United States Department of Veterans Affairs

How To File An Insurance Claim

 

How To File An Insurance Claim

Servicemembers’ Group Life Insurance (SGLI) Claims

Complete the form: SGLV 8283, Claim for Death Benefits and fax it to 1-877-832-4943 or mail it to:
Office of Servicemembers Group Life Insurance (OSGLI)
80 Livingston Avenue
Roseland, New Jersey 07068-1733

Insureds not on Active Duty at the time of death: If the insured was a Reservist or National Guard member, or had been released from Active Duty before his/her death, send a copy of the death certificate (or a photocopy) and a DD Form 214, Certificate of Release or Discharge from Active Duty with your claim.

Veterans’ Group Life Insurance (VGLI) Claims

Complete the 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)
80 Livingston Avenue
Roseland, New Jersey 07068-1733

TSGLI Disability Claims

Download and complete the form SGLV 8600, Application for TSGLI Benefits, or request the form from your service department point of contact, then submit the completed claim to the branch of service listed on the form. Alternatively, contact the Office of Servicemembers' Group Life Insurance by toll-free phone at 1-800-419-1473 or by email at osgli.claims@prudential.com.

VA Life Insurance Claims (not SGLI/VGLI)

Please fill out the appropriate form below and fax it to 1-888-748-5822 or mail it to the following address:
Department of Veterans Affairs
Regional Office and Insurance Center
P O Box 7208
Philadelphia, Pennsylvania 19101

Principal Beneficiary

Download and complete VA Form 29-4125, Claim for One Sum Payment. Download this form, complete it and mail or fax it to us (address and fax # above). You must also send a death certificate (or photocopy) showing date and cause of death of insured.

Contingent Beneficiary

Download and complete VA Form 29-4125, Claim for One Sum Payment. You must also send death certificates (or photocopies) showing date and cause of death of the insured and of the principal beneficiary or beneficiaries.

Representative of the Estate

Download and complete VA Form 29-4125, Claim for One Sum Payment. The claim form must be signed by the executor or administrator of the estate. You must also send a death certificate (or photocopy) showing date and cause of death of the insured. In addition, copies of letters testamentary, letters of administration, or a court order of distribution must be submitted. If these are not available, a statement that there will be no administration of the estate, and VA Form 29-541, Certificate Showing Residence and Heirs of Deceased Veteran, must be filed.

A Minor or an Incompetent Person

Download and complete VA Form 29-4125, Claim for One Sum Payment. The claim form must be signed by the next of kin, personal representative (guardian, custodian, etc.) or logical person to receive payment for the minor or incompetent. Also, include letters of guardianship, conservatorship, etc. (if any) and address of minor or incompetent. You must also send a death certificate (or photocopy) showing date and cause of death of the insured.

Veterans Mortgage Life Insurance Claims

A payoff statement from the veteran's mortgage lender showing the outstanding mortgage balance owed as of the date of the veteran's death. You must also send a death certificate (or photocopy) showing date and cause of death of the insured.

If monthly payments are desired instead of one lump sum

If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. Please call us toll-free at 1-800-669-8477 for instructions.