Federal Employees' Group Life Insurance Program

Living Benefits Claim Form

Use:

Enrollees who are terminally ill with a life expectancy of 9 months or less use this form to claim living benefits under the FEGLI program.

Electronic Copies:

There are no electronic copies of this form.

Paper Copies:

Employees:

Employees who wish to apply for a Living Benefit must contact OFEGLI by calling 1-800-633-4542. OFEGLI will send you an application form.

Annuitants who wish to apply for a Living Benefit must contact OFEGLI by calling 1-800-633-4542. OFEGLI will send you an application form.

Agencies cannot order the FE-8.