FEGLI enrollees and assignees use this form to designate who should receive the death benefits. NOT required if the enrollee or assignee has not filed a previous designation of beneficiary and is satisfied with the standard order of precedence.
Attachments are also available for designating a trust:
Request a paper copy of this form from your servicing Human Resources Office.
Use your internal agency procedures for ordering Standard Forms. Paper copies of this form are NOT available from OPM.