5 C.F.R. § 870.1103 Election procedures.
Title 5 - Administrative Personnel
(a) The insured individual must request information on Living Benefits and an application form directly from OFEGLI. (b)(1) Only the insured individual can apply for a Living Benefit; no one can apply on his/her behalf. (2) The insured individual must complete the first part of the application and have his/her physician complete the second part. The completed application must be submitted directly to OFEGLI. (c)(1) OFEGLI reviews the application, obtains certification from the insured's employing office regarding the amount of insurance and the absence of an assignment, and determines whether the individual meets the requirements to elect a Living Benefit. (2) If OFEGLI needs additional information, it will contact the insured or the insured's physician. (3) Under certain circumstances, OFEGLI may require a medical examination before making a decision. In these cases, OFEGLI is financially responsible for the cost of the medical examination. (d)(1) If the application is approved, OFEGLI sends the insured a check for the Living Benefit payment and an explanation of benefits. (i) Until the check has been cashed or deposited, the individual may change his/her mind about electing a Living Benefit; if this happens, the individual must mark the check “void” and return it to OFEGLI. (ii) Once the insured individual has cashed or deposited the payment, the Living Benefit election becomes effective and cannot be revoked; OFEGLI then sends explanations of benefits to the insured's employing office, so it can make the necessary changes in withholdings and deductions. (2) If the application is not approved, OFEGLI will notify the insured individual and the employing office. The decision is not subject to administrative review; however, the individual can submit additional medical information or reapply at a later date if future circumstances warrant. [62 FR 48731, Sept. 17, 1997; 62 FR 52181, Oct. 6, 1997]
Title 5: Administrative Personnel
PART 870—FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM
Subpart K—Living Benefits
§ 870.1103 Election procedures.
