APPENDIX A: SGLI and VGLI Forms
APPENDIX B: Addresses for Branch of Service Casualty Offices
APPENDIX C: Premium Rate Tables for VGLI
APPENDIX D: Premium Rate Tables for Spousal Coverage
APPENDIX E: Premium Rates for SGLI and Traumatic Injury Coverage
APPENDIX F: Conditions Excluded from TSGLI Coverage
APPENDIX G: SGLI ROTC Coverage Table
SGLV 8283, Claim for Death Benefits (SGLI/VGLI)
SGLV 8283A, Claim for Family Coverage Death Benefits (SGLI)
SGLV 8284, Servicemember/Veteran Accelerated Benefits Option Form
SGLV 8284A, Servicemember Family Coverage Accelerated Benefits Option Form
SGLV 8286, Servicemembers' Group Life Insurance Election & Certificate
SGLV 8286A, Family Coverage Election (SGLI)
SGLV 8600, Application for TSGLI Benefits
SGLV 8700, Report of Death of Family Member
SGLV 8714, Application for Veterans' Group Life Insurance
SGLV 8715, Application for SGLI Disability Extension
SGLV 8721, Beneficiary Designation Form (VGLI)
|
Address |
---|---|
Army Active Duty | US Army Human Resources Command Casualty Operations Division 1600 Spearhead Division Avenue Fort Knox, KY 40122 |
Army Reserves/National Guard | US Army Human Resources Command Casualty Operations Division 1600 Spearhead Division Avenue Fort Knox, KY 40122 |
Navy Active Duty |
Commander, Navy Personnel Command |
Navy Reserves/National Guard | Commander, Navy Personnel Command Attn: PERS-00C 5720 Integrity Drive Millington, TN 38055-1300 |
Marine Corps Active Duty |
Commandant, U.S. Marine Corps |
Marine Corps Reserves/National Guard |
Commandant, U.S. Marine Corps HQ, U.S. Marine Corps Manpower and Reserve Affairs Casualty Section (MRC) 3280 Russell Road Quantico, VA 22134-5143 |
Air Force Active Duty | Department of the Air Force Attn: AFPC/DPWCS 550 C Street West, Suite 14 Randolph Field AFB San Antonio, TX 78150-6001 4716 |
Air Force Air Reserves/National Guard | HQ ARPC/DPTTE 18420 E. Silver Creek Ave BLDG 390 MS 68 Buckley AFB, CO 80011 |
Coast Guard | Commander (PSC-PSD- FS Casualty) US Coast Guard Stop 7200 2703 Martin Luther King Jr Ave SE Washington, DC 20593-7200 |
Public Health Service | Public Health Service, Comp Branch Div. of Comm. Corps Support Svcs Admin Ops Svc-Program Support Center 8455 Colesville Rd - Rm 935 Silver Spring, MD 20854-0001 |
NOAA |
NOAA Commissioned Personnel Center |
VGLI Premium Rate Chart
Monthly Premium Rates - effective July 1, 2014
Amount of Insurance | Age 29 & Below |
Age 30-34 | Age 35-39 | Age 40-44 | Age 45-49 | Age 50-54 | Age 55-59 | Age 60-64 | Age 65-69 | Age 70-74 | Age 75 & Over |
---|---|---|---|---|---|---|---|---|---|---|---|
$400,000 | $32.00 | $40.00 | $52.00 | $68.00 | $88.00 | $144.00 | $268.00 | $432.00 | $600.00 | $920.00 | $1,840.00 |
390,000 | 31.20 | 39.00 | 50.70 | 66.30 | 85.80 | 140.40 | 261.30 | 421.20 | 585.00 | 897.00 | 1,794.00 |
380,000 | 30.40 | 38.00 | 49.40 | 64.60 | 83.60 | 136.80 | 254.60 | 410.40 | 570.00 | 874.00 | 1,748.00 |
370,000 | 29.60 | 37.00 | 48.10 | 62.90 | 81.40 | 133.20 | 247.90 | 399.60 | 555.00 | 851.00 | 1,702.00 |
360,000 | 28.80 | 36.00 | 46.80 | 61.20 | 79.20 | 129.60 | 241.20 | 388.80 | 540.00 | 828.00 | 1,656.00 |
350,000 | 28.00 | 35.00 | 45.50 | 59.50 | 77.00 | 126.00 | 234.50 | 378.00 | 525.00 | 805.00 | 1,610.00 |
340,000 | 27.20 | 34.00 | 44.20 | 57.80 | 74.80 | 122.40 | 227.80 | 367.20 | 510.00 | 782.00 | 1,564.00 |
330,000 | 26.40 | 33.00 | 42.90 | 56.10 | 72.60 | 118.80 | 221.10 | 356.40 | 495.00 | 759.00 | 1,518.00 |
320,000 | 25.60 | 32.00 | 41.60 | 54.40 | 70.40 | 115.20 | 214.40 | 345.60 | 480.00 | 736.00 | 1,472.00 |
310,000 | 24.80 | 31.00 | 40.30 | 52.70 | 68.20 | 111.60 | 207.70 | 334.80 | 465.00 | 713.00 | 1,426.00 |
300,000 | 24.00 | 30.00 | 39.00 | 51.00 | 66.00 | 108.00 | 201.00 | 324.00 | 450.00 | 690.00 | 1,380.00 |
290,000 | 23.20 | 29.00 | 37.70 | 49.30 | 63.80 | 104.40 | 194.30 | 313.20 | 435.00 | 667.00 | 1,334.00 |
280,000 | 22.40 | 28.00 | 36.40 | 47.60 | 61.60 | 100.80 | 187.60 | 302.40 | 420.00 | 644.00 | 1,288.00 |
270,000 | 21.60 | 27.00 | 35.10 | 45.90 | 59.40 | 97.20 | 180.90 | 291.60 | 405.00 | 621.00 | 1,242.00 |
260,000 | 20.80 | 26.00 | 33.80 | 44.20 | 57.20 | 93.60 | 174.20 | 280.80 | 390.00 | 598.00 | 1,196.00 |
250,000 | 20.00 | 25.00 | 32.50 | 42.50 | 55.00 | 90.00 | 167.50 | 270.00 | 375.00 | 575.00 | 1,150.00 |
240,000 | 19.20 | 24.00 | 31.20 | 40.80 | 52.80 | 86.40 | 160.80 | 259.20 | 360.00 | 552.00 | 1,104.00 |
230,000 | 18.40 | 23.00 | 29.90 | 39.10 | 50.60 | 82.80 | 154.10 | 248.40 | 345.00 | 529.00 | 1,058.00 |
220,000 | 17.60 | 22.00 | 28.60 | 37.40 | 48.40 | 79.20 | 147.40 | 237.60 | 330.00 | 506.00 | 1,012.00 |
210,000 | 16.80 | 21.00 | 27.30 | 35.70 | 46.20 | 75.60 | 140.70 | 226.80 | 315.00 | 483.00 | 966.00 |
200,000 | 16.00 | 20.00 | 26.00 | 34.00 | 44.00 | 72.00 | 134.00 | 216.00 | 300.00 | 460.00 | 920.00 |
190,000 | 15.20 | 19.00 | 24.70 | 32.30 | 41.80 | 68.40 | 127.30 | 205.20 | 285.00 | 437.00 | 874.00 |
180,000 | 14.40 | 18.00 | 23.40 | 30.60 | 39.60 | 64.80 | 120.60 | 194.40 | 270.00 | 414.00 | 828.00 |
170,000 | 13.60 | 17.00 | 22.10 | 28.90 | 37.40 | 61.20 | 113.90 | 183.60 | 255.00 | 391.00 | 782.00 |
160,000 | 12.80 | 16.00 | 20.80 | 27.20 | 35.20 | 57.60 | 107.20 | 172.80 | 240.00 | 368.00 | 736.00 |
150,000 | 12.00 | 15.00 | 19.50 | 25.50 | 33.00 | 54.00 | 100.50 | 162.00 | 225.00 | 345.00 | 690.00 |
140,000 | 11.20 | 14.00 | 18.20 | 23.80 | 30.80 | 50.40 | 93.80 | 151.20 | 210.00 | 322.00 | 644.00 |
130,000 | 10.40 | 13.00 | 16.90 | 22.10 | 28.60 | 46.80 | 87.10 | 140.40 | 195.00 | 299.00 | 598.00 |
120,000 | 9.60 | 12.00 | 15.60 | 20.40 | 26.40 | 43.20 | 80.40 | 129.60 | 180.00 | 276.00 | 552.00 |
110,000 | 8.80 | 11.00 | 14.30 | 18.70 | 24.20 | 39.60 | 73.70 | 118.80 | 165.00 | 253.00 | 506.00 |
100,000 | 8.00 | 10.00 | 13.00 | 17.00 | 22.00 | 36.00 | 67.00 | 108.00 | 150.00 | 230.00 | 460.00 |
90,000 | 7.20 | 9.00 | 11.70 | 15.30 | 19.80 | 32.40 | 60.30 | 97.20 | 135.00 | 207.00 | 414.00 |
80,000 | 6.40 | 8.00 | 10.40 | 13.60 | 17.60 | 28.80 | 53.60 | 86.40 | 120.00 | 184.00 | 368.00 |
70,000 | 5.60 | 7.00 | 9.10 | 11.90 | 15.40 | 25.20 | 46.90 | 75.60 | 105.00 | 161.00 | 322.00 |
60,000 | 4.80 | 6.00 | 7.80 | 10.20 | 13.20 | 21.60 | 40.20 | 64.80 | 90.00 | 138.00 | 276.00 |
50,000 | 4.00 | 5.00 | 6.50 | 8.50 | 11.00 | 18.00 | 33.50 | 54.00 | 75.00 | 115.00 | 230.00 |
40,000 | 3.20 | 4.00 | 5.20 | 6.80 | 8.80 | 14.40 | 26.80 | 43.20 | 60.00 | 92.00 | 184.00 |
30,000 | 2.40 | 3.00 | 3.90 | 5.10 | 6.60 | 10.80 | 20.10 | 32.40 | 45.00 | 69.00 | 138.00 |
20,000 | 1.60 | 2.00 | 2.60 | 3.40 | 4.40 | 7.20 | 13.40 | 21.60 | 30.00 | 46.00 | 92.00 |
10,000 | 0.80 | 1.00 | 1.30 | 1.70 | 2.20 | 3.60 | 6.70 | 10.80 | 15.00 | 23.00 | 46.00 |
Monthly Premium Rates - Effective July 1, 2019
Amount of Insurance | Age of Spouse | ||||||
---|---|---|---|---|---|---|---|
Under 35 | 35-39 | 40-44 | 45-49 | 50-54 | 55-59 | 60 & Over | |
$100,000 | $4.50 | $5.30 | $7.00 | $10.00 | $17.00 | $29.50 | $45.00 |
$90,000 | $4.05 | $4.77 | $6.30 | $9.00 | $15.30 | $26.55 | $40.50 |
$80,000 | $3.60 | $4.24 | $5.60 | $8.00 | $13.60 | $23.60 | $36.00 |
$70,000 | $3.15 | $3.71 | $4.90 | $7.00 | $11.90 | $20.65 | $31.50 |
$60,000 | $2.70 | $3.18 | $4.20 | $6.00 | $10.20 | $17.70 | $27.00 |
$50,000 | $2.25 | $2.65 | $3.50 | $5.00 | $8.50 | $14.75 | $22.50 |
$40,000 | $1.80 | $2.12 | $2.80 | $4.00 | $6.80 | $11.80 | $18.00 |
$30,000 | $1.35 | $1.59 | $2.10 | $3.00 | $5.10 | $8.85 | $13.50 |
$20,000 | $0.90 | $1.06 | $1.40 | $2.00 | $3.40 | $5.90 | $9.00 |
$10,000 | $0.45 | $0.53 | $0.70 | $1.00 | $1.70 | $2.95 | $4.50 |
Monthly Premium Rates - effective July 1, 2019
Basic SGLI |
Traumatic Injury Coverage |
|
---|---|---|
Full-Time |
$0.60 per $10,000 per month This equates to a monthly premium of: $3.00 for $50,000 of coverage $6.00 for $100,000 of coverage $9.00 for $150,000 of coverage $12.00 for $200,000 of coverage $15.00 for $250,000 of coverage $18.00 for $300,000 of coverage $21.00 for $350,000 of coverage $24.00 for $400,000 of coverage |
$1.00 per month You must have Basic SGLI coverage to obtain Traumatic Injury coverage. |
Part-Time |
$0.60 per $10,000 per year This equates to an annual premium of: $3.00 for $50,000 of coverage $6.00 for $100,000 of coverage $9.00 for $150,000 of coverage $12.00 for $200,000 of coverage $15.00 for $250,000 of coverage $18.00 for $300,000 of coverage 21.00 for $350,000 of coverage $24.00 for $400,000 of coverage Funeral Honors Duty Premium: $.20 per $100,000 1 Day Muster Premium:$.20 per $100,000 |
$1.00 per year Funeral Honors Duty Premium: Free - No charge 1 Day Muster Premium: Free - No charge |
The TSGLI benefit will not be paid if a scheduled loss is due to a traumatic injury:
Caused by:
The member's attempted suicide, while sane or insane An intentionally self-inflicted injury or an attempt to inflict such injury Medical or surgical treatment of an illness or disease Willful use of an illegal or controlled substance, unless administered or consumed on the advice of a medical doctor; or
Sustained while a member was committing or attempting to commit a felony.
Additionally, the benefit will not be paid for a scheduled loss resulting from:
A physical or mental illness or disease, whether or not caused by a traumatic injury, other than a pyogenic (wound) infection or physical illness or disease caused by biological, chemical, or radiological weapons or accidental ingestion of a contaminated substance; or A mental disorder whether or not caused by a traumatic injury.
ROTC Member Status |
Is Coverage in Effect? |
When is it in Effect and for How Long? |
When is Coverage Effective? |
Is Coverage Automatically at Maximum? |
Is an Application for SGLI Required? |
---|---|---|---|---|---|
31 days or more ROTC active duty for training under 38 U.S.C. 1965(2)(C) |
Full-time coverage under 38 U.S.C. 1968(a)(1)(A) |
Coverage terminates 120 days following release from active duty for training |
38 CFR 9.2(a) indicates effective date under 38 U.S.C. 1967 |
Yes, under 38 U.S.C. 1967(a)(1)(B) |
Only if applying after declining/reducing SGLI under 38 U.S.C. 1967(c); would have to apply and show good health |
30 days or less ROTC active duty for training under 38 U.S.C. 1965(2)(C) |
Part-time coverage under 38 U.S.C. 1968(a)(2) |
Coverage terminates at midnight on the last day of active duty for training* Not covered during travel to/from duty |
38 CFR 9.2(a) indicates effective date under 38 U.S.C. 1967 |
Yes, under 38 U.S.C. 1967(a)(1)(B) |
Only if applying after declining/reducing SGLI under 38 U.S.C. 1967(c); would have to apply and show good health |
Work or study performed as part of military correspondence courses |
No coverage under 38 U.S.C. 1965(4) |
N/A |
N/A |
N/A |
N/A |
Attendance at educational institution while not on active duty for training |
No coverage under 38 U.S.C. 1965(4) |
N/A |
N/A |
N/A |
N/A |
Applicant for membership in ROTC; i.e., participant in Junior ROTC unit under 10 U.S.C. 2031 |
No coverage under 38 U.S.C. 1965—still an “applicant” and not a member under 38 U.S.C. 1965(5)(D); see 10 U.S.C. 2104(a), (b)(3), (b)(6)(A) |
N/A |
N/A |
N/A |
N/A |
National Guard members currently in Standby Reserve who participated in ROTC under 10 U.S.C. 2104 during freshman & sophomore years (not during junior or senior years) |
Coverage under 38 U.S.C. 1965(5)(B) during freshman & sophomore years while attending inactive duty under 38 U.S.C. 1965(3) and under 38 U.S.C. 1965(5)(B) as are members of Ready Reserve |
Coverage terminates 120 days following release from active duty for training at end of freshman and sophomore years |
38 CFR 9.2(a) indicates effective date under 38 U.S.C. 1967 |
Yes under 38 U.S.C. 1967(a)(1)(C) |
Only if applying after declining/reducing SGLI under 38 U.S.C. 1967(c); would have to apply and show good health |
Army Cadet Summer Training for non-contracted Cadets |
No coverage under 38 U.S.C. 1965—still an “applicant” and not a member under 38 U.S.C. 1965(5)(D); see 10 U.S.C. 2104(a), (b)(4) |
N/A |
N/A |
N/A |
N/A |
Army Cadet Summer Training for contracted Cadets |
Full-time coverage under 38 U.S.C. 1968(a)(1)(A); 10 U.S.C. 2104(a), (b)(4) |
Coverage terminates 120 days following release from active duty for training |
38 CFR 9.2(a) indicates effective date under 38 USC 1967 |
Yes, under 38 U.S.C. 1967(a)(1)(B) |
Only if applying after declining/reducing SGLI under 38 U.S.C. 1967(c); would have to apply and show good health |
Air Force ROTC Cadets attending field training under invitational orders and not on active duty for training |
No coverage under 38 U.S.C. 1965—still an “applicant” and not a member under 38 U.S.C. 1965(5)(D); see 10 U.S.C. 2104(a), (b)(4) |
N/A |
N/A |
N/A |
N/A |
Lieutenants pending entrance on active duty entitled to TRICARE under the provisions of TRICARE 708 |
No coverage under 38 U.S.C. 1965 |
N/A |
N/A |
N/A |
N/A |
Cadets attending professional development training (PDT) in invitational travel status |
No coverage under 38 U.S.C. 1965 |
N/A |
N/A |
N/A |
N/A |
Cadets who paid SGLI premium for a month, but end training status before end of month |
Full-time coverage under 38 U.S.C. 1968(a)(1)(A) if more 31 days Part-time coverage under 38 U.S.C. 1968(a)(2) if for less than 30 days |
If full-time, then 120 days post release If part-time, then midnight on last day of training. Not covered during travel to/from duty. |
N/A |
N/A |
N/A |