Form Sglv 8286 - Directions To Personnel Clerks Of The Uniformed Services

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Directions To Personnel Clerks Of The Uniformed Services
1. Complete all appropriate items on this form. All entries except the signature and those
requested to be in the service member’s own handwriting, must be typed or printed in ink.
2. Include the name, address, and social security number (if available) of the beneficiary(ies),
and the relationship of the beneficiary(ies) to the service member (e.g. father, sister).
3. If a service member wants to designate a beneficiary other than would be normal under his
or her family circumstances, see “Unclear or Unusual Beneficiary Designations” (section
6.03) in the Servicemembers’ Group Life Insurance Handbook, Handbook 29-75-1
( ).
4. A representative of the Uniformed Services must sign his or her name below that of the
service member to indicate that he/she received the form from the member (whether in
person, by mail or electronically) and should include the date he/she received it.
5. This form, properly completed, is authority to a payroll office to initiate or change the
deductions for insurance premiums if the amount of insurance is changed or cancelled.
6. If this form is being used to decline SGLI coverage, inform the service member that this
action will mean that he/she will no longer have Family SGLI coverage - both spousal
coverage and dependent child coverage – or Traumatic Injury Protection (TSGLI). Have
the service member complete SGLV 8286A and take action to end payment of Family
spousal premiums. No additional forms need to be completed to end payment of TSGLI
premiums.
7. Inform the service member that if he/she is married or gets married after completing this
form, his/her spouse is automatically covered under Family SGLI and premiums are due for
this coverage and will be deducted from his/her pay if his/her spouse is registered in
DEERS. If his/her spouse is not registered in DEERS, premiums cannot be deducted and
the member will owe a debt for unpaid premiums.
8. Inform the service member that if he/she has questions about this form, he/she may obtain
the advice of a military attorney at no expense to the service member.
9. After the form is completed in its entirety, you should:
File a copy of pages 2 and 4 in the member’s official personnel file.
Provide a copy of pages 2-5 to the service member.
Provide a copy of pages 2 and 4 to the Active or Reserve component of the
Uniformed Services.
Remember: If this form is used to decline SGLI coverage and the service member has
Spousal Family SGLI coverage, you should take action to discontinue payment of spousal
Family SGLI premiums.
Note: Please do NOT send any of the forms or copies to the Office of Servicemembers’
Group Life Insurance or to the Department of Veterans Affairs.
SGLV 8286, December 2007
p. 1

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