What this means
m21-1:XII.i.3.D explains awards barred by receipt of federal employees' group life insurance (fegli). In plain terms, the official guidance says for deceased officers, death compensation or Dependency and Indemnity Compensation (DIC) It also addresses send a letter to the Office of Personnel Management (OPM) requesting a statement as to whether or not FEGLI has been paid or is payable to any person when
How this may help with a claim
Use m21-1:XII.i.3.D when organizing evidence or checking VA's handling of awards barred by receipt of federal employees' group life insurance (fegli). Compare your application, supporting records, and notice with this source-specific point: For deceased officers, death compensation or Dependency and Indemnity Compensation (DIC) Send a letter to the Office of Personnel Management (OPM) requesting a statement as to whether or not FEGLI has been paid or is payable to any person when Save proof of submission and identify the exact condition, exception, or missing development step before requesting correction or choosing a review option.
What to review in your file
- Check the file against this official condition: the deceased person served after August 16, 1954, and prior to January 1, 1957, as a commissioned officer of the
- Confirm that the record or notice addresses this source point: death occurred on or after May 1, 1957.
- Document how this stated step or exception applies: may be paid to dependents without regard to Federal Employees' Group Life Insurance (FEGLI) coverage if death occurred prior to May 1, 1957, and
Important limits
m21-1:XII.i.3.D explains VA guidance for awards barred by receipt of federal employees' group life insurance (fegli); it does not guarantee an award or replace the statutes, regulations, binding decisions, and review instructions that control an individual claim. Conditions and exceptions still matter, including this source point: For deceased officers, death compensation or Dependency and Indemnity Compensation (DIC) This development does not preclude any other development necessary to obtain records or evidence from other sources, such as those available through Personal Information Exchange System.
Search terms when useful
Phrases that may help when searching your claim file or this library.
- Awards Barred by Receipt of Federal Employees' Group Life Insurance (FEGLI)
- m21-1:XII.i.3.D
- Awards Barred Receipt
- Federal Employees Group
- Awards Barred Receipt FEGLI
- scope awards barred receipt
- potential eligibility death compensation
- XII.i.3.D.1.a. Scope Awards Barred
Original VA guidance
The official VA text of this section
Overview
In This Section
This section contains the following topics:
Scroll sideways to see the full table.
| Topic | Topic Name |
|---|---|
| 1 | General Information on Awards Barred by Receipt of FEGLI |
| 2 | Actions to Take on Claims Involving FEGLI Benefits |
1. General Information on Awards Barred by Receipt of FEGLI
Introduction
This topic contains information on awards barred by receipt of FEGLI, including
- scope of the information on awards barred by receipt of FEGLI, and
- potential eligibility to death compensation or Dependency and Indemnity Compensation (DIC).
Change Date
July 12, 2015
XII.i.3.D.1.a. Scope of Information on Awards Barred by Receipt of FEGLI
This information in this section applies only to cases in which
- the deceased person served after August 16, 1954, and prior to January 1, 1957, as a commissioned officer of the
- Coast and Geodetic Survey (National Oceanic and Atmospheric Administration (NOAA), formerly Environmental Science Services Administration (ESSA)), or
- Public Health Service (PHS), and
- death occurred on or after May 1, 1957.
XII.i.3.D.1.b. Potential Eligibility to Death Compensation or DIC
For deceased officers, death compensation or Dependency and Indemnity Compensation (DIC)
- may be paid to dependents without regard to Federal Employees' Group Life Insurance (FEGLI) coverage if death occurred prior to May 1, 1957, and
- may not be paid if FEGLI is payable to any person based on death on or after May 1, 1957, per 38 CFR 3.5(d).
2. Actions to Take on Claims Involving FEGLI Benefits
Introduction
This topic contains information on the action to take on claims involving FEGLI benefits, including
- where to obtain information concerning FEGLI benefits
- information to include in a request to the Office of Personnel Management (OPM) regarding FEGLI benefits
- notifying the claimant regarding FEGLI benefits, and
- taking action after receiving a reply from OPM on FEGLI benefits.
Change Date
April 7, 2021
XII.i.3.D.2.a. Where to Obtain Information Concerning FEGLI Benefits
Send a letter to the Office of Personnel Management (OPM) requesting a statement as to whether or not FEGLI has been paid or is payable to any person when
- a claim for death compensation or DIC is based on a death which occurred on or after May 1, 1957, and
- the deceased person was a commissioned officer, after August 16, 1954, and prior to January 1, 1957, of the Coast and Geodetic Survey (NOAA or formerly ESSA), or PHS.
Address:
OFEGLI
P.O. Box 6080
Scranton, PA 18505-6080
XII.i.3.D.2.b. Information to Include in a Request to OPM Regarding FEGLI Benefits
In the request sent to OPM, be sure to state that
- a claim has been filed with the Department of Veterans Affairs (VA), and
- the deceased Veteran performed active service as a commissioned officer of the Coast and Geodetic Survey (NOAA or formerly ESSA) or PHS.
XII.i.3.D.2.c. Notifying the Claimant Regarding FEGLI Benefits
Contact the claimant to
- provide notice of the action taken when the request is sent to the OPM to
- avoid piecemeal development, and
- keep the claimant informed of possible delays, and
- request evidence if there is evidence which could be supplied by the claimant without expense or undue expenditure of time and effort.
Note: If it is readily apparent that FEGLI is not payable and, therefore, not a bar, do not request evidence from the claimant.
Important: This development does not preclude any other development necessary to obtain records or evidence from other sources, such as those available through Personal Information Exchange System.
XII.i.3.D.2.d. Taking Action After Receiving a Reply From OPM on FEGLI Benefits
Use the table below to determine the action to take after receiving a reply from OPM.
Scroll sideways to see the full table.
| If the reply states that FEGLI … | Then … |
|---|---|
| has been paid, or is payable either to the claimant or to any other person or persons | deny the claim, and annotate the award print: “ Federal Employees Group Life Insurance payable, 38 CFR 3.5(d).” |
| has not been paid, and VA determines that entitlement or non-entitlement is otherwise established | take appropriate award or denial action. |