United States

Office of

Personnel Management

The Federal Government's Human Resources Agency

Retirement and Insurance Service

Benefits Administration Letter

Number: 99-208	Date: April 26, 1999

Subject:	Federal Employees' Group Life Insurance: Revision of SF 2817

(Life Insurance Election)

Date of Revision	The revised form is dated April 1999.

Purpose of	We revised the form to reflect changes as a result of Public Law 105-

Revision	311, the Federal Employees Group Life Insurance Improvement Act, which provides for multiples of Option C.

Additionally, we made the following changes: 1) the coding scheme for the SF 50; 2) update of information on the table of events relating to breaks in service; 3) reference to FEGLI Handbook, RI 76-26, added; 4) "Enrollee/Assignee" changed to "Employee/Assignee," and; 5) minor language to improve readability.

When Available	The revised SF 2817 is available from GSA/FSS using the normal FEDSTRIP/MILSTRIP* procedures as specified in your agency's procurement or acquisition office. Agencies need to stock up on the new form so that sufficient quantities will be available for new and newly eligible employees and those with an applicable life event to use the new form on or after April 24, 1999.

The revised SF 2817 is available on the OPM FEGLI website at

www.opm.gov/insure/life.

Previous Editions	Previous editions are not usable.

Stock Number and	The National Stock Number (NSN) for the SF 2817 is 7540-01-231-

Cost	4280. The cost is $5.27 per pack of 100.

Abby L. Block, Chief

Insurance Policy

and Information Division

* FEDSTRIP/MILSTRIP is the ordering procedure used by agencies to procure items from

General Services Administration (GSA) Federal Supply Depot.