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, Service-Disabled Veterans Life Insurance (no new applications), Whistleblower Rights If you've received a denial letter for Traumatic Injury Protection Life Insurance benefits that instructs you to use this form, file your appeal by the date provided in your letter. The fastest and most secure way to send your application to VA Insurance is to use our document upload service at . (fillable). Before sharing sensitive information, make sure you're on a federal government site. Find out which life insurance plans you may qualify forand the benefits youll receive with each plan. (fillable), Use this form to request an automatic monthly premium deduction from your VA compensation check. You can access your policy through our VA life insurance portal if you have one of these policies: You can access your Veterans Group Life Insurance (VGLI) policy online through Prudential Insurance Company of America. Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 1. 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 Hit enter to expand a main menu option (Health, Benefits, etc). For feature and outage events, refer to the Outage Calendar link at the bottom of the page. hb``f``c`c` B@Q5:00\e .:=bTXII) ,F+[ED?2,fz&2 F=",7&3LbfHc`a,c~4L0bdhfT1t gjw1f`3a Your response is required to obtain or retain this benefit. 0000063471 00000 n You can also manage any review requests or appeals you already filed. 0000003606 00000 n How Much Life Insurance Do You Really Need? This is the fastest and most secure way to send your form. About VA insurance options and eligibility, Benefits for totally disabled or terminally ill policyholders, Beneficiary financial counseling and online will preparation, Request a decision review or manage a legacy appeal, Myths and rumors about SGLI/VGLI insurance, About the SGLI Online Enrollment System (SOES), Life insurance if you have preexisting conditions. If the document is folded, smooth it out as much as possible. You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. Your premium (the amount youll pay for your coverage) depends on these factors: You can review the premium rates for S-DVI plans. 0000117210 00000 n U@.\(}{$LjbL{2}Ln%=6g9~w':+_sLuK~j"5z application to VA Insurance is to use the document upload service at: https://insurance.va.gov/home/IDU. 1. You have 4 options to get life insurance as you transition out of service, but they have time limits. You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). You may only apply for VMLI if you have been approved for a, General information about the Veterans Mortgage Life Insurance Program. Watch our new video following a user, Andrea, as she uses the Benefit Finder on Benefits.gov to discover medical assistance programs such as Medicaid. Were here from 8:30 a.m. to 6:00 p.m. The site is secure. Get help planning a burial, order a headstone or other memorial item, and apply for survivor and dependent benefits. BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. 0000007918 00000 n Keep the information up to date about who you want to receive your insurance proceeds. VA Life Insurance If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: VA Life Insurance Online Policy Access Veterans' Group Life Insurance (VGLI) If you have a VGLI control number, access your policy through eBenefits or at this link: VGLI Online Policy Access return to top Use this form to reinstate your insurance policy if it has lapsed for less than 6 months. Choose Documents Select Files to Upload OR Drag and drop files here Selected Documents: 3. To ensure your security and privacy, when using a shared or . Use this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife). The site is secure. 198 58 Administration. Federal government websites often end in .gov or .mil. You can also try using the flash to eliminate shadows, but make sure it is not adding glare that makes parts of the document unclear. & Employment, Veterans Benefits Before sharing sensitive information, make sure you're on a federal government site. The price of life insurance coverage through the Department of Veterans Affairs (VA) is based on the policy type and the insured's age. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. 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? Follow this link to Access your VGLI Policy Online. You are now being redirected. www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. The .gov means its official. You can keep your S-DVI. Please have a look at the full domain report for va.gov for extended statistics about the Va.gov website. 0000006441 00000 n If you are in crisis or having thoughts of suicide, 0000003934 00000 n 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) You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. 0000002900 00000 n U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Please wait while your documents are being processed. Get S-DVI RH Information and Premium Rates (VA Pamphlet 29-9) to download. This is the fastest and most secure way to send your claim, 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). o>Gj{^k,:Hs]vhRUd+4?yn4BFP3;#er4h:KEf& ;W.X"1yLWlKa+C6MCLdt-ok:'.qP8-kk/N4b9a|!k7h0t=$?O7Ff]=e_}8gtOB[ibRb:>Ex:y#}Zp?|D^4d pXWj{7|O 0000117369 00000 n Attention A T users. Learn about your options if you have preexisting conditions. 0000116941 00000 n These are group policies, and factors like gender or. M(IpFiXJK+mTTFNR 1. An official website of the United States government. 0000084437 00000 n This program stopped taking new applications after December 31, 2022. (fillable), Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. https://insurance.va.gov/home/IDU. If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: If you have a VGLI control number, accessyour policy througheBenefits or at this link: Veterans Crisis Line: Access your policy online. Use this form to apply for Veterans Mortgage Life Insurance. We can help answer questions about these policies: Already have VA life insurance? Find out if you can get your insurance premium waived or receive your benefits early in certain situations. Stand with your phone camera directly over the document looking down, not at an angle. 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. 0000129191 00000 n You can call the VA Life Insurance Center at 800-669-8477(TTY: 711). use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries. hbb``b``3 0@ = To file a claim for VA Life Insurance online, you will need to complete VA Form 29-4125e, Claim for One Sum Payment and attach a photocopy of the Veterans death certificate and any other documents listed under required documentation. 0000084507 00000 n %PDF-1.7 % To access the menus on this page please perform the following steps. If you have a question about your government life insurance policy or a general question about government life insurance, please complete as much of the information in the form below as possible. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Select "VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. Hit enter to expand a main menu option (Health, Benefits, etc). trailer BYObY._S5i*p"H\}' 0BT3KQ;L_f^ggJ Y}V[2UK,UCVsENQMQMS,fQ,iDlKQ-7AiL#A!") rAa*fUK&YR(hAB/%*K[Vf ~T|Y%mE"0i9%1rIJj7+SdtK$guh{nN):ctN2/EAwvAG>"LzA :K&|dsfj- Q\Q!TX T $Op,S#NRBi LDQm Find and download the forms you need to apply for and manage your life insurance benefits. What is Veterans Mortgage Life Insurance? 0000007449 00000 n Find out how to apply for and manage your VA health care benefits. Find out how to check your policy's status, update your information, or pay your premium online. Form name: Claim for Monthly PaymentsNational Service Life Insurance. AccessVA Choose a secure VA Partner to sign into Life Insurance Online Policy Access: Don't have one? <>stream Use this form to request the proceeds of an NSLI policy be paid in monthly installments. Use this form to enroll in direct deposit or change your direct deposit information. Many of our forms can be filled out using the Adobe Acrobat Reader. Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. If you have a waiver for S-DVI premiums, your waiver wont transfer to VALife. %IH^``1uyHs2=md rDXiF 0 "7 Use our life insurance needs calculator to help decide how much life insurance you need. Attention A T users. To access the menus on this page please perform the following steps. Prudential works with us to provide VGLI benefits to Veterans. Use this form to claim the proceeds of a government life insurance policy. Track the status of your life insurance appeal. Any VA life insurance policy that starts with a V, J, RS, or W. or, 2. Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. BOX 7208 PHILADELPHIA, PA If this page does not automatically refresh you may use this direct link.use this direct link. Note: If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. https://insurance.va.gov/home/IDU. You may fill out the form online or download the form to your hard drive and fill it out from there. Center, Vocational Rehabilitation Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. 0000128949 00000 n How Much Life Insurance Do You Really Need? HWn}GaFJKnQD&i$jFwkz3E0&~Jo ?Bw" The .gov means its official. . Box 7208 Philadelphia, PA 19101 10. https://insurance.va.gov/home/IDU. If you are signing as the guardian or attorney-in-fact, please include a copy of the court appointment . (if any) and address of minor or incompetent beneficiary. 0000003262 00000 n Insurance File Number 2. GOVERNMENT LIFE INSURANCE. VA FORM XXXX Whistleblower Rights enter your Insurance File Number as the Account Number. YES NO UPLOAD: OR MAIL THE COMPLETED FORM TO: The fastest and more secure way for insureds and beneficiaries to send the application to VA Insurance is to the document upload service at https://insurance.va.gov/home/IDU For an Insured: For a Beneficiary: VAROIC-DD P.O. Find out how to reach out to ask a question about your policy or file a claim for benefits. (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. No insurance deduction may be made unless a completed authorization has been received (38 CFR 8.8). An official website of the United States government. The site is secure. (fillable). Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . 0000009493 00000 n We have a new program called Veterans Affairs Life Insurance (VALife) for Veterans with service-connected disabilities. Follow this link to upload documents. Name and Mailing Address for Insurance Purposes. Use this form to appeal a denial of TSGLI benefits. Support for WWI, WWII, and Korean War era programs: Support for the VGLI program, SGLI claims, and FSGLI claims. Before using this form, please refer to the denial letter you received from your branch of service. Use this form to apply for waiver of policy premiums if you become totally disabled before your 65th birthday. 0000008070 00000 n Request your military records, including DD214. You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. www.insurance.va.gov . (fillable), Use this form to give us information concerning the heirs of a deceased veteran or beneficiary. 0000007619 00000 n Hostname Summary Authoritative Information for the .gov Top-Level Domain Delegation Before sharing sensitive information, make sure you're on a federal government site. 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance Records - VA, published in the Federal Register. If you have VA life insurance, find out how to access and manage your policy online. File claim electronically online-This is the fastest and most secure way to send your claim.or,2. ** If you have a problem completing the online Certificate of Eligibility (COE) application, please contact the Help Desk at 1-800-827-1000. endstream endobj 199 0 obj <>/Metadata 19 0 R/Pages 18 0 R/StructTreeRoot 21 0 R/Type/Catalog/ViewerPreferences 200 0 R>> endobj 200 0 obj <> endobj 201 0 obj <>/MediaBox[0 0 792 612]/Parent 18 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 202 0 obj <>/BS<>/F 4/Rect[33.75 162.05 232.83 181.22]/StructParent 1/Subtype/Link>> endobj 203 0 obj <>/BS<>/F 4/Rect[33.75 141.65 221.12 162.05]/StructParent 2/Subtype/Link>> endobj 204 0 obj <>/BS<>/F 4/Rect[285.75 461.54 503.12 481.95]/StructParent 3/Subtype/Link>> endobj 205 0 obj <>/BS<>/F 4/Rect[285.75 441.13 503.12 461.54]/StructParent 4/Subtype/Link>> endobj 206 0 obj <>/BS<>/F 4/Rect[329.65 250.56 434.19 270.97]/StructParent 5/Subtype/Link>> endobj 207 0 obj <>/BS<>/F 4/Rect[285.75 217.74 434.21 238.15]/StructParent 6/Subtype/Link>> endobj 208 0 obj <> endobj 209 0 obj <> endobj 210 0 obj <> endobj 211 0 obj <> endobj 212 0 obj <> endobj 213 0 obj [278 0 0 0 556 0 0 0 333 333 389 0 278 333 278 278 556 556 556 556 556 556 556 556 556 556 278 0 0 0 0 0 0 667 667 722 722 0 611 778 722 278 500 0 556 833 722 778 667 0 722 667 611 0 667 0 0 667 0 0 0 0 0 0 0 556 556 500 556 556 278 556 556 222 0 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500] endobj 214 0 obj <> endobj 215 0 obj [278 0 0 0 0 0 0 0 333 333 0 0 0 333 278 278 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 611 0 722 722 722 722 667 611 778 722 278 0 0 611 833 722 778 667 0 722 667 611 722 667 944 0 0 0 0 0 0 0 0 0 556 611 556 611 556 333 611 611 278 0 556 278 889 611 611 611 0 389 556 333 611 556 778 0 556] endobj 216 0 obj <>stream 0000000016 00000 n If the beneficiary is a minor or incompetent, the person having custody of the beneficiary should complete the form and give his/her address in Item 8A. 0000084414 00000 n The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Find out if youre eligible for VALife and how to apply. 0000012552 00000 n To enter and activate the submenu links, hit the down arrow. 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. 0000014414 00000 n 0000010720 00000 n Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits. Note:VALife doesnt offer premium waivers. Select " VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. ET. 0000011713 00000 n Administration. 0000005281 00000 n If you have supplemental S-DVI, youll need to pay premiums for this supplemental coverageeven if you have a waiver for your basic S-DVI premiums. **. Read this page to learn more about S-DVI. 0000064418 00000 n 0000004754 00000 n Youll need to pay only VALife premiums during the 2-year waiting period. What you can do when you access your policy Check your policy's status to make sure it's up to date Pay your premium (the amount you pay each month or each year to keep your coverage) Use this form to claim SGLI or VGLI proceeds for a deceased policyholder. &hE$"% Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. CHILDREN OF DECEASED BROTHERS(S) AND SISTER(S) (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. and you have full-time SGLI coverage; use the SGLI Online Enrollment System (SOES) to: If you cannotaccess to SOES or have part time coverage, If you cannot access SOES or have part time coverage. An official website of the United States government. 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