Office of Personnel Management

Retirement and Insurance Service

1920

1954

1959

1986	Benefits Administration Letter

Number: 95-218	Date: July 25, 1995

SUBJECT:	Federal Employees' Group Life Insurance:

Revision of SF 2819, Notice of Conversion Privilege

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Date of Revision	The revised form is dated May 1995.

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Purpose of	The form has been revised to change the

Revision	sample premium rates and the description of the types of conversion policies available, to reflect that assignees must get the conversion notice if the insurance has been assigned, to update OFEGLI's address, and to make minor language changes. The form is also now a two-part form, with one copy forwarded to the retirement system in the case of retiring employees.

Agencies are asked to keep track of to whom you send SF 2819s. You may keep a list of names and addresses or you may make a copy of the envelope. This information should be attached to the copy of the SF 2819 that is sent to retirement systems. For employees who are separating for reasons other than retirment, include the information in the employee's OPF.

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When Available	The revised SF 2819 will be ready around August 21, 1995, from GSA/FSS using the normal FEDSTRIP/MILSTRIP procedures as specified by your agency's procurement or acquisitions office.

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Previous Editions	Previous editions are not usable.

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Stock Number and	The National Stock Number (NSN) for the SF

Cost	2819 is 7540-01-231-5586. The cost of the revised form is not available.

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Abby L. Block, Chief

Insurance Policy

and Information Division