SF 2821. Agency Certification of Insurance Status - Federal Employees' Group Life Insurance Program

SF 2821. Agency Certification of Insurance Status - Federal Employees' Group Life Insurance Program

The SF 2821 Agency Certification of Insurance Status form is used by federal agencies to certify the insurance status of their employees under the Federal Employees' Group Life Insurance (FEGLI) Program. The main purpose of this form is to provide accurate information to the Office of Personnel Management (OPM) regarding an employee's FEGLI coverage, which is necessary for administering FEGLI benefits. 

The form consists of several parts, including basic identifying information, questions regarding the employee's FEGLI coverage, and certification of the accuracy of the information provided. The important fields to consider when compiling the form include the employee's name, contact information, and FEGLI coverage information. 

The parties involved in this form are the federal agency certifying the employee's insurance status and OPM, which administers the FEGLI program. It is important to consider that the information provided on this form is confidential and protected by the Privacy Act. 

In order to complete the form, federal agencies will need to provide detailed information regarding the employee's FEGLI coverage, including their coverage options and the amount of coverage they have. Additionally, agencies may need to attach supporting documentation, such as enrollment forms or change of coverage forms. 

An example of an application for this form would be when a federal employee changes their FEGLI coverage or when a new employee is hired and needs to enroll in the FEGLI program. 

The benefits of this form include ensuring accurate administration of FEGLI benefits and providing employees with access to life insurance coverage. However, there may be challenges and risks associated with disclosing sensitive insurance information. 

An alternative form to the SF 2821 is the SF 2817 Life Insurance Election form, which is used by federal employees to enroll in the FEGLI program and select their coverage options. The main difference between the two forms is that the SF 2821 is used by federal agencies to certify an employee's insurance status, while the SF 2817 is used by employees to enroll in the FEGLI program. 

The information provided on this form can have a significant impact on the future of the participant, as it affects their eligibility for FEGLI benefits. 

The form is submitted by the federal agency to OPM, and it is stored in accordance with the Privacy Act.