Federal Employees' Group Life Insurance lets an enrollee who is terminally ill, with a life expectancy of nine months or less, receive Basic life insurance as a living benefit. FE-8 is the claim form for that election, and a physician must certify the terminal illness. Clinicians meet it when a federal employee or annuitant brings the mailed form for certification.
The enrollee completes the claim, and the enrollee's attending physician provides the medical certification of terminal illness that the living benefits rules require.
Download the current version from the source each time; forms change without notice.
Living Benefits Claim Form
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OPM does not post FE-8 online. Employees and annuitants call the Office of Federal Employees' Group Life Insurance (OFEGLI), which mails them the application form. Agencies cannot order it, so a clinician asked to certify the illness works from the copy the patient received.
An enrollee who is terminally ill with a life expectancy of nine months or less can elect to receive Basic life insurance as a living benefit. The attending physician's certification of the terminal illness is the medical evidence that supports the claim.
The attending physician certifies that the enrollee is terminally ill, with a life expectancy of nine months or less. OPM's public page does not reproduce the form, so follow the instructions printed on the mailed copy for which part to complete and what to attach.