions	Previous editions are not usable.

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