Filing a Claim
Prior to Retirement



Your designated beneficiary or other survivors as described under "About Beneficiaries" must complete a claim form, Claim for Death Benefits (FE 6), and furnish a certified death certificate. Your beneficiary or other survivor should contact your employino office for a claim form. The completed claim form and certified death certificate should be sent to that office for submission to OFEGLI.



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An accident which results in loss of life, limb, or eyesight must be reported within 20 days after the incident. Proof of the loss resulting from the accident must be submitted on Form FE 7, Claim for Accidental Dismemberment Benefits, which the employing office will provide, not later than 90 days after the date of the loss. However, if it is not possible to furnish notice or proof in the time specified, the requirements will be met if such notice or proof is furnished as soon as reasonably possible.



OFEGLI has the right to have a physician examine you if you are claiming benefits for loss of limb or eyesight, as well as the right to require an autopsy in the event of a claim for accidental death benefits, unless an autopsy is

forbidden by law.



If you have Option C-Family and an insured family member dies, contact your employing office to obtain a claim form (FE 6-DEP). A certified death certificate will be required. Additional documents may be requested.



Instructions on the claim form should be followed carefully in order to assure prompt handling of your claim. If you (or your beneficiary) have any questions about filing a claim or need assistance, contact your employing off ice or the Off ice of Federal Employees'Group Life Insurance, 200 Park Avenue, NewYork, NY 10166-0188, 1-800-633-4542.