M21-1 Manual / Part XII, Subpart i, Chapter 3, Section D
Awards Barred by Receipt of Federal Employees' Group Life Insurance (FEGLI)
M21-1, Part XII, Subpart i, Chapter 3, Section D
Overview
In This Section | | This section contains the following topics: | Topic | Topic Name |
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| 1 | General Information on Awards Barred by Receipt of FEGLI | | 2 | Actions to Take on Claims Involving FEGLI Benefits |
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1. General Information on Awards Barred by Receipt of FEGLI
Introduction | | This topic contains information on awards barred by receipt of FEGLI, including - scope of the information on awards barred by receipt of FEGLI, and
- potential eligibility to death compensation or Dependency and Indemnity Compensation (DIC).
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Change Date | | July 12, 2015 |
XII.i.3.D.1.a. Scope of Information on Awards Barred by Receipt of FEGLI | | This information in this section applies only to cases in which - the deceased person served after August 16, 1954, and prior to January 1, 1957, as a commissioned officer of the
- Coast and Geodetic Survey (National Oceanic and Atmospheric Administration (NOAA), formerly Environmental Science Services Administration (ESSA)), or
- Public Health Service (PHS), and
- death occurred on or after May 1, 1957.
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XII.i.3.D.1.b. Potential Eligibility to Death Compensation or DIC | | For deceased officers, death compensation or Dependency and Indemnity Compensation (DIC) - may be paid to dependents without regard to Federal Employees' Group Life Insurance (FEGLI) coverage if death occurred prior to May 1, 1957, and
- may not be paid if FEGLI is payable to any person based on death on or after May 1, 1957, per 38 CFR 3.5(d).
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2. Actions to Take on Claims Involving FEGLI Benefits
Introduction | | This topic contains information on the action to take on claims involving FEGLI benefits, including - where to obtain information concerning FEGLI benefits
- information to include in a request to the Office of Personnel Management (OPM) regarding FEGLI benefits
- notifying the claimant regarding FEGLI benefits, and
- taking action after receiving a reply from OPM on FEGLI benefits.
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XII.i.3.D.2.a. Where to Obtain Information Concerning FEGLI Benefits | | Send a letter to the Office of Personnel Management (OPM) requesting a statement as to whether or not FEGLI has been paid or is payable to any person when - a claim for death compensation or DIC is based on a death which occurred on or after May 1, 1957, and
- the deceased person was a commissioned officer, after August 16, 1954, and prior to January 1, 1957, of the Coast and Geodetic Survey (NOAA or formerly ESSA), or PHS.
Address: OFEGLI P.O. Box 6080 Scranton, PA 18505-6080 |
XII.i.3.D.2.b. Information to Include in a Request to OPM Regarding FEGLI Benefits | | In the request sent to OPM, be sure to state that - a claim has been filed with the Department of Veterans Affairs (VA), and
- the deceased Veteran performed active service as a commissioned officer of the Coast and Geodetic Survey (NOAA or formerly ESSA) or PHS.
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XII.i.3.D.2.c. Notifying the Claimant Regarding FEGLI Benefits | | Contact the claimant to - provide notice of the action taken when the request is sent to the OPM to
- avoid piecemeal development, and
- keep the claimant informed of possible delays, and
- request evidence if there is evidence which could be supplied by the claimant without expense or undue expenditure of time and effort.
Note: If it is readily apparent that FEGLI is not payable and, therefore, not a bar, do not request evidence from the claimant. Important: This development does not preclude any other development necessary to obtain records or evidence from other sources, such as those available through Personal Information Exchange System. |
XII.i.3.D.2.d. Taking Action After Receiving a Reply From OPM on FEGLI Benefits | | Use the table below to determine the action to take after receiving a reply from OPM. | If the reply states that FEGLI … | Then … |
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- has been paid, or
- is payable either to the claimant or to any other person or persons
| - deny the claim, and
- annotate the award print: “Federal Employees Group Life Insurance payable, 38 CFR 3.5(d).”
| - has not been paid, and
- VA determines that entitlement or non-entitlement is otherwise established
| take appropriate award or denial action. |
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Source: VA M21-1 Adjudication Procedures Manual, M21-1, Part XII, Subpart i, Chapter 3, Section D (U.S. government work, reproduced for reference). Browse all sections →