h{)W_Gk7F !U$XLs8(s:p~1ko; Use this form to claim SGLI or VGLI proceeds for a deceased policyholder. IF YOU HAVE ANY QUESTIONS CONCERNING . 1. Note: If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. If you have VA life insurance, find out how to access and manage your policy online. %IH^``1uyHs2=md rDXiF 0 "7
Download all VA life insurance program forms on this page: Download SGLI Forms Download Family SGLI Forms Download VGLI Forms Download TSGLI Form or Conversion Information Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI) Download All Other VA Life Insurance Forms 0000000016 00000 n
1-800-273-8255 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420, Last updated February 28, 2023 | v3.4.0-rc1+build.875.42b350dce982f36c2e2a022cfdc645fb8ffce63b, Service-Disabled Veterans Life Insurance (no new applications), Whistleblower Rights
Any VA life insurance policy that starts with a V, J, RS, or W. Before sharing sensitive information, make sure you're on a federal government site. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. visit VeteransCrisisLine.net for more resources. Use our life insurance needs calculator to help decide how much life insurance you need. 0000064186 00000 n
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Financial counseling and online will prep, Check your policys status to make sure its up to date, Pay your premium (the amount you pay each month or each yearto keep your coverage), Find out about your plan and renewal options, depending on which type of plan you have, Update your beneficiaries(the peopleyouve picked to get the money from your policy if you die), Veterans Affairs Life Insurance (VALife)policies that start with a G, Service-Disabled Veterans Life Insurance (S-DVI)policies that start with an RH, Any VA life insurance policy that starts with a V, J, RS, or W. PRIVACY ACT . (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. 0000001822 00000 n
Upload Your Documents using our secure web page - This is a fast and secure way to send your claim.or,3. 0000001485 00000 n
visit VeteransCrisisLine.net for more resources. VA HOME; PRIVACY; FOIA; U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420 . U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. &hE$"% To file a claim for VA Life Insurance online, you will need to complete VA Form 29-4125e, Claim for One Sum Payment and attach a photocopy of the Veterans death certificate and any other documents listed under required documentation. 0000009493 00000 n
If you are in crisis or having thoughts of suicide,
Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . 0000084177 00000 n
Use this form to request the proceeds of an NSLI policy be paid in monthly installments. About VA insurance options and eligibility, Benefits for totally disabled or terminally ill policyholders, Beneficiary financial counseling and online will preparation, Request a decision review or manage a legacy appeal, Myths and rumors about SGLI/VGLI insurance, About the SGLI Online Enrollment System (SOES), Life insurance if you have preexisting conditions. To apply for this coverage, read the instructions below and complete both sides of the application. %PDF-1.7
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Find out if youre eligible for VALife and how to apply. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. The form can then be printed out with your entries already completed. Please have a look at the full domain report for va.gov for extended statistics about the Va.gov website. startxref
designate or update the beneficiary on a SGLI policy, restore or increase SGLI coverage when it has previously been reduced or declined, restore or increase Family SGLI coverage when it has previously been reduced or declined. Choose Documents Select Files to Upload OR Drag and drop files here Selected Documents: 3. There are 3 ways to send your claim form and documents to the Insurance Center: 1. M(IpFiXJK+mTTFNR 0000003449 00000 n
We will respond as soon as possible using the method (e-mail, phone or letter . 0000084414 00000 n
PLEASE BE SURE TO COMPLETE BOTH SIDES OF THIS APPLICATION. 0000004429 00000 n
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Please call us toll-free at 1-800-669-8477 for instructions. If you are signing as the guardian or attorney-in-fact, please include a copy of the court appointment . https://insurance.va.gov/home/IDU. The forms provided on this page, although reviewed by VA, are not VA forms. 0000003262 00000 n
AccessVA Choose a secure VA Partner to sign into Life Insurance Online Policy Access: Don't have one? 0000003934 00000 n
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pXWj{7|O What you can do when you access your policy Check your policy's status to make sure it's up to date Pay your premium (the amount you pay each month or each year to keep your coverage) 2 0 obj Find out if you're eligible for tax-free monthly payments as a wartime Veteran or surviving spouse or child. Find out how to check your policy's status, update your information, or pay your premium online. 0000003606 00000 n
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(fillable), Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. Learn about the law requiring us to pay all benefits by electronic funds transfer. If you have questions about Government Life Insurance, you can call us toll-free at 1-800-669-8477 or visit our website at: www.insurance.va.gov. APPLICATION FOR SERVICE-DISABLED VETERANS INSURANCE IMPORTANT INFORMATION. More information about Life Insurance for Veterans Choose one of the links below for more information about Life Insurance for Veterans Veterans Affairs Life Insurance (VALife) & Protections, Life Insurance Online
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2. How Does VGLI Compare to Other Insurance Programs? 3. Access your policy online. 0000004982 00000 n
VA Life Insurance If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: VA Life Insurance Online Policy Access Veterans' Group Life Insurance (VGLI) If you have a VGLI control number, access your policy through eBenefits or at this link: VGLI Online Policy Access return to top Use this form to apply for VGLI insurance. You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). 0000002151 00000 n
An official website of the United States government. ** If you have a problem completing the online Certificate of Eligibility (COE) application, please contact the Help Desk at 1-800-827-1000. 0000007788 00000 n
This is the fastest and most secure way to send your claim, Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). Using the Benefit Finder, Andrea will find the resources she and her family need and automatically compare her eligibility for over 1,000 state and federal benefit programs. Find and download the forms you need to apply for and manage your life insurance benefits. 0000004102 00000 n
This pamphlet provides information on converting SGLI, FSGLI and VGLI coverage to an individual policy. More information about Life Insurance for Veterans, Choose one of the links below for more information about Life Insurance for Veterans, Veterans Crisis Line:
If you have supplemental S-DVI, youll need to pay premiums for this supplemental coverageeven if you have a waiver for your basic S-DVI premiums. If the beneficiary is a minor or incompetent, the person having custody of the beneficiary should complete the form and give his/her address in Item 8A. Attention A T users. You can also try using the flash to eliminate shadows, but make sure it is not adding glare that makes parts of the document unclear. Learn how to access your VA records, benefit letters, and documents online. 2900-0068 Respondent Burden: 40 minutes Expiration Date: XXXXXXX APPLICATION FOR SERVICE-DISABLED VETERANS INSURANCE IMPORTANT INFORMATION S-DVI provides up to $10,000 of life insurance for eligible veterans. Attention A T users. For feature and outage events, refer to the Outage Calendar link at the bottom of the page. **. Find out when and how you can convert your VA life insurance to a commercial policy. Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? application to VA Insurance is to use the document upload service at: https://insurance.va.gov/home/IDU. 0000084507 00000 n
The information requested is required to obtain or retain benefits and will be used by VA employees and your authorized representatives in the maintenance of Government insurance programs. Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. Veterans Crisis Line:
Many of our forms can be filled out using the Adobe Acrobat Reader. 0000129191 00000 n
Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. Upload Documents Cancel Federal government websites often end in .gov or .mil. 0000008467 00000 n
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1. Home Find a VA form About VA Form 29-4125 About VA Form 29-4125 Form name:Claim for One Sum PaymentGovernment Life Insurance Related to:Life insurance Form last updated:June 2022 Downloadable PDF Download VA Form 29-4125 (PDF) Name and Mailing Address for Insurance Purposes. [~`\0;i4f d yDE2(|
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Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. Stand with your phone camera directly over the document looking down, not at an angle. 0000194545 00000 n
Watch our new video following a user, Andrea, as she uses the Benefit Finder on Benefits.gov to discover medical assistance programs such as Medicaid. Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W AfO%7s$XMwBnb?Svg
;mv0NCd\]k)f#be!v) Or mail to the Department of Veterans Affairs at the address shown on the reverse. Administration. Mail your documents to the following address: Follow this link for information on how to file a claim for VMLI. To ensure your security and privacy, when using a shared or . 0000004154 00000 n
Use this form to apply for a TSGLI benefit. 0000012725 00000 n
(if any) and address of minor or incompetent beneficiary. Use this form to claim the proceeds of a government life insurance policy. Eliminate shadows by using bright, direct lighting on your document. Prudential works with us to provide VGLI benefits to Veterans. U@.\(}{$LjbL{2}Ln%=6g9~w':+_sLuK~j"5z VA FORM XXXX 0000064032 00000 n
They cannot be used for VA Compensation, VA Disability, Servicemembers' or Veterans' Group Life Insurance.Document Upload - Did you know you can send your form to VA Life Insurance using ourDocument Uploadweb page? https://insurance.va.gov/home/IDU. But you wont have full coverage during this time. Read this page to learn more about S-DVI. (fillable). & Employment, Veterans Benefits
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An official website of the United States government. You must pay premiums for both policies during the 2-year waiting period. You may fill out the form online or download the form to your hard drive and fill it out from there. 0000005281 00000 n
Our call center is also available to assist with any questions you may have. VA Collections Address: PO Box 4019 Portland, OR 97208-4019. Whether you pay once each month or once each year. We can help answer questions about these policies: VALife S-DVI Any VA life insurance policy that starts with a V, J, RS, or W More information about your benefits Access your policy online Make sure the entire document is visible on screen. Veterans Crisis Line:
Use this form to request an advance insurance payment for a Servicemember or Veteran that is terminally ill. Use this form to apply for a free extension (up to two years) of SGLI coverage if you are a totally disabled at time of discharge. YES NO UPLOAD: OR MAIL THE COMPLETED FORM TO: The fastest and more secure way for insureds and beneficiaries to send the application to VA Insurance is to the document upload service at https://insurance.va.gov/home/IDU For an Insured: For a Beneficiary: VAROIC-DD P.O. <>stream Center, Vocational Rehabilitation
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https://insurance.va.gov/home/IDU. Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries. CHILDREN OF DECEASED BROTHERS(S) AND SISTER(S) 0000063471 00000 n
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q3a2^FYc|2UAK. visit VeteransCrisisLine.net for more resources. Use this form to designate or change the beneficiary for your VGLI policy. GOVERNMENT LIFE INSURANCE. Place the document on a flat surface, like a desk or table. We began accepting applications for VALife on January 1, 2023. The .gov means its official. We apologize for any temporary disruption that may be caused as we move into the new system, however the benefit of having a more secure, safe, efficient, and modern policy maintenance system for our . Your response is required to obtain or retain this benefit. But if you already have S-DVI, you can keep it. 0000117369 00000 n
Instant Loan Approval for insurance loans is here - VA News The new Instant Loan Approval service streamlines and automates online processes that eliminate human intervention for providing decisions for loan requests. Yes. These are group policies, and factors like gender or. enter your Insurance File Number as the Account Number. An official website of the United States government. Left-click on the form title to view the form in your browser. If you are in crisis or having thoughts of suicide,
Use this form to convert all or part of your term insurance to a permanent plan of insurance. 0000063712 00000 n
Follow this link to Access your VGLI Policy Online. VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. You can access your policy through our VA life insurance portal if you have one of these policies: You can access your Veterans Group Life Insurance (VGLI) policy online through Prudential Insurance Company of America. Administration. Download all VA life insurance program forms on this page: For other (non-Insurance) Veterans Benefits forms, please use the VA Forms Page. OMB Control No. Use this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife). Hostname Summary Authoritative Information for the .gov Top-Level Domain Delegation FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Servicemembers' Group Life Insurance (SGLI), Family Servicemembers' Group Life Insurance (FSGLI), VA Administered Life Insurance Program Claims (non-SGLI/VGLI), SGLV 8283A, Claim for Family Coverage Death Benefits, SGLV 8600, Application for TSGLI Benefits, VA Form 29-4125e, Claim for One Sum Payment, VA Form 29-4125, Claim for One Sum Payment, VA Form 29-541, Certificate Showing Residence and Heirs of Deceased Veteran, Upload Your Documents using our secure web page, information on how to file a claim for VMLI, acopy of the death certificate (or a photocopy) AND, a DD Form 214, Certificate of Release or Discharge from Active Duty OR, NGB-22, Report of Separation and Military Service OR, Photocopy of the death certificate of the insured Veteran showing the date and cause of death, Photocopies of the death certificates of all principal beneficiaries showing the date and cause of death, Copies of letters testamentary, letters of administration, or a court order of distribution, letters of guardianship, conservatorship, etc. hb``f``c`c` B@Q5:00\e
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If you disagree with a decision on your application for life insurance benefits, you can request a decision review. (fillable), Use this form to give us information concerning the heirs of a deceased veteran or beneficiary. 988 (Press 1). HWn}GaFJKnQD&i$jFwkz3E0&~Jo
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U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. If the document is folded, smooth it out as much as possible. BOX 7208 PHILADELPHIA, PA Learn the truth about the rumors that there are special dividends for Veterans who don't have an active government life insurance policy. How Does VGLI Compare to Other Insurance Programs? VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. Center, Vocational Rehabilitation
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Find out how to reach out to ask a question about your policy or file a claim for benefits. 0000002002 00000 n
Box 7208 Philadelphia, PA 19101 10. Learn about your options if you have preexisting conditions. File claim electronically online-This is the fastest and most secure way to send your claim.or,2. Use this form to request an advance insurance payment for a Servicemember or veteran that is terminally ill. Information about increasing VGLI Coverage. Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. Use this pamphlet when applying for S-DVI. If you have a question about your government life insurance policy or a general question about government life insurance, please complete as much of the information in the form below as possible. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 8.WESyr&?saUbi3oPtaS6U{6SE 6m%7*lQ(lX. 0000014484 00000 n
Federal government websites often end in .gov or .mil. Your premium (the amount youll pay for your coverage) depends on these factors: You can review the premium rates for S-DVI plans. Use this form to authorize the disclosure of VA Life insurance information to a third party. 988 (Press 1). Use this form to appeal a denial of TSGLI benefits. ET. Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. 2. Please switch auto forms mode to off. Tips for taking clear document pictures with a smartphone. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 0000129214 00000 n
One moment please. To access the menus on this page please perform the following steps. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. The site is secure. Life Insurance Online Policy Access: Home Access My Policy Online Do you have a VGLI Control Number? Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. You can also manage any review requests or appeals you already filed. Select " VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. How Does VGLI Compare to Other Insurance Programs? Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. 988 (Press 1). 0000003075 00000 n
Use this form to authorize the disclosure of VA Life insurance information to a third party. Or mail to: VA Insurance Center P.O. The Veterans Mortgage Life Insurance (VMLI) program is designed to pay up to $200,000 on the home mortgages of eligible Follow this link to upload documents. www.insurance.va.gov . 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance Records - VA, published in the Federal Register. Veterans Crisis Line:
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Submit an online request to get your DD214 or other military service records through the milConnect website. We can help answer questions about these policies: Already have VA life insurance? Applications, eBenefits Employment
You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. If you apply for VALife on or after January 1, 2026,your S-DVI (including policies with premium waivers) will end the day we approve your VALife application. Find out how to claim VA life insurance benefits under your policy. endstream
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and you have full-time SGLI coverage; use the SGLI Online Enrollment System (SOES) to: If you cannotaccess to SOES or have part time coverage, If you cannot access SOES or have part time coverage. Manage Insurance Benefits - VA/DoD eBenefits. Your letter will indicate whether you should utilize this form when submitting your appeal and the time frame in which you must submit your appeal. Under certain conditions, the basic S-DVI policy still provides a premium waiver for Veterans who are totally disabled. These forms are to be used for National Service Life Insurance only. 198 0 obj
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To access the menus on this page please perform the following steps. To enter and activate the submenu links, hit the down arrow. Use this form to claim FSGLI proceeds for a deceased spouse or dependent. (DocuSign), Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). 8DkqL-5c=7v%J`)19_.RW]+;Af}zCqX8 endstream
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. https://insurance.va.gov/home/IDU. The site is secure. 0000006441 00000 n
Register for a Sign-In Partner or Learn More Sign in with DS Logon Sign in with DoD CAC Card Sign in with ID.me Sign in with LOGIN.GOV Select another VA website Complete form SGLV 8283, Claim for Death Benefits and fax it to 1-877-832-4943 or mail it to the following address with a copy of the death certificate:Office of Servicemembers' Group Life Insurance (OSGLI)PO Box 70173Philadelphia, PA 19176-9912. Complete form SGLV 8283A, Claim for Family Coverage Death Benefits and contact your Branch of Service Casualty Assistance Office for assistance in submitting the form to the Office of Servicemembers Group Life Insurance (OSGLI). 3. 1. & Protections, Life Insurance Online
The site is secure. Request your military records, including DD214. %%EOF
How Much Life Insurance Do You Really Need? 0
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Programs of U.S. Government Life Insurance- VA, and published in the Federal Register. BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Download TSGLI Form or Conversion Information, Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI), Download All Other VA Life Insurance Forms, SGLV 8284 Servicemember/Veteran Accelerated Benefits Option Form, SGLV 8715 Application for SGLI Disability Extension, SGLV 8286A Family Coverage Election (SGLI), SGLV 180 Application for Reinstatement of Coverage (VGLI), Frequently Asked Questions about increasing your Veterans' Group Life Insurance, How to Convert Your SGLI/FSGLI/VGLI Coverage to an Individual Policy, 29-10 Veterans Affairs Life Insurance Information and Premium Rates, 29-9 Service-Disabled Veterans Insurance RH Information and Premium Rates, 29-8636 Application for Veterans Mortgage Life Insurance (VMLI), calculate the premiums which would be paid under VMLI, 29-0975e Authorization to Disclose Personal Information to a Third Party (Insurance). Were here from 8:30 a.m. to 6:00 p.m. or, 3.
Find out which life insurance plans you may qualify forand the benefits youll receive with each plan. Use this form to reinstate your insurance policy if it has lapsed for less than 6 months. Find out how to apply for and manage your VA health care benefits. 0000014414 00000 n
Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits. Before using this form, please refer to the denial letter you received from your branch of service. Youll need to pay only VALife premiums during the 2-year waiting period. 0000010720 00000 n
Get S-DVI RH Information and Premium Rates (VA Pamphlet 29-9) to download. trailer
Applications, eBenefits Employment
Yes. The site is secure. The .gov means its official. You dont have to do anything to keep your coverage. Support for WWI, WWII, and Korean War era programs: Support for the VGLI program, SGLI claims, and FSGLI claims. Sign up to pay your Veterans' Group Life Insurance premium automatically from your bank account. You can keep your S-DVI. 198 58
Select "VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. 0000008070 00000 n
Get VA life insurance About VA insurance options and eligibility How Much Life Insurance Do You Really Need? Go to milConnect and select Manage my SGLI. Contact the Insurance Center. HWYoF~'0} hj+5T aEITSwfIJCfoWxp {\pLz^beqy^iNd=9 tUoG^R%@ You have 4 options to get life insurance as you transition out of service, but they have time limits. We're here from 8:30 a.m. to 6:00 p.m. This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. If you have S-DVI, you have these 2 options: If you apply for VALife by December 31, 2025,you can keep your S-DVI during the 2-year waiting period for VALife benefits. qantas heathrow based cabin crew, republic records demo submission, bobby hatfield family, To Veterans pay premiums for both policies during the 2-year waiting period how..., NW Washington DC 20420 with a smartphone service-connected disabilities, read the instructions and... 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